Formulary Chapter 5: Infections - Full Chapter
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Notes: |
Within Airedale NHS Foundation Trust It is important to use antimicrobials in line with the antimicrobial use policy to
- prevent unnecessary secondary infections, such as Clostridium difficile
- Reduce the risk of resistance developing, so that future patients can receive the benefits of antimicrobials
- Ensure the best outcomes for the patient
- Not waste time and money on inappropriate therapy
Local guidance on the treatment of common infections is available and advice on antimicrobial therapy can be obtained from the Consultant Microbiologist, bleep via switchboard, or the Antimicrobial Lead Pharmacist, Kevin Frost via bleep 3091.
Within Airedale Wharfedale Craven CCG antimicrobial guidance can be found at this link - Summary of antimicrobial prescribing guidance - managing common infections
Unless explicitly stated, any brand names included in brackets next to a drug's generic name are there solely to aid searching and identification, and should not be considered to limit use to that specific brand.
Otitis media (acute): antimicrobial prescribing |
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05.01.01.03 |
Broad-spectrum penicillins |
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Key |
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Cytotoxic Drug
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Controlled Drug
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High Cost Medicine
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Cancer Drugs Fund
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NHS England |
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Homecare |
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CCG |
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Traffic Light Status Information
Status |
Description |

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Green - Drugs suitable for generalised use in accordance with position summary.
Inform primary care of need to prescribe using a TTO chart if in patient or Treatment Advice Note (TAN) if Outpatient.
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Amber - these drugs require specialist initiation or recommendation |

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Amber Share Care - Drugs suitable for generalist use, in accordance with position summary, normally following specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red. |

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Red - Drugs for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products. |

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Red ULM - Unlicensed medicines for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products. |

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Grey drugs - No formal commissioning position. Check appropriate CCG /NHSE commissioning list or contact CCG/NHSE Medicines Management team for advice. Fill in individual funding request for appropriate CCG/NHSE. This will need to be signed by the Chief Pharmacist and a copy of the relevant DTC submission attached. |

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Black - Drugs not routinely commissioned so should not usually be prescribed |
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