are intended to provide advice on the effective and safe treatment
of infections commonly presenting in adults and children in the primary
care setting in Hampshire and the Isle of Wight. The guidelines
also promote the use of narrow-spectrum antibiotics in preference to broad-spectrum antibiotics where safe and appropriate. The audience of users is anticipated to be general practitioners, GP trainees, GP practice nurses, non-medical prescribers, paramedics, hospital
emergency department staff and community pharmacists.
The multi-disciplinary guideline development group
consisted of general practitioners, hospital
consultant medical microbiologists, a consultant in HIV / genito-urinary medicine, specialist hospital
microbiology / infectious diseases pharmacists, primary
care trust and ambulance trust pharmacists
and a senior podiatrist across Southampton, Hampshire, Isle of Wight and Portsmouth.
largely on the Management of Infection
Guidance for Primary
Care, published jointly by the Health Protection Agency and the British Infection
Association and the guideline development group
gratefully acknowledges the work of Dr Cliodna McNulty and her colleagues in the HPA and BIA.
Recommendations for when antimicrobial treatment
is indicated, based
upon cited national or international evidence-based guidelines, have been expanded from the HPA/BIA Guidance, along with recommendations and practical advice for taking specimens for microbiological investigations and interpreting culture and sensitivity laboratory reports. Clinically relevant information on cautions and warnings associated with antimicrobial treatment
have also been expanded from the HPA/BIA Guidance
including information about risk of Clostridium difficile infection. All statements are fully referenced.