(11 March.)Use oral antibiotics for 5-7 days unless otherwise stated.Suspected aspiration pneumoniaFlucloxacillin 1g qds ivCellulitis orTrimethoprim 200mg bd po (3 days) UTIMAYSevere community acquired or serious nosocomial pneumonia Sepsis (mild source) Metronidazole 500mg tds iv or 1g bd/tds prCommunity acquired pneumonia (mild)caCOPD exacerbationls+orDoxycycline 200mg then 100mg daily Mild nosocomial chest infection Rifampicin 300mg bd po/iv 14 dayspiAt y+Amoxycillin 500mg tds po++Clarythromycin XL 1g od poBenzylpenicillin 4MU qds ivCiprofloxacin 750mg bd poClindamycin 450mg qds po+Cellulitis inside a diabeticor Co-amoxiclav 625mg tds po+PCPSeptrin 120mg/kg in 2-4 divided doses IV/PO (Then seek tips)Urinary catheter infection or pyelonephritisCefotaxime 2g qds ivLegionella pneumonia + If s evere Ampicillin 1g qds iv Flucloxacillin 2g qds iv+Staphylococcal pneumoniaGentamicin 4mg/kg.day od iv Cefotaxime 2g tds iv+MeningitisSepsis (life threatening)THE UNIVERSITY OF BRISTOLReview IV antibiotic use at 2 days all therapy at 5 days unless otherwise statedDivision of medicine’s antibiotic policy printed for label to be stuck on to pagersmat. A laminated A5 card smaller enough to match within a pocket of a white coat was also deemed inappropriate as few of your house employees chose to wear white coats. The antibiotic policy was for that reason redrafted in diagrammatic form (Illustrator 6.0) to a size suitable for printing on to a sticky label (Avery Laser media labels L7671-25) the size of a pager (figure). These labels had been overlaid having a sheet of self adhesive clear plastic film from a higher street stationer and distributed to the property employees. Reaudit of MedChemExpress Vps34-IN-1 Awareness with the antibiotic policy showed that all the house staff have been conscious of the policy and found it serviceable and straightforward to use. The issue was solved at a expense of less than 5p per particular person by abandoning conventional approaches and exploiting the one particular challenging surface that all of the target population habitually carried with them.Andy Levy reader in medicine, University Analysis Centre for Neuroendocrinology [email protected] Debbie Campbell healthcare directorate pharmacist, pharmacy division Robert Spencer consultant microbiologist, Public Wellness Laboratory Bristol Royal Infirmary, Bristol BS2 8HW Robert Heyderman senior lecturer Department of Pathology and Microbiology, School of Healthcare Sciences, University of Bristol, Bristol BS8 1TD Competing interests: Bayer offered the funding to purchase labels and cover film.1 Nightingale PG, Adu D, Richards NT, Peters M. Implementation of rules based computerised bedside prescribing and administration: intervention study. BMJ 2000; 320:750-3. (18 March.)Awareness of a hospital’s antibiotic policy might be improvedEditor–Nightingale et al examined prescribing inside a specialist unit.1 The problem for many of us with medical staff prescribing for sufferers scattered throughout a hospital is making certain that the rule base is out there at the time and location of prescription. Despite the fact that the division of medicine’s antibiotic policy in Bristol was sent to all health-related staff, an audit on the use of antibiotics showed considerable deviation from the guidelines. Prescribers didn’t question the concept of an antibiotic policy and had been extremely prepared to adhere to it in principle. Nevertheless, a proportion in the property staff either couldn’t locate a copy with the policy in the time and place of prescription or denied the existenc.