#Gram negative bacteria antibiotics manual#

#Gram negative bacteria antibiotics manual#

Further information relating to isolation periods and reporting of patients with Notifiable Diseases (and their contacts) can be found in the Communicable Diseases Control Manual or alternatively discuss with Public Health.For dosing relating to neonates aged < 1 month, refer to the New Zealand Formulary for Children ‘Child’ for the purpose of this guideline refers to those aged > 1 month and < 12 years, unless otherwise specified. This guideline distinguishes child and adult dosing where appropriate.To check the funding status of a medicine and any supply issues, refer to the New Zealand Formulary or the Pharmaceutical Schedule.Regional resistance patterns may vary check with your local laboratory.Information on national antimicrobial resistance patterns is available from the Institute of Environmental Science and Research Ltd (ESR), Public Health Surveillance.Local resistance patterns may mean that there will be regional variation in first-line choices. It is intended to aid selection of an appropriate antibiotic for typical patients with infections commonly seen in primary care. Educate patients about responsible use of antibiotics, including when an antibiotic is not indicated, and the importance of adhering to the advised regimen (dose and duration) discuss ways that palatability issues or minor adverse effects can be minimised and tips for remembering to take doses on timeįor further reading, see: Antibiotics: the future is shortĭisclaimer: The following information is a “living document” information is updated as new evidence or recommendations emerge.Reserve broad spectrum antibiotics for indicated conditions only.Select the first-line indicated antibiotic at the recommended dose and duration.The infection is not resolving or is unlikely to resolve.In most cases, only prescribe antibiotics for bacterial infections if:.General principles of antimicrobial stewardship: Along with infection control, this is the key strategy to counter the emerging threat of antimicrobial resistance. Antimicrobial stewardship aims to limit the use of antibiotics to situations where they deliver the greatest clinical benefit. Increased antibiotic use (and misuse) leads to the development of resistance by eliminating antibiotic-susceptible bacteria and leaving antibiotic-resistant bacteria to multiply. Individual patient circumstances and local resistance patterns may alter treatment choices.Īntibiotic use in New Zealand is higher per head of population than in many similar developed countries. It is intended to aid selection of an appropriate antibiotic for typical patients with infections commonly seen in general practice. Prophylaxis of Infective Endocarditis bpac nz Primary Care Antibiotic Guide Antibiotics: choices for common infections

New section added: Dental Infections, with 2 new chapters: Pharyngitis chapter replaced with Sore Throat Meningitis and meningococcal septicaemia: Ceftriaxone is now first-line choice and the dose of benzylpenicillin is higher than previously recommendedĬlindamycin added as an alternative for prophylaxis of infective endocarditis Sore throat chapter updated to include mention of scarlet fever.Īntibiotic choices revised for adult cystitis and pyelonephritis chapters Nitrofurantoin dosage options updated in section: Urinary Tract Infection – Cystitis: adult Updated Diverticulitis to align with Diverticulitis: pockets of knowledge.Updated Otitis media to align with Otitis media: a common childhood illness.Added new topics: Chronic suppurative otitis media, Helicobacter pylori eradication, Mycoplasma genitalium infection, Proctitis – STI cause.Updated STI topics to align with NZSHS guidelines.Updated Sore throat - including pharyngitis and tonsillitis to align with The National Heart Foundation of New Zealand guidelines Cefalexin dose updated in Urinary Tract Infection – Pyelonephritis based on expert opinion from NAMSIPEG