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  • Preferred Antibiotic Use in The Community Greenred Table

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    This document provides guidelines for preferred antibiotic use in community settings. It recommends first using self-care advice and visiting websites for treatment of viral and self-limiting infections before considering antibiotics. If antibiotics are needed, amoxicillin is preferred for respiratory infections. Nitrofurantoin or cefalexin are preferred for urinary tract infections. Flucloxacillin or cefalexin are preferred for skin and soft tissue infections. Certain antibiotics like co-amoxiclav, quinolones, cephalosporins, macrolides and clindamycin should be avoided first line due to risks of conditions like C. difficile infection. Exceptions are noted.

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    This document provides guidelines for preferred antibiotic use in community settings. It recommends first using self-care advice and visiting websites for treatment of viral and self-limiting infections before considering antibiotics. If antibiotics are needed, amoxicillin is preferred for respiratory infections. Nitrofurantoin or cefalexin are preferred for urinary tract infections. Flucloxacillin or cefalexin are preferred for skin and soft tissue infections. Certain antibiotics like co-amoxiclav, quinolones, cephalosporins, macrolides and clindamycin should be avoided first line due to risks of conditions like C. difficile infection. Exceptions are noted.

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    3 views1 page

    Preferred Antibiotic Use in The Community Greenred Table

    Uploaded by

    izaskun
    This document provides guidelines for preferred antibiotic use in community settings. It recommends first using self-care advice and visiting websites for treatment of viral and self-limiting infections before considering antibiotics. If antibiotics are needed, amoxicillin is preferred for respiratory infections. Nitrofurantoin or cefalexin are preferred for urinary tract infections. Flucloxacillin or cefalexin are preferred for skin and soft tissue infections. Certain antibiotics like co-amoxiclav, quinolones, cephalosporins, macrolides and clindamycin should be avoided first line due to risks of conditions like C. difficile infection. Exceptions are noted.

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    In many cases the Preferred Antibiotic is No Antibiotic

    Advise patients/carers to visit the HSE website www.undertheweather.ie for self-care advice for viral and self-limiting infections
    See www.antibioticprescribing.ie If antibiotic therapy is indicated
    Preferred Antibiotics In Community the preferred first line choices below are likely to be effective, have
    fewer side effects, and are less likely to lead to resistant infections.

    Respiratory Infections Urinary Tract Infections Skin and Soft Tissue Infections
    Duration in general: 5 days
    Amoxicillin Nitrofurantoin* (Only for lower UTI) Flucloxacillin
    Doxycycline* Cefalexin Cefalexin
    Penicillin V (phenoxymethylpenicillin) Trimethoprim* Doxycycline* (acne)
    Fosfomycin* (Only for lower UTI) Lymecycline* (acne)

    Antibiotics To Be Avoided First Line In Community


    Co-amoxiclav Risks: C.diff Quinolones Risks: C.diff, drug interactions, tendon/nerve & other toxicities,
    Unless as first line for: prolongation of QT interval, lowers seizure threshold
    animal or human bite; facial cellulitis; post • Levofloxacin*
    partum endometritis; caesarean wound • Ciprofloxacin* – Unless as first line for acute prostatitis
    infections; perineal wound infection • Ofloxacin* – Unless as first line for acute epididymo-orchitis
    • Moxifloxacin* – AVOID due to risk of severe liver toxicity
    Other cephalosporins Risks: C.diff Macrolides Risks: C.diff, drug interactions, prolongation of QT interval
    • Cefaclor • Clarithromycin* – Unless as first line for helicobacter eradication
    • Cefixime • Azithromycin*
    • Cefuroxime • Erythromycin*
    Clindamycin* Risks: C.diff
    * These antibiotics may be safely used in patients with true penicillin allergy (immediate hypersensitivity).
    C. diff = Clostridioides difficile infection
    See www.antibioticprescribing.ie for details

    Preferred Drugs
    THE RIGHT CHOICE, RIGHT NOW.

    Version 5, February 2023 MEDICINES MANAGEMENT PROGRAMME

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