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Chapter 5: Infections
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Principles of antibacterial treatment
Upper respiratory tract infections
Lower respiratory tract infections
Acute exacerbation of bronchiectasis (non-cystic fibrosis)
Urinary tract infections (UTI)
Gastro-intestinal tract infections
Genital tract infections
Skin and soft tissue infections
Eye infections
Oral and dental infections
Lyme disease guidance
Meningitis guidance
Methicillin Resistant Staphylococcus Aureus (MRSA) guidance
COVID-19 treatments for patients who do not require hospitalisation
5.1 Antibacterial drugs
5.2 Antifungal drugs
5.3 Antiviral drugs
5.4 Antiprotozoal drugs
5.5 Anthelmintics
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Meningitis guidance
First Line
Second Line
Specialist
Hospital Only
Suspected meningococcal disease
Transfer all patients to hospital immediately
Contact Public Health England Acute Response Centre – 0300 3038162
If time before hospital admission, administer benzylpenicillin prior to admission unless allergic to penicillins. If non severe allergy e.g. not anaphylactic, consider ceftriaxone. Ideally IV but IM if a vein cannot be found.
IV or IM Benzylpenicillin
- Adults and children 10 years of age and over: 1200mg
- Children 1-9 years of age: 600mg
- Children under 1 year of age: 300mg
Ceftriaxone
- If history of non-severe allergy: see BNF for dose
Prevention of secondary case of meningitis
Only prescribe following advice from Public Health Practitioner
- 9am – 5pm or Out of Hours: 0344 3038162
