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NHS Bath and North East Somerset, Swindon and Wiltshire CCG
Royal United Hospitals Bath NHS Foundation Trust
Great Western Hospitals NHS Foundation Trust
Salisbury NHS Foundation Trust
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 Formulary Chapter 5: Infections - Full Section
Notes:

Only high cost medicines to be supplied within our health economy are listed on BSW Formulary, but patients may also have access to more specialised, high cost medicines via other specialist centres, if eligible.

 

Infections Prescribing Guidance 

Please see our Prescribing Guidelines page for all prescribing guidance relating to this chapter.

The Primary care antibiotic guidance can be found here

Management of Infection Quick Ref Guide for Adults can be found here

Management of Infection Quick Ref Guide for Children can be found here

Infections-related Shared Care Agreements

Please see our Shared Care Agreements page for all shared care agreements (SCAs) relating to this chapter

Lyme Disease:

Most up to date information see NICE Guideline NG95  April 2018 and for treatment regimens please see our primary care antibiotic guidance (link above).

Th NICE guideline covers diagnosing and managing Lyme disease. It aims to raise awareness of when Lyme disease should be suspected and ensure that people have prompt and consistent diagnosis and treatment. It does not cover preventing Lyme disease.

For general information www.lymediseaseaction.org.uk/resources/guidelines/ 

Out-patient Antibiotic Therapy (OPAT) services across BaNES/Swindon/Wiltshire:

GWH OPAT service:

OPAT Specialist Nurse - 01793 605032

Or alternatively contact switchboard on 01793 604020 and bleep 1108

OPAT Team working hours:

Monday to Friday 08:30am – 16:30pm

Out of hours contact:

Switchboard – 01793 604020 and bleep:

On call Orthopaedic registrar – 1088

On call Medical registrar – 3333

Other useful contact telephone numbers:

The PICC Team – 01793 605885 or bleep 2615

SEQOL – Swindon Community Nurses – 01793 646466

RUH OPAT service:

Direct line (with answerphone): 01225 821490

OR RUH switchboard and bleep 7467

Service is open Monday to Friday 8am to 4-4:30pm

NHSE Easy read information: Sepsis These easy read documents provide information about how to avoid sepsis, spotting the signs of sepsis, and problems after sepsis. 4/3/2020

Self-care

Many of the products in this chapter are available for purchase over-the-counter, and patients are encouraged to self-care, with the support of their community pharmacist, in the first instance.

For further information on self-care & the NHS, please refer to https://www.england.nhs.uk/medicines/conditions-for-which-over-the-counter-items-should-not-routinely-be-prescribed/

 Useful Links
Numbers in brackets indicate counts of (Formulary items, Non Formulary items)
05.01 Antibacterial drugs (0,2)
05.01.01 Penicillins (0,0)
05.01.01.01 Benzylpenicillin and phenoxymethylpenicillin (3,1)
05.01.01.02 Penicillinase-resistant penicillins (3,0)
05.01.01.03 Broad-spectrum penicillins (4,3)
05.01.01.04 Antipseudomonal penicillins (1,1)
05.01.01.05 Mecillinams (1,0)
05.01.02 Cephalosporins, carbapenems and other beta-lactums (0,1)
Cephalosporins (5,6)
Other beta-lactam antibiotics (0,0)
05.01.02.01 Cephalosporins (0,8)
05.01.02.02 Carbapenems (2,0)
05.01.02.03 Other beta-lactums antibiotics (2,2)
05.01.03 Tetracyclines (4,2)
Tigecycline (1,0)
05.01.04 Aminoglycosides (4,4)
05.01.05 Macrolides (4,0)
05.01.06 Clindamycin (2,0)
05.01.07 Some other antibacterials (2,3)
Chloramphenicol (1,0)
Fosfomycin (1,0)
Fusidic acid (1,1)
Vancomycin and teicoplanin (3,1)
Daptomycin (1,0)
Linezolid (1,0)
Quinupristin and dalfopristin (0,1)
Polymyxins (2,0)
Rifaximin (0,1)
Fidaxomicin (1,0)
05.01.08 Sulphonamides and trimethoprim (3,1)
05.01.09 Antituberculosis drugs (8,8)
05.01.10 Antileprotic drugs (1,2)
05.01.11 Metronidazole and tinidazole (3,0)
05.01.12 Quinolones (6,3)
05.01.13 Urinary-tract infections (5,0)
05.02 Antifungal drugs (11,1)
Treatment of fungal infections (0,0)
Drugs used in fungal infections (2,4)
05.02.01 Triazole antifungals (0,0)
05.02.02 Imidazole antifungals (0,0)
05.02.03 Polyene antifungals (0,0)
05.02.04 Echinocandin antifungals (2,1)
05.02.05 Other antifungals (0,1)
05.03 Antiviral drugs (0,1)
05.03.01 HIV infection (0,0)
Nucleoside reverse transcriptase inhibitors (17,1)
Protease inhibitors (6,1)
Non-nucleoside reverse transcriptase inhibitors (3,0)
Other antiretrovirals (4,0)
05.03.02 Herpesvirus infections (0,1)
05.03.02.01 Herpes simplex and varicella-zoster infection (4,0)
05.03.02.02 Cytomegalovirus infection (3,0)
05.03.03 Viral hepatitis (0,0)
05.03.03.01 Chronic hepatitis B (4,0)
05.03.03.02 Chronic hepatitis C (10,0)
05.03.04 Influenza (3,1)
05.03.05 Respiratory syncytial virus (2,0)
05.04 Antiprotozoal drugs (0,0)
05.04.01 Antimalarials (0,0)
Treatment of malaria (1,0)
Chloroquine (1,0)
Mefloquine (1,0)
Primaquine (1,0)
Proguanil (1,1)
Pyrimethamine (1,1)
Quinine (2,1)
Tetracyclines (0,0)
05.04.02 Amoebicides (1,1)
05.04.03 Trichomonacides (0,0)
05.04.04 Antigiardial drugs (2,0)
05.04.05 Leishmaniacides (0,1)
05.04.06 Trypanocides (0,0)
05.04.07 Drugs for toxoplasmosis (1,1)
05.04.08 Drugs for pneumocystis pneumonia (3,0)
Treatment (0,0)
Prophylaxis (0,0)
05.05 Anthelmintics (0,0)
05.05.01 Drugs for threadworms (1,2)
05.05.02 Ascaricides (1,0)
05.05.03 Drugs for tapeworm infections (0,1)
Taenicides (1,0)
Hydatid disease (0,0)
05.05.04 Drugs for hookworms (1,0)
05.05.05 Schistosomicides (0,0)
05.05.06 Filaricides (1,0)
05.05.07 Drugs for cutaneous larva migrans (0,1)
05.05.08 Drugs for strongyloidiasis (1,0)
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