BMJ 2000;320:714. (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 severe nosocomial pneumonia Sepsis (mild supply) 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 in a diabeticor Co-amoxiclav 625mg tds po+PCPSeptrin 120mg/kg in 2-4 divided doses IV/PO (Then seek suggestions)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 modest enough to match within a pocket of a white coat was also deemed inappropriate as couple of of the residence staff chose to wear white coats. The antibiotic policy was as a result redrafted in diagrammatic type (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 were overlaid with a sheet of self adhesive clear plastic film from a higher street stationer and distributed for the house employees. Reaudit of awareness of your antibiotic policy showed that all of the property staff had been aware of the policy and discovered it serviceable and straightforward to utilize. The problem was solved at a expense of much less than 5p per particular person by abandoning MedChemExpress WP1130 traditional approaches and exploiting the one particular hard surface that all of the target population habitually carried with them.Andy Levy reader in medicine, University Study Centre for Neuroendocrinology [email protected] Debbie Campbell health-related directorate pharmacist, pharmacy division Robert Spencer consultant microbiologist, Public Health Laboratory Bristol Royal Infirmary, Bristol BS2 8HW Robert Heyderman senior lecturer Department of Pathology and Microbiology, School of Health-related Sciences, University of Bristol, Bristol BS8 1TD Competing interests: Bayer offered the funding to buy labels and cover film.1 Nightingale PG, Adu D, Richards NT, Peters M. Implementation of guidelines based computerised bedside prescribing and administration: intervention study. BMJ 2000; 320:750-3. (18 March.)Awareness of a hospital’s antibiotic policy may be improvedEditor–Nightingale et al examined prescribing in a specialist unit.1 The issue for many of us with healthcare employees prescribing for individuals scattered throughout a hospital is ensuring that the rule base is obtainable in the time and location of prescription. Although the division of medicine’s antibiotic policy in Bristol was sent to all healthcare employees, an audit on the use of antibiotics showed considerable deviation from the suggestions. Prescribers did not question the notion of an antibiotic policy and have been really prepared to adhere to it in principle. Nonetheless, a proportion on the property employees either couldn’t find a copy in the policy at the time and location of prescription or denied the existenc.