1. Wherever possible antibiotics should be prescribed orally
2. Antibiotics should be:
- Administered only for as long as necessary to treat the infection
- Changed from IV to oral as soon as possible
3. Sugar free liquids are preferred where available, and SF identifies where a sugar free product is available.
4. For young children requiring doses of less than 5ml an oral syringe will be dispensed.
Pre-admission management for suspected meningitis can be found here: http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1194947389261
1. All GPs should carry benzylpenicillin for injection and administer it whilst arranging the transfer of the case to hospital, unless there is a history of immediate allergic reactions after previous penicillin administration.
2. GPs do not need to carry an alternative antibiotic. However, if other antibiotics are available, a 3rd generation cephalosporin may be used. If there is a history of immediate allergic reactions to penicillin or cephalosporins, chloramphenicol may be used.
3. Immediate dose of IV/IM benzylpenicillin for suspected meningococcal infection
- Adults and children aged 10 years or over - 1.2g
- Children aged 1 to 9 years - 600mg
- Children aged under 1 year - 300mg