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Whats New on Antibiotic Prescribing

Recently updated content on the website

  • Upper Respiratory Tract Infections, Nov 2020
    • Pharnygitis: Majority are viral however if antibiotics deemed necessary, recommended duration now 5 days (instead of 10 days)
    • Sinusitis (adults): Majority are viral however if antibiotics deemed necessary, doxycycline (first line if penicillin allergy) can be dosed at 200mg daily.
  • Lower Respiratory Tract Infections Nov 2020
    • Doxycycline (often first line if penicillin allergy) can be dosed at 200mg daily across the range of lower respiratory tract infections.
    • Duration of recommended therapy for community-acquired pneumonia reduced; 5 days for CRB-65 score 0 (instead of 5-7days), 7 days for CRB-65 score 1-2 (instead of 7-10 days)
    • Recommend higher dose amoxicillin (1g tds as opposed to 500mg tds) for community-acquired pneumonia CRB-65 score 1-2
  • New content to support deprescribing UTI prophylaxis, Nov 2020
    • All UTI prophylaxis should be reviewed at 3-6mths with a view to stopping as many patients can stop without a return of symptoms.
    • There is no evidence of additional benefit beyond 3-6 months but there is significant evidence of harm.
  • About Us, Nov 2020
    • Contact details for community antimicrobial pharmacists added.
    • List of contributors updated

whatsnew

  • Renal Impairment Summary Sept 2020
    • Medicines list expanded to include anti-fungals and anti-helmintics
    • Advice on Fosfomycin updated (avoid if CrCl <10ml/min)
    • Advice on Nitrofurantoin updated (contraindicated if CrCl <30ml/min, caution in use if CrCl 30-45ml/min)
  • Animal and Human Bites Sept 2020 
    • Content of both pages merged
    • Expanded advice on general management and antibiotic prophylaxis
    • Duration of prophylaxis 5 days, duration of treatment 7 days
  • COVID-19 acute respiratory infection May 2020
    • COVID-19 is a viral infection.
      Antivirals or agents with antiviral properties for COVID-19 should not be prescribed for treatment or prophylaxis in the community, unless as part of a clinical trial.
      Secondary bacterial infection appears uncommon in COVID-19 patients.

  • Key messages from AMRIC to community prescribers March 2020
    • Tips on safe us of clarithromycin , and important safety concerns for fluoroquinolones especially moxifloxacin are just some of the items covered
  • Recurrent UTI in Adult, Non-Pregnant Females March 2020
    • This guideline refers to symptomatic culture-proven recurrent urinary tract infection (UTI)
      It covers non antimicrobial measures, antibiotic prophylaxis. It is important to remember that recurrent or persistent lower urinary tract symptoms are not always due to recurrent UTI. Other conditions such as STI, postmenopausal atrophic vaginitis and dermatological conditions often cause similar symptoms.
      Antimicrobial prophylaxis should be reviewed after 3-6 months with a view to stopping