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  • Community Acquired Pneumonia

    L OWER RESPIRATORY TRACT INFECTIONS Community-acquired Pneumonia (CAP) Community acquired pneumonia (CAP) is defined as pneumonia that is acquired outside hospital, or within 48 hours of admission with presence of the following symptoms and signs,...

  • Community Acquired Pneumonia

    Review Date: Aug 2028

  • 4. APC Bulletin July 2019

    Nottinghamshire Area Prescribing Committee July 2019 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net July 2019 APC Decisions There were no drug submissions to the APC this month News from the APC - updated/n...

  • A. Table of Contents

    Antimicrobial Prescribing Guidelines for Primary Care Table of Contents Antimicrobial Bulletins MRSA Infection Control and Empirical Antibiotic Treatment Penicillin Allergy Awareness Leaflet Prescribing in Pregnancy and Breastfeeding Principles of...

  • Antimicrobial Bulletin Issue 3

    N OTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE ANTIMICROBIAL BULLETIN VOL 2 ISSUE 03 | AUGUST 2022 WHAT WOULD A WORLD You can help! Without antibiotics be like? Become an antibiotic guardian What would a world without antibiotics be like? - BBC Ideas...

  • Gastroprotection (with PPI) for Patients on NSAID or Antiplatelet

    Gastroprotection (with PPI) for patients on NSAID or antiplatelet Advisory guidance on when to initiate a PPI with a NSAID (or antiplatelet) for gastro-protection. Where a NSAID (or antiplatelet) is indicated, and to reduce the risk of gastrointes...

  • Panton-Valentine Leukocidin (PVL) Toxin Producing S.aureus Infection

    SKIN AND SOFT TISSUE INFECTIONS Panton-Valentine Leukocidin (PVL) Panton-Valentine Leukocidin (PVL) is a toxin produced by 20.8–46% of S.aureus from boils/abscesses. On rare occasions it causes more severe invasive infections. It has been known to...

  • Chronic Bacterial Sinusitis

    U PPER RESPIRATORY TRACT INFECTIONS Chronic Bacterial Sinusitis Chronic sinusitis is diagnosed by the presence of nasal blockage or nasal discharge (anterior/posterior nasal drip) with facial pain/pressure and/or reduction or loss of the sense of...

  • Acute Cough/ Bronchitis

    L OWER RESPIRATORY TRACT INFECTIONS Acute Cough, Bronchitis In previously healthy patients most cases of acute bronchitis are associated with viral infection. For children up to 2 years old, consider whether the cause of the cough is RSV (NG9). Nu...

  • Bronchiectasis

    Bronchiectasis V3.0 Last reviewed: May 2024 Review date: May 2027 LOWER RESPIRATORY TRACT INFECTIONS Bronchiectasis in Adults (CKS – Bronchiectasis) Clinical features An exacerbation of bronchiectasis is a sustained worsening of symptoms from a pe...

  • PIL - Neuroinflammatory conditions - azathioprine

    A ZATHIOPRINE Information sheet for patients with autoimmune neurological disorders Why am I being prescribed azathioprine? Azathioprine reduces the activity of the immune system and is therefore effective in conditions in which the body’s immunit...

  • 3. July 2022 APC Update

    Area Prescribing Committee / Interface Update July 2022 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions • Estradiol transdermal spray (Lenzetto®) – added as GREEN o Indicatio...

  • 5. APC Guideline Meeting Minutes September 2025

    th Nottinghamshire Area Prescribing Committee Guidelines Meeting Minutes Thursday 18 September 2025: The meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are legally required to co...

  • 4. APC Guideline Meeting Minutes July 2018

    N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 19 July at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are legally requ...

  • 5. APC Bulletin December 2025

    A rea Prescribing Committee Bulletin December 2025 Quick Overview Stay up to date with the Nottinghamshire APC decisions from September and November guideline meetings. 1 - Link to APC website 2 - Link to APC Joint Formulary Contents • New and up...

  • 3. APC Bulletin July 2022

    Nottinghamshire Area Prescribing Committee July 2022 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnicb-nn.nottsapc@nhs.net New submissions: • Hormone replacement therapy (HRT) for oestrogen deficiency symptoms in postmenopausa...

  • Whooping Cough

    L OWER RESPIRATORY TRACT INFECTIONS Whooping Cough Notifiable disease. Suspected and confirmed cases should be notified to UKHSA within 3 days. Also known as pertussis, is a highly infectious disease caused by Bordetella pertussis. It is spread by...

  • Sick Day Rules Guidance

    Medicines and Dehydration – Sick Day Rules Guideline Fig.1. Examples of Fluid loss and dehydration can be a significant risk to patients taking certain intercurrent illness that medicines, particularly when intercurrent illness (see Fig.1) is pres...

  • 3. May 2024 APC Update

    Area Prescribing Committee / Interface Update May 2024 Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net Contents • New submissions – Cytisine • Antimicrobial guidelines • Acute Exacerbation o...

  • Dementia - Galantamine Information Sheet

    Accessibility checked Galantamine Traffic light classification- Amber 2 Information sheet for Primary Care Prescribers Licensed Indications Galantamine is indicated for the symptomatic treatment of mild to moderately severe dementia in Alzheimer’s...

  • COPD Guideline

    st 1 Notts 1 line COPD Inhaled Treatment Summary 2 Non inhaler interventions are the most effective. Offer Smoking cessation, Pulmonary rehab, Vaccinations, Support groups. Co-develop a self-management plan MDI Salamol DPI Salbutamol 100 2 puffs p...

  • 3. APC Guideline Meeting Minutes July 2022

    t h These minutes are in draft form until ratified by the committee at the next meeting on 15 September 2022. Nottinghamshire Area Prescribing Committee Meeting Minutes st APC meeting 21 July 2022: due to the COVID-19 Pandemic the meeting took pla...

  • 1. APC Guideline Meeting Minutes February 2021

    N ottinghamshire Area Prescribing Committee Meeting minutes th APC meeting 25 February 2021, due to the COVID-19 Pandemic the meeting took place as a web conference using Microsoft Teams. All attendees should be aware that public authorities are l...

  • 1. APC Guideline Meeting Minutes January 2020

    N ottinghamshire Area Prescribing Committee rd Minutes of the meeting held on Thursday 23 January 2020 2:00pm Boardroom, Duncan MacMillan House All attendees should be aware that public authorities are legally required to comply with the Freedom o...

  • Antipsychotics - Clozapine Information Sheet

    Clozapine Information Sheet V5.0 Last reviewed: September 2024 Review date: September 2027 Clozapine Red Information Sheet for Primary Care 1 Please consult the manufacturers Summary of Product Characteristics (SPC) for further information Clozapi...

  • 3. APC Guideline Meeting Minutes May 2024

    t h Nottinghamshire Area Prescribing Committee Guideline Meeting Minutes Thursday 16 May 2024: The meeting took place as a Hybrid Meeting in the Boardroom, Sir John Robinson House, Arnold, Nottingham. All attendees should be aware that public auth...

  • 10. Nottinghamshire Area Prescribing Committee Annual Report 2019-20

    Nottinghamshire Area Prescribing Committee Annual Report 2019-20 APC annual report 201920 EXECUTIVE SUMMARY The Nottinghamshire Area Prescribing Committee (APC) works collaboratively with a number of different stakeholders* across Nottinghamshire...

  • 13. Nottinghamshire Area Prescribing Committee Annual Report 2022-23

    Nottinghamshire Area Prescribing Committee Annual Report 2022-23 APC annual report 202223 EXECUTIVE SUMMARY The Nottinghamshire Area Prescribing Committee (APC) works collaboratively with a number of different stakeholders* across Nottinghamshire...

  • 3. Nottinghamshire Area Prescribing Committee Annual Report 2012-13

    Nottinghamshire Area Prescribing Committee Annual Report 2012/13 T able of Contents Page Executive summary 3 Year in numbers 4 Purpose & Membership of the committee 5 Map of Nottinghamshire APC member 6 organisations Key achievements 7 Financial...

  • Alcohol Dependence Guidelines (Primary Care)

    Nottinghamshire Primary Care Alcohol Dependence Guidelines Version 6.1 Section Content i. Summary 2 1. Introduction 4 2. Scope 4 3. Aims of Community Detoxification 4 4. Identifying suitable patients 5 5. Medical risks of community detoxification...

  • Acute Exacerbation of COPD

    Acute Exacerbation of COPD Last reviewed: May 2024 Review date: May 2027 V3.0 LOWER RESPIRATORY TRACT INFECTIONS Acute Exacerbation of COPD (CKS Chronic obstructive pulmonary disease) Clinical features An acute exacerbation of chronic obstructive...

  • Vaginal Discharge in a Child

    Vaginal discharge in a child (vulvovaginitis) Last reviewed: 19/01/2023 Review date: 31/01/2026 V2.1 GENITAL TRACT INFECTIONS Vaginal Discharge in a Child (Vulvovaginitis) Organisms • Streptococcus pyogenes (Group A streptococcus) • Haemophilus in...

  • Conjunctivitis

    Conjunctivitis Last reviewed: 21/03/2024 Review date: March 2027 V3.0 EYE INFECTIONS Conjunctivitis (CKS Conjunctivitis – infective) Organisms: • Staphylococcus aureus • Neisseria gonorrhoeae (neonates) • Streptococcus pneumoniae • Chlamydia trach...

  • Splenectomised Patients and Those With an Afunctional Spleen

    SPLENECTOMISED PATIENTS AND THOSE WITH AN AFUNCTIONAL SPLEEN Patients with no spleen or functional asplenia have a significantly increased risk of overwhelming infection, particularly with: • Encapsulated organisms – Streptococcus pneumoniae (60%)...

  • Otitis Media

    Otitis Media V3.1 Last reviewed: 18/05/23 Review date: May 2026 UPPER RESPIRATORY TRACT INFECTIONS Otitis Media (CKS Otitis Media – acute) Acute otitis media (AOM) is defined as the presence of inflammation in the middle ear, associated with an ef...