netFormulary NHS
Milton Keynes Formulary
Milton Keynes University Hospital NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes Clinical Commissioning Group
Milton Keynes Community Health Services
 Formulary Chapter 5: Infections - Full Chapter


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.


Suspected Meningitis

Pre-admission management for suspected meningitis can be found here:


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 
Chapter Links...
05.04.01  Expand sub section  Antimalarials
05.04.01  Expand sub section  Treatment of malaria
05.04.01  Expand sub section  Falciparum malaria (treatment)
05.04.01  Expand sub section  Benign malarias (treatment)
05.04.01  Expand sub section  Prophylaxis against malaria to top
05.04.01  Expand sub section  Specific recommendations
05.04.01  Expand sub section  Artemether with lumefabtrine
Artemether with lumefantrine (Riamet)
View adult BNF View SPC online View childrens BNF

Tablets 20mg/120mg

05.04.01  Expand sub section  Chloroquine
05.04.01  Expand sub section  Mefloquine
05.04.01  Expand sub section  Primaquine to top
05.04.01  Expand sub section  Proguanil
05.04.01  Expand sub section  Pyrimethamine
05.04.01  Expand sub section  Quinine
05.04.01  Expand sub section  Tetracyclines
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Traffic Light Status Information

Status Description


Routine prescribing within licensed indication  

Amber 1

Specialist recommendation followed by GP initiation and continuation  

Amber 2

Specialist or GP initiation in line with local guideline after 1st line failure followed by GP continuation   

Amber 3

Specialist initiation and stabilisation followed by GP continuation  

Amber SCG

Specialist initiation and stabilisation followed by GP continuation in line with an agreed shared care guideline  


Hospital or specialist prescribing only  

Red Red

These medicines have been evaluated and rejected by MKPAG and are NOT approved for use within MK. They are not recommended for use because of lack of clinical effectiveness, cost effectiveness or safety.