Antimicrobial guidelines
Important Message:
Streptococcal A infection resources
Community Mycology Testing Service will be restarting on the 1st of August 2022. The service will restart with some changes to the acceptance criteria for testing. See link for more information.
Useful information for sending samples and recent changes to sensitivity results, interpretation and implications for antibiotic dosing is available on these NUH sites: Microbiology and Interpreting Results
Good Practice Recommendations for Use of Antibiotics Towards the End of Life can be found here.
The full PDF Antimicrobial guideline has been removed. Please use the search function on the APC website to quickly find a certain antimicrobial or condition.
- A. Table of contents (193 kb)
- B. Principles of treatment (168 kb)
- C. Bulletin antimicrobial update March 2023 (280 kb)
- MRSA infection control alerts and empirical antibiotic treatment (191 kb)
- Penicillin allergy awareness leaflet (323 kb) Review date: Sept 2025
1. Upper Respiratory Tract Infections
- Acute sinusitis (235 kb) Review date: May 2025
- Chronic Bacterial Sinusitis (186 kb) Review date: May 2025
- Dental abscess (226 kb) Review date: May 2025
- Influenza (198 kb) Review date: July 2025
- Otitis Externa Acute and Chronic (238 kb) Review date: Jul 2025
- Otitis Media (167 kb) Review date: Apr 2023
- Pharyngitis / Sore Throat / Tonsillitis (218 kb) Review date: Aug 2024
2. Lower respiratory Tract Infections
- Acute Cough / Bronchitis (276 kb) Review date: Mar 2025
- Acute Exacerbation of COPD (172 kb) Review date: Apr 2024
- Bronchiectasis (198 kb) Review date: Apr 2024
- Community Acquired Pneumonia (110 kb) Review date: Jul 2025
- Tuberculosis (77 kb) Review date: Jul 2025
- Whooping Cough (116 kb) Review date: Jul 2025
3. Eye Infections
- Blepharitis (96 kb) Review date: Jul 2025
- Conjunctivitis (94 kb) Review date: Apr 2024
4. Meningitis
- Meningitis (107 kb) Review date: Oct 2023
5. Urinary Tract Infections
- Diagnosis of UTI - Quick Reference Guide (165 kb) Review date: May 2025
- Acute Pyelonephritis in Adults (160 kb) Review date: May 2025
- Complicated UTI (129 kb) Review date: May 2025
- Lower UTI / Cystitis (242 kb) Review date: May 2025
- UTI in children (147 kb) Review date: Nov 2025
- UTI in pregnancy (95 kb) Review date: May 2025
- UTI Prophylaxis (plus patient leaflet below) (254 kb) Review date: Nov 2025
- UTI Prophylaxis Patient Leaflet (883 kb) Review date: Nov 2025
6. Gastro-Intestinal Tract Infections
- Acute Diverticulitis (187 kb) Review date: Sep 2025
- Amoebiasis (127 kb) Review date: Sep 2025
- Clostridioides difficile (325 kb) Review date: Aug 2024
- Cryptosporidiosis (120 kb) Review date: Sep 2025
- Eradication of Helicobacter pylori (209 kb) Review date: Jan 2022
- Giardiasis (137 kb) Review date: Sep 2025
- Infectious Diarrhoea (181 kb) Review date: Sep 2025
- Oral Candidiasis (202 kb) Review date: Jul 2025
- Threadworms (151 kb) Review date: Sep 2025
- Travellers' Diarrhoea (170 kb) Review date: Nov 2025
7. Genital Tract Infections
- Bacterial Vaginosis (92 kb) Review date: Nov 2025
- Chlamydia trachomatis (93 kb) Review date: Nov 2025
- Epididymitis +/- Orchitis (196 kb) Review date: March 2026
- Neisseria gonorrhoeae (112 kb) Review date: Jan 2026
- Pelvic Inflammatory Disease (100 kb) Review date: Jan 2026
- Prostatitis (181 kb) Review date: March 2026
- Trichomoniasis (173 kb) Review date: Nov 2025
- Vaginal Candidiasis (194 kb) Review date: Sep 2023
- Vaginal Discharge in a Child (89 kb) Review date: Jan 2026
8. Skin and Soft Tissue Infections
- Acne (117 kb) Review date: Aug 2024
- Boils (222 kb) Review date: Jan 2026
- Cellulitis (229 kb) Review date: Mar 2026
- Cutaneous Candidiasis (130 kb) Review date: Jan 2026
- Dermatophyte Infection of the Proximal Finger or Toenail (213 kb) Review date: May 2025
- Dermatophyte Infection of the Scalp (188 kb) Review date: Aug 2024
- Dermatophyte Infection of the Skin (133 kb) Review date: Mar 2026
- Diabetic Foot Ulcers (32 kb) Review date: Jan 2022
- Eczema (151 kb) Review date: Jun 2024
- Head lice (178 kb) Review date: Mar 2026
- Herpes Simplex Virus (190 kb) Review date: Aug 2024
- Hidradenitis Suppurativa (95 kb) Review date: May 2025
- Human and Animal bite (161 kb) Review date: Apr 2024
- Impetigo (178 kb) Review date: Nov 2025
- Insect Bites and Stings (105 kb) Review date: Dec 2024
- Leg Ulcers and Pressure Sores (167 kb) Review date: Jan 2022
- Lyme disease (222 kb) Review date: Nov 2025
- Mastitis and breast abscess (109 kb) Review date: Jan 2022
- Mould Infections of the Nail (129 kb) Review date: Mar 2026
- MRSA (232 kb) Review date: Aug 2022
- Osteomyelitis (113 kb) Review date: Mar 2026
- Panton-Valentine Leukocidin (PVL) toxin producing S.aureus infection (131 kb) Review date: Nov 2025
- Pityriasis Versicolor (146 kb) Review date: Nov 2025
- Pubic Lice (155 kb) Review date: Nov 2025
- Scabies (200 kb) Review date: Jan 2026
- Varicella Zoster / Chicken Pox / Herpes Zoster / Shingles (167 kb) Review date: Aug 2024
- Wound Infection (181 kb) Review date: Aug 2024
9. Splenectomised Patients and those with an afunctional Spleen
- Splenectomised Patients and those with an afunctional Spleen (173 kb) Review date: Aug 2024
10. Appendices
- Appendix 1 Prescribing in Pregnancy and Breastfeeding (102 kb) Review date: Jan 2022
- Appendix 2 References and Guidelines (102 kb) Review date: Jan 2022
- Appendix 3 Consultees (124 kb) Review date: Jan 2022
- Appendix 4 Delayed Prescription Service (63 kb) Review date: Jan 2022
Antimicrobial Bulletin
Volume I
- Antimicrobial Bulletin Issue 1 (816 kb)
- Antimicrobial Bulletin Issue 2 (974 kb)
Volume II
- Antimicrobial Bulletin Issue 1 (525 kb)
- Antimicrobial Bulletin Issue 2 (332 kb)
- Antimicrobial Bulletin Issue 3 (537 kb)
- Antimicrobial Bulletin Issue 4 (956 kb)
Volume III
- Antimicrobial Bulletin Issue 1 (280 kb)