NHS Herefordshire Clinical Commissioning Group
Wye Valley NHS Trust

 
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5 Infections

Primary Care Antibiotic Guidelines

Hospital Antibiotic Guidelines

Secondary care staff: Please note that though there may be drugs listed with a Formulary status in this section, you should refer to the Acute Trust's antibiotic policy as there are some restrictions, which require microbiology approval before they can be supplied by Pharmacy.

05-01-07 Vancomycin and teicoplanin

Vancomycin
Restricted

Oral vancomycin is not absorbed. Second line for C.difficile only  


Restricted Drug Amber View adult BNF  View SPC online  View childrens BNF
Teicoplanin Targocid®
Restricted

Consultant microbiology recommendation only.

May be used for IVOPAT


Restricted Drug Amber View adult BNF  View SPC online  View childrens BNF
Vancomycin
Restricted

MRSA/multi-resistant Gram positive infections. Suspected line sepsis in paediatric oncology patients.

Blood levels should be taken before the third dose, or second dose if renal impairment is evident. A trough level of 10-15mg/l is acceptable. For serious MRSA infections, especially pneumonia, a trough level of 15-20mg/l is required

Link  Neonatal Guidelines
Link  Paediatric Guidelines
 

Restricted Drug Red View adult BNF  View SPC online  View childrens BNF
Bezlotuxumab Zinplava®
Non Formulary

View adult BNF  View SPC online  View childrens BNF