Antimicrobial Guidelines

General primary care antimicrobial guidelines

South West Yorkshire Area Prescribing Committee has approved local use of the new NICE/PHE managing common infections guidance. This guidance brings together information on managing common infections into a summary table and supersedes our local primary care guideline.

The guidance for a number of common conditions are available in table format.

They are also available in a flow diagram format.

To download the most up to date version of the table click here and scroll down to the section titled “Summary of antimicrobial prescribing guidance – managing common infections”.  This guidance is available in both word and PDF format.

COVID antimicrobial guidance

NICE have produced rapid guidance on the management of suspected or confirmed pneumonia in adults in the community.  This includes advice on differentiating between viral COVID and a bacterial pneumonia when consulting remotely during the pandemic.  This can be accessed here.

NICE have also produced rapid guidance on the management of symptoms in COVID patients (including at the end of life) in the community.  They can be accessed here.

Table of guidance linked to specific conditions

CRITICAL AREACONDITIONGUIDELINES
EarAcute otitis mediaSee guidelines NICE/PHE available

EarAcute otitis externaSee guidelines NICE/PHE available

Eye infectionsConjunctivitisSee guidelines NICE/PHE available

Eye infectionsBlepharitisSee guidelines NICE/PHE available

Gastrointestinal infectionsOral candidiasisSee guidelines NICE/PHE available

Gastrointestinal infectionsInfectious diarrheaSee guidelines NICE/PHE available

Gastrointestinal infectionsClostridium difficileSee guidelines NICE/PHE available

Gastrointestinal infectionsTravelers' diarrheaSee guidelines NICE/PHE available

Gastrointestinal infectionsHelicobacter pyloriSee guidelines NICE/PHE available

Gastrointestinal infectionsAcute diverticulitisSee guidelines NICE/PHE available

Gastrointestinal infectionsThreadwormSee guidelines NICE/PHE available

Gastrointestinal infectionsGastroenteritisGastroenteritis
Gastrointestinal infectionsPrevention of a secondary case of invasive meningococcal, haemophilus influenzae or Group A streptococcal diseaseRefer to the West Yorkshire Health protection team: 0113 386 0300 or out of hours 0114 304 9843
Gastrointestinal infectionsSalmonellaMost cases are mild and self-limiting. Seek advice from a microbiologist if treatment continues.
Genital tract infectionsSTI screeningSee guidelines NICE/PHE available

Genital tract infectionsChlamydia trachomatis/urethritisSee guidelines NICE/PHE available

Genital tract infectionsEpididymitisSee guidelines NICE/PHE available

Genital tract infectionsVaginal candidiasisSee guidelines NICE/PHE available

Genital tract infectionsBacterial vaginosisSee guidelines NICE/PHE available

Genital tract infectionsGenital herpesSee guidelines NICE/PHE available

Genital tract infectionsGonorrhoeaSee guidelines NICE/PHE available

Genital tract infectionsTrichomoniasisSee guidelines NICE/PHE available

Genital tract infectionsPelvic inflammatory diseaseSee guidelines NICE/PHE available

Lower respiratory tract infectionsAcute exacerbation of COPDSee guidelines NICE/PHE available

Lower respiratory tract infectionsAcute exacerbation of bronchiectasis (non-cystic fibrosis)See guidelines NICE/PHE available

Lower respiratory tract infectionsAcute coughSee guidelines NICE/PHE available

Lower respiratory tract infectionsCommunity acquired pheumoniaNICE have produced rapid guidance on the management of suspected or confirmed pneumonia in adults in the community. This includes advice on differentiating between viral COVID and a bacterial pneumonia when consulting remotely during the pandemic. This can be accessed here
This currently supersedes the previous advice presented in the NICE/PHE managing common infections table.
Lower respiratory tract infectionsHospital acquired pneumoniaNICE have produced rapid guidance on the management of suspected or confirmed pneumonia in adults in hospital. This can be accessed here
MeningitisSuspected meningococcal diseaseSee guidelines NICE/PHE available

MeningitisPrevention of secondary case of meningitisOnly prescribe if advised to by local health protection specialist/consultant. Contact Public Health England on 0113 386 0300 or out of hours 0114 304 9843 and ask for public health on-call.
See guidelines NICE/PHE available
Skin and soft tissue infectionsCold soresSee guidelines NICE/PHE available

Skin and soft tissue infectionsPVL-SASee guidelines NICE/PHE available

Skin and soft tissue infectionsEczemaSee guidelines NICE/PHE available

Skin and soft tissue infectionsImpetigoSee guidelines NICE/PHE available

Skin and soft tissue infectionsLeg ulcer infectionSee guidelines NICE/PHE available

Skin and soft tissue infectionsCellulitis and erysipelasSee guidelines NICE/PHE available

Skin and soft tissue infectionsDiabetic foot infectionSee guidelines NICE/PHE available

Skin and soft tissue infectionsTick bites (Lyme disease)See guidelines NICE/PHE available

Skin and soft tissue infectionsAcneSee guidelines NICE/PHE available

Skin and soft tissue infectionsScabiesSee guidelines NICE/PHE available

Skin and soft tissue infectionsBitesSee guidelines NICE/PHE available

Skin and soft tissue infectionsMastitisSee guidelines NICE/PHE available

Skin and soft tissue infectionsDermatophyte infection: skinSee guidelines NICE/PHE available

Skin and soft tissue infectionsDermatophyte infection: nailSee guidelines NICE/PHE available

Skin and soft tissue infectionsVaricella zoster/chickenpoxSee guidelines NICE/PHE available

Skin and soft tissue infectionsHerpes zoster/shinglesSee guidelines NICE/PHE available

SurgerySurgical site infectionsSee NICE guidance NG125
SurgerySurgical site infections treatment optionsCHFT guidance
Surgical site infections
Suspected dental infections (outside dental settings)Mucosal ulceration and inflammation (simple gingivitisSee guidelines NICE/PHE available

Suspected dental infections (outside dental settings)Acute necrotising ulcerative gingivitisSee guidelines NICE/PHE available

Suspected dental infections (outside dental settings)PericoronitisSee guidelines NICE/PHE available

Suspected dental infections (outside dental settings)Dental abscessSee guidelines NICE/PHE available

Upper respiratory tract infectionsAcute sore throatSee guidelines NICE/PHE available

Upper respiratory tract infectionsInfluenzaSee guidelines NICE/PHE available

Upper respiratory tract infectionsScarlet feverSee guidelines NICE/PHE available

Upper respiratory tract infectionsSinusitisSee guidelines NICE/PHE available

Urinary tract infectionLower urinary tract infectionSee guidelines NICE/PHE available

Urinary tract infectionAcute prostatitisSee guidelines NICE/PHE available

Urinary tract infectionAcute pyelonephritis (upper urinary tract)See guidelines NICE/PHE available

Urinary tract infectionRecurrent urinary tract infectionSee guidelines NICE/PHE available

Urinary tract infectionCatheter associated urinary tract infectionSee guidelines NICE/PHE available

Urinary tract infectionUTI resource suite from the RCGP (TARGET)Includes patient facing materials, diagnostic tools (links to full PHE UTI guidelines and visual summaries), adult templates and training resources.
Available here
Urinary tract infectionUrinary catheter toolsTools to support the system to consistently manage and remove urinary catheters.
The urinary catheter tools have been developed collaboratively with national experts to support providers in delivering consistent evidence based catheter care. The use of the tools needs to be supported by strong leadership and education. Available here