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 Formulary Chapter 5: Infections - Full Chapter
Notes:

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.

 Details...
05.01.04  Expand sub section  Aminoglycosides
Amikacin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

On consultant microbiology recommendation only, or specialist ophthalmology use

 
   
Gentamicin
(injection)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

As per Herefordshire Antibiotic Guidelines

Dosing should usually be based on 7mg/kg once daily, calculated using the Hartford nomogram, available as a gentamicin calculator on the intranet.

 

Levels should be taken 6-13 hours after the dose and re-entered into the calculator to confirm an appropriate dosage interval

The Hartford dosage schedule is not appropriate for soft tissue infections or bacterial endocarditis, Please see the Trust guidelines on the intranet link as above

Adult prophylactic doses should be 2mg/kg to a maximum of 240mg rounded to the nearest 20mg

For paediatric use please see local guidelines on intranet

For neonatal use please see departmental guidelines.

 

 
Link  Antibiotic Guidelines
Link  Gentamicin Calculator
Link  Paediatric Guidelines
   
Neomycin Sulphate
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Gastroenterology only for hepatic encephalopathy

 
   
Tobramycin
(Nebulised)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Use in Paediatric cystic fibrosis patients only

 
   
Tobramycin
(injection)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Use in Paediatric cystic fibrosis patients only.

Used in a once daily regime of 7mg/kg adjusted as per trough levels

(pre-dose trough level should be less than 1mg/litre). 

 
   
 ....
 Non Formulary Items
Cerament®

Non Formulary
 
Collatamp EG Sponge

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Gentamicin
(Isotonic gentamicin injection)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Gentamicin
(Nebulised)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Gentamicin  (Cidomycin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Herafill® beads G

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Netilmicin  (Netillin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tobramycin  (Bramitob®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tobramycin inhaler  (TOBI Podhaler®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA276: Cystic fibrosis (pseudomonas lung infection) - colistimethate sodium and tobramycin
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Suitable for use in primary care  

Amber

Specialist initiation. Shared care in place  

Red

Red do not use..  

Advice

Some formulations restricted  

Black

NICE "Do not do"  

Green 1

1st line option  

Green 2

2nd line option  

Green 3

3rd line option only  

Not Recomended / Black

Low Value Medicine not recommended for use - see NHSE guidelines  

OTC

This preparation should be bought over the counter for self-care  

Red Amber

Check product description for traffic light status  

Red Black

Low Value Medicine  

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