To promote the appropriate use of antibiotics -To avoid unnecessarily long courses -to prevent the emergence and propogation of antimicrobial resistance -to minimise the risk of Clostridium difficile infection
Penicillin Allergy For guidelines for prescribing in patients with documented allergy to penicillins, click here.
Dose Recommendations - The doses recommended in the guidelines are for guidance ONLY. - For elderly/renally-impaired patients, consult current BNF, ward pharmacist or Medicines Information (Ext: 3084)
Antimicrobial Medicines Code - The Antimicrobial Medicines Code sets out the roles and responsibilities for healthcare professionals involved in the prescribing, supply and administration of antibiotics. - The full version of the Antimicrobial Medicines Code can be found by clicking here - Summary of Prescribing Standards (Section 3) - Is an antimicrobial indicated? - Ensure appropriate specimens are taken prior to starting therapy. - Choice of antibiotic should be based on local guidelines. - Include the duration (or review date) and the indication for treatment on the prescription chart - Review the need for antibiotics regularly, including switching from IV to PO treatment, according to the policy. Click here for details of the IV to PO Switch Policy.
Microbiology Investigations When ordering microbiology investigations please give relevent clinical details. The ways in which specimens are processed, the interpretation of the results and reporting of antimicrobial susceptibilities will vary to a very great extent, on the clinical details given.
Medicines which are suitable to be prescribed in primary care only after specialist recommendation. Ongoing prescribing by primary care includes titration of dose and assessment of efficacy. There is no need for ongoing monitoring other than for general adverse effects as listed in the BNF & SPC.
Medicines which are suitable to be prescribed in primary care only after specialist recommendation only under a shared care protocol once the patient has been stabilised. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must be approved by the Harrogate & Rurual District Area Prescribing Committee (HaRD APC).
Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) has reviewed and does not recommend for use at present based on a review of clinical and/or cost effectiveness data.
Medicines suitable for routine use and can be prescribed within primary care within their licensed indication in accordance with nationally recognised formularies e.g. BNF, BNF for Children, Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.
Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) have not yet reviewed.
Medicines for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician. The drug should be supplied by the hospital for the duration of the treatment course. Primary care prescriber initiation or continuation of treatemnt is not recommended.