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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 5 - Infections 
Notes:

For full details on UKHSA guidance for managing common infections with local amendments please see:

BLMK Primary Care Antimicrobial Guidelines hosted via: https://blmkantibioticspubliclive.azurewebsites.net/

Secondary care antimicrobial guidelines:

Bedfordshire Hospitals Foundation Trust: Antimicrobial guidelines are hosted on:  EOLAS Medical App. 
05.01.01.02 Penicillinase-resistant penicillins

Flucloxacillin
(Oral)

GREEN
Formulary
250mg & 500mg Capsules
125mg & 250mg in 5ml oral suspsension
BNF BNFc SPC

Flucloxacillin 250mg, 500mg & 1g
(Injection)

RED
Formulary

 Flucloxacillin 4g, 8g & 12g/24 hour elastomeric infuser device

Contact antimicrobial lead pharmacist for all requests as soon as possible following diagnosis  – Bleep 287

Eligibility criteria:

  1. Indication – Diabetic foot infections with bone or joint involvement
  2. Confirmed microbiology – Flucloxacillin susceptible Staphylococcus aureus organism isolated from wound swab, abscess or tissue sample
  3. Duration of treatment to be more than 14 days from the point of discharge
  4. Eligible for treatment via H@H
  5. No other IV antibiotics are intended to be co-administered via H@H
BNF BNFc SPC

Temocillin 1g
(Injection)

RED
Restricted Drug Restricted
Restricted - Microbiology Approval required.
BNF BNFc SPC
L&D Memo: Antibiotic Prescribing for UTI’s
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
RED
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.