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  • UTI Prophylaxis

    Review Date: Nov 2025

  • UTI in Children

    Review Date: Nov 2025

  • UTI in Pregnancy

    Review Date: May 2025

  • UTI Treatment - Patient Leaflet

    Review Date: Nov 2025

  • Diagnosis of UTI - Quick Reference Guide

    Review Date: May 2025

  • Complicated UTI

    Review Date: May 2025

  • Lower UTI/ Cystitis

    Review Date: May 2025

  • Complicated UTI

    Complicated UTI Last reviewed: November 2024 Review date: 30/05/2025 V2.2 URINARY TRACT INFECTIONS Complicated UTI See also specific patient groups and conditions below Complicated UTIs are more likely in the following situations: o Recurrent infe...

  • UTI in Children

    UTI in Children 3.1 Last reviewed: 17/11/2022 Review date: 30/11/2025 URINARY TRACT INFECTIONS UTI in Children UTI is associated with a higher risk of underlying congenital renal anomalies, pyelonephritis, acquired renal scarring and recurrent inf...

  • UTI in Pregnancy

    UTI in Pregnancy Last reviewed: 24/10/2024 Review date: 30/05/2025 V2.3 URINARY TRACT INFECTIONS UTI in pregnancy (Not if pyelonephritis is queried. See advice below) • Asymptomatic bacteriuria in pregnancy: isolation of the same organism in a pro...

  • UTI Prophylaxis

    Guidelines for Recurrent Urinary Tract Infections in Adults: Antibiotic Prophylaxis Definition The symptoms of a lower urinary tract infection include frequency, dysuria, urgency and suprapubic pain. Recurrent lower urinary tract infection (rUTI)...

  • Lower UTI/ Cystitis

    URINARY TRACT INFECTIONS Lower UTI /Cystitis (i.e., no fever or flank pain, in men and women) Organisms • Escherichia coli, Coliforms, Proteus mirabilis Staphylococcus saprophyticus, Enterococcus spp. Treatment • Advise paracetamol or ibuprofen fo...

  • UTI Treatment - Patient Leaflet

    TREATING YOUR INFECTION – URINARY TRACT INFECTION (UTI) For women under 65 years with suspected lower urinary tract infections (UTIs) or lower recurrent UTIs (cystitis or urethritis) Possible urinary signs & symptoms The outcome Recommended care T...

  • Diagnosis of UTI - Quick Reference Guide

    Quick Reference Guide for the Diagnosis of UTI Last reviewed: 08/12/2023 Review date: 30/05/2025 V2.2 URINARY TRACT INFECTIONS Quick Reference Guide for the Diagnosis of UTI in Adults in Primary Care Dipsticks become more unreliable with increasin...

  • Antimicrobial Guidelines

    (Home > Guidelines/Formularies > Antimicrobial Guidelines)

  • Acute Pyelonephritis in Adults

    Upper UTI/ Acute Pyelonephritis in Adults Last reviewed: June 2024 Review date: 30/05/2025 V2.3 URINARY TRACT INFECTIONS Acute Pyelonephritis in Adults / Upper UTI • Define as: ✓ Patients with pyelonephritis usually have ▪ flank/ loin pain ▪ rigor...

  • Antimicrobial Bulletin Issue 2

    N OTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE ANTIMICROBIAL BULLETIN VOL 2 ISSUE 02 | JUNE 2022 A REMINDER NEWS Diagnosis and Treatment of UTI  Hidradenitis Suppurativa—New guideline. Diagnosis, Remember : This is also known as acne inversa. It is...

  • 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 3 ISSUE 03 | OCTOBER 2023 UTI Fluoroquinolone antibiotics: suicidal thoughts and behaviour Recurrent Antibiotics Healthcare professionals prescribing fluoroquinolone antibiotic...

  • Antimicrobial Guideline Summary of Changes

    Nottinghamshire Area Prescribing Committee Antimicrobial Guideline March 2019 Update www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk Maccg.nottsapc@nhs.net The Antimicrobial guidelines for primary care have been refreshed. The guideline ca...

  • Antimicrobial Bulletin Issue 4

    N OTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE ANTIMICROBIAL BULLETIN VOL 2 ISSUE 04 | DECEMBER 2022 NICE GUIDELINE RECENT PUBLICATIONS RESOURCES UTI in under 16s: diagnosis and management The guideline aims to achieve more consistent clinical Strept...

  • Antimicrobial Bulletin Issue 1

    N OTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE ANTIMICROBIAL BULLETIN VOL 3 ISSUE 01 | MARCH 2023 A randomised control trial in 2022 demonstrated methenamine RECURRENT UTI was non-inferior to prophylactic antibiotics for reducing the Methenamine hipp...

  • Antimicrobial Awareness Week Bulletin Nov 13th-19th

    Antimicrobial Update WORLD ANTIBIOTIC AWARENESS WEEK 13-19 November 2017 Did you know that a failure to address antibiotic resistance could result in approximately 10 million deaths a year by 2050 if antimicrobial resistance is not tackled now (Re...

  • Antimicrobial Guidelines Update

    Nottinghamshire Area Prescribing Committee Antimicrobial Guideline February 2018 Update www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nottsapc@nottspct.nhs.uk The Antimicrobial Prescribing Guidelines for Primary Care (quick reference gui...

  • Epididymitis With or Without Orchitis

    Epididymitis With or Without Orchitis V2.2 Last reviewed: June 2024 Review date: 31/03/2026 GENITAL TRACT INFECTIONS Epididymitis +/- Orchitis Pain and swelling of the epididymis +/- testis (orchitis), pyrexia, with or without urethral discharge....

  • Antimicrobial Bulletin Issue 1

    N OTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE ANTIMICROBIAL BULLETIN VOL 1 ISSUE 01 | JULY 2021 NEWS  Vancomycin for the Treatment of Clostridium difficile Some pharmacies are now holding stocks of vancomycin capsules for the treatment of patients...

  • APC work programme April 2025

    F orward Work Programme & Progress Report for Notts APC If you would like to be part of the consultation, would like to comment on the prioritisation or think there is something missing – please contact us at nnicb-nn.nottsapc@nhs.net Medicine or...

  • 2. APC Bulletin May 2022

    Nottinghamshire Area Prescribing Committee May 2022 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnccg.nottsapc@nhs.net New submissions: • For Treating Chronic Heart Failure with Reduced Ejection Fraction. • As per NICE TA773....

  • 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...

  • Male LUTS clinical guideline

    M ale Lower Urinary Tract Symptoms (LUTS) Guideline V5.2 Last reviewed: 19/05/2022. Review date: 19/05/2025 • Male LUTS consist of voiding symptoms, storage symptoms or both. • Storage symptoms include frequency, nocturia, urgency and incontinence...

  • 5. APC Bulletin November 2022

    Nottinghamshire Area Prescribing Committee November 2022 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nnicb-nn.nottsapc@nhs.net New submissions: Trimbow 172/5/9 pMDI 200 For maintenance treatment of asthma in adults not adequat...

  • 5. November 2024 APC Update

    Area Prescribing Committee / Interface Update. Sept - Oct 2024 meetings. Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net Contents ® • New submissions: vibegron (Gemtesa ), ® ® latanoprost &...

  • 1. APC Bulletin January 2017

    Nottinghamshire Area Prescribing Committee January 2017 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk nottsapc@nottspct.nhs.uk January 2017 APC Decisions Medicine Classification Indication Other Information An option for treatin...

  • Antimicrobial Bulletin Issue 1

    N OTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE ANTIMICROBIAL BULLETIN VOL 2 ISSUE 01 | MARCH 2022 PIVMECILLINAM, NEWS NITROFURANTOIN AND  COVID Treatment & Prevention FAQs FOSFOMYCIN New COVID-19 treatments - key messages for primary care Reminder t...

  • Antimicrobial Bulletin Issue 5

    N OTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE ANTIMICROBIAL BULLETIN VOL 3 ISSUE 05 | DECEMBER 2023 Merry Christmas SPIRONOLACTONE and a recurrent or persistent acne Blessed 2024 Spironolactone is a useful alternative to oral antibiotics for women w...

  • 1. APC Bulletin February 2025

    Area Prescribing Committee Bulletin February 2025 1 - Link to APC website 2 - Link to APC Joint Formulary New Formulary Submissions Antipsychotics for Chorea in Huntington’s Disease. - AMBER 2 Indication: • Off- label use of neuroleptic medication...

  • 4. APC Bulletin November 2024

    Area Prescribing Committee Bulletin November 2024 1 - Link to APC website 2 - Link to APC Joint Formulary New Formulary Submissions Vibegron (Obgemsa®) - AMBER 3 Indication: • Approved in NICE TA guidance with the same place in therapy as mirabegr...

  • 4. APC Guideline Meeting Minutes September 2022

    t h These minutes are in draft form until ratified by the committee at the next meeting on 17 November 2022. Nottinghamshire Area Prescribing Committee Meeting Minutes th APC meeting 15 September 2022: due to the COVID-19 Pandemic, the meeting too...

  • 3. APC Guideline Meeting Minutes May 2017

    N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 18 May 2017 at 2:00pm The Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are lega...

  • 5. APC Bulletin September 2019

    Nottinghamshire Area Prescribing Committee September 2019 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net New drug submissions— September 2019 APC Decisions Medicine Traffic light Indication Other Informatio...

  • 5. APC Bulletin September 2018

    Nottinghamshire Area Prescribing Committee September 2018 Bulletin www.nottsapc.nhs.uk www.nottinghamshireformulary.nhs.uk MACCG.NottsAPC@nhs.net September 2018 APC Decisions Medicine Status Indication Other Information Secondary care will be swit...

  • B. Principles of Treatment

    A ntimicrobial Prescribing Guidelines for Primary Care The electronic versions of this full guideline and its appendices can be accessed at: https://www.nottsapc.nhs.uk/guidelines-formularies/antimicrobial-guidelines/ Principles of Treatment 1. Th...

  • Antimicrobial Bulletin Issue 6

    N OTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE ANTIMICROBIAL BULLETIN VOL 3 ISSUE 06| FEBRUARY 2024 THINK VIRAL MHRA latest: Fluoroquinolones January 2024 UKHSA surveillance data indicates that levels of influenza, RSV and COVID are rising in the The...

  • 5. November 2022 APC Update

    Area Prescribing Committee Update: October/ November 2022 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net APC submission process How to request a new medicine • Requests for new medicines to...

  • Nausea and Vomiting in Pregnancy

    Primary Care Management of Nausea and Vomiting in Early Pregnancy V3.0 Last reviewed: 18/01/2024 Review date: January 2027 PRIMARY CARE MANAGEMENT OF NAUSEA AND VOMITING IN EARLY PREGNANCY Introduction Nausea and vomiting affects up to 80% of preg...

  • 5. APC Guideline Meeting Minutes November 2022

    T hese minutes are in draft form until ratified by the committee at the next meeting on th 19 January2023. Nottinghamshire Area Prescribing Committee Meeting Minutes th APC meeting 17 November 2022: the meeting took place as a web conference using...

  • 4. September 2022 APC Update

    Area Prescribing Committee / Interface Update September 2022 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions • Fenofibrate and bezafibrate MR – AMBER 2 o Indication: primary...

  • 5. APC formulary minutes October 2022

    t h These minutes are in draft form until ratified by the committee at the next meeting on 15 Dec 2022. Nottinghamshire Area Prescribing Committee Formulary Meeting Minutes th APC meeting 13 October 2022: the meeting took place as a web conference...

  • 1. February 2025 APC update

    Area Prescribing Committee / Interface Update. November 2024 - January 2025 meetings. Please direct queries to your ICB Medicines Optimisation Pharmacist or e-mail nnicb-nn.nottsapc@nhs.net February 2025 Contents • Guidelines: • Osteoporosis • Ov...

  • Overactive Bladder Clinical Guidance

    Overactive Bladder – clinical guidance V2.2 Last reviewed: Jan 2023. Review date: Jan 2026 Overactive Bladder Clinical Guideline Overactive Bladder (OAB) is urgency with or without urge incontinence, usually with frequency and nocturia. Urge Urina...

  • 2. May 2022 APC Update

    Area Prescribing Committee / Interface Update May / June 2022 Please direct queries to your CCG medicines optimisation pharmacist or nnccg.nottsapc@nhs.net Edoxaban switching – risk mitigation • NHSE IIF (Investment and Impact Fund) includes two...

  • 5. APC Guideline Meeting Minutes September 2019

    N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 19 September 2019 2:00pm Boardroom, Duncan MacMillan House All attendees should be aware that public authorities are legally required to comply with the Freedom...

  • 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...

  • 1. February 2023 APC Update

    Area Prescribing Committee / Interface Update February 2023 Please direct queries to your ICB medicines optimisation pharmacist or e-mail nnicb-nn.nottsapc@nhs.net New Submissions • Tacrolimus ointment (generic) – AMBER 2 o Indication – facial vi...

  • 7. Nottinghamshire Area Prescribing Committee Annual Report 2016-17

    Nottinghamshire Area Prescribing Committee Annual Report 2016-17 EXECUTIVE SUMMARY The Nottinghamshire Area Prescribing Committee (APC) works collaboratively with a number of different stakeholders* across Nottinghamshire to make recommendations...

  • 1. APC Guideline Meeting Minutes January 2019

    N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 17 January 2019 at 2:00pm Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are lega...

  • 1. APC Guideline Meeting Minutes January 2017

    N ottinghamshire Area Prescribing Committee th Minutes of the meeting held on Thursday 19 January 2017 at 2:00pm The Boardroom, Duncan MacMillan House, Porchester Road, Nottingham, NG3 6AA All attendees should be aware that public authorities are...

  • 2. Nottinghamshire Area Prescribing Committee Annual Report 2011-12

    Nottinghamshire Area Prescribing Committee Annual Report 2011/12 F igure 1 - Map of Nottinghamshire APC Member Organisations Bassetlaw CCG Mansfield and Ashfield CCG Sherwood Forest Hospitals NHS Foundation Trust Newark and Sherwood CCG Nottingha...

  • 1. APC Guideline Meeting Minutes January 2023

    t h These minutes are in draft form until ratified by the committee at the next meeting on 16 March 2023. Nottinghamshire Area Prescribing Committee Meeting Minutes th APC meeting 19 January 2023: the meeting took place as a web conference using M...

  • 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...

  • 12. Nottinghamshire Area Prescribing Committee Annual Report 2021-22

    Nottinghamshire Area Prescribing Committee Annual Report 2021-22 APC annual report 202122 EXECUTIVE SUMMARY The Nottinghamshire Area Prescribing Committee (APC) works collaboratively with a number of different stakeholders* across Nottinghamshire...

  • 2. APC Guideline Meeting Minutes May 2022

    N ottinghamshire Area Prescribing Committee Meeting Minutes th APC meeting 19 May 2022: 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 legall...

  • Diabetes - Type 2 Treatment Algorithm

    Type 2 Diabetes Treatment Guideline V5.9 Last reviewed: Nov 2022 Review date: Nov 2025 Nottinghamshire Health Community Treatment Guideline for the Management of Type 2 Diabetes (T2D) in Adults These guidelines are intended to support prescribing...

  • Nottingham & Nottinghamshire Continence Appliance Formulary

    Nottingham & Nottinghamshire Continence Appliance Formulary Contents – click on section to take you straight there Guidance on use of products within The Continence Formulary for Primary Care ........................ 1 Catheters & Accessories .......