Antimicrobial Prescribing

The prescribing guidance, formularies, pathways and information on this website have transferred from the predecessor organisations that now form NHS Central East ICB.

Guidance may not be available for all clinical topics or geographic areas. Where guidance is available, it is clearly identified as applying to Bedfordshire, Luton and Milton Keynes (BLMK), Cambridgeshire and Peterborough (C&P), Hertfordshire or Central East (CE).

Guidance labelled Central East (CE) has been harmonised and approved for use across NHS Central East ICB. Where CE guidance is not available, local arrangements for BLMK, C&P or Hertfordshire remain in place.

C. Difficile

Cambridgeshire and Peterborough

Management of C. Difficile Infection (CDI) – Prescribing Guidance (pdf)

Chronic Lung Disease

Cambridgeshire and Peterborough

Macrolides for the prophylaxis of exacerbations of chronic lung disease – Prescribing Support Document (pdf)

Hertfordshire

Use of prophylactic azithromycin in adults with COPD Prescribing support guide (pdf)

Endocarditis

Cambridgeshire and Peterborough

Preventing infective endocarditis warning card (PI 229): Royal Papworth Hospital (pdf)

Fluoroquinolones

Cambridgeshire and Peterborough

Fluoroquinolone (FQ) Usage – Prescribing Guidance (pdf)

Fluoroquinolone antibiotics – Patient Information Leaflet (pdf)

Managing common infections

Bedfordshire, Luton and Milton Keynes

Antimicrobials in Primary Care – Prescribing Guidance (pdf)

Cambridgeshire and Peterborough

Summary of antimicrobial prescribing and managing common infections – Prescribing Guidance (pdf)

Hertfordshire

Fungal Nail Management (pdf)

Ear Infection Pathway – Adult (pdf)

Guidelines for the management of infection in primary care within Herts and West Essex ICS (pdf)

Non-Cystic Fibrosis Bronchiectasis

Bedfordshire, Luton and Milton Keynes

Use of nebulised Colistimethate sodium, nebulised Gentamicin and nebulised Tobramycin as Antibiotic Prophylaxis to prevent exacerbations of Non- Cystic Fibrosis Bronchiectasis in Adult Patients – Prescribing Guidance (pdf)

Cambridgeshire and Peterborough

Inhaled Colistimethate sodium for the treatment of lung infections in non-cystic fibrosis bronchiectasis – Shared Care Guidance (Royal Papworth Hospital) (pdf)

Inhaled Colistimethate sodium (nebulised) for the treatment of lung infections of non-cystic fibrosis bronchiectasis – Shared Care Guidance (pdf)

Gentamicin for nebulisation – Shared Care Guidance (pdf)

Gentamicin for Nebulisation – Shared Care Guidance (Royal Papworth Hospital) (pdf)

Urinary Tract Infections (UTI)

Bedfordshire, Luton and Milton Keynes

Summary of Management of Recurrent lower Urinary Tract Infections in Adults – Prescribing Guidance (pdf)

Cambridgeshire and Peterborough

Management of Recurrent Urinary Tract Infections in Adults – Prescribing Guidance (pdf)

Hertfordshire

Paediatric Suspected UTI Pathway (pdf)

Guidelines for the Primary Care Management of Recurrent Urinary Tract Infections in Adults (pdf)

Guidelines for the Primary Care Management of Recurrent Urinary Tract Infections in Adults – Antibiotic Prophylaxis (pdf)