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Chapter 5: Infections
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Principles of antibacterial treatment
Upper respiratory tract infections
Lower respiratory tract infections
Acute exacerbation of bronchiectasis (non-cystic fibrosis)
Urinary tract infections (UTI)
Gastro-intestinal tract infections
Genital tract infections
Meningitis
Skin and soft tissue infections
Lyme disease
Eye infections
Oral and dental infections
COVID-19 treatments for patients who do not require hospitalisation
5.1 Antibacterial drugs
5.2 Antifungal drugs
5.3 Antiviral drugs
5.4 Antiprotozoal drugs
5.5 Anthelmintics
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Meningitis
First Line
Second Line
Specialist
Hospital Only
Suspected meningococcal disease
Transfer all patients to hospital immediately
Contact Public Health England Acute Response Centre – 0300 3038162
If time before hospital admission, and there is non-blanching rash, give IV benzylpenicillin or cefotaxime, unless definite history of hypersensitivity. Ideally IV but IM if vein cannot be found.
Benzylpenicillin (IV or IM)
- Age 10+ years: 1200 mg
- Children 1 - 9 years: 600 mg
- Children under 1 year: 300 mg
or
Cefotaxime (IV or IM)
- Age 12+ years: 1 gram
- Child under 12 years: 50mg/kg
Prevention of secondary case of meningitis
Only prescribe following advice from Public Health Practitioner
- 9 am – 5 pm or Out of Hours: 0344 3038162
