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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.
Only prescribe following advice from Public Health Practitioner