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101. Intrapartum care for women with existing medical conditions or obstetric complications and their babies

monitoring for women in labour with sepsis or suspected sepsis 84 Antimicrobial treatment for women in labour with sepsis or suspected sepsis 85 Care for women with sepsis or suspected sepsis immediately after the birth 86 Intrapartum haemorrhage 86 Breech presenting in labour 87 Small-for-gestational-age baby 89 Large-for-gestational-age baby 89 No antenatal care 90 Previous caesarean section 91 Labour after 42 weeks of pregnancy 93 Context 94 Finding more information and resources 95 Update information

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

102. Fever in under 5s: assessment and initial management

aged under 5. It aims to improve clinical assessment and help healthcare professionals diagnose serious illness among young children who present with fever in primary and secondary care. This guideline should be read in conjunction with NICE's guidance on sepsis, neonatal infection, meningitis (bacterial) and meningococcal septicaemia in under 16s, urinary tract infection in under 16s, diarrhoea and vomiting caused by gastroenteritis in under 5s and antimicrobial prescribing for common infections (...) not routinely have a chest X-ray. [2007] [2007] 1.4.7 T est urine in children with fever as recommended in NICE's guideline on urinary tract infection in under 16s. [2007] [2007] 1.4.8 When a child has been given antipyretics, do not rely on a decrease or lack of decrease in temperature to differentiate between serious and non-serious illness. [2017] [2017] Use of antibiotics b Use of antibiotics by the non-paediatric pr y the non-paediatric practitioner actitioner 1.4.9 Do not prescribe oral antibiotics

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

103. Diverticular disease: diagnosis and management

also help to solidify loose stools in people with constipation. Paracetamol is indicated for pain and the committee highlighted the importance of avoiding NSAIDs and opioid analgesia because of the risk of diverticular perforation. Some people experience abdominal cramping, and anti-spasmodics may help with this. In line with best practice in antimicrobial stewardship, the committee made a recommendation not to use antibiotics in the absence of acute diverticulitis. Diverticular disease: diagnosis (...) disease and how they might affect practice, see rationale and impact. Management and advice Management and advice 1.2.4 Do not offer antibiotics to people with diverticular disease. 1.2.5 Advise people to avoid non-steroidal anti-inflammatory drugs and opioid analgesia if possible, because they may increase the risk of diverticular perforation. 1.2.6 For advice on diet, fluid intake, stopping smoking, weight loss and exercise, follow the recommendations in section 1.1 on diverticulosis. 1.2.7 Advise

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

104. Surgical site infections: prevention and treatment

or implant clean-contaminated surgery contaminated surgery. [2008] [2008] For advice on antibiotic prophylaxis before caesarean section, see the section on surgical techniques for caesarean section: timing of antibiotic administration in NICE's guideline on caesarean section. For information on antimicrobial stewardship programmes see the NICE guideline on antimicrobial stewardship: systems and processes for effective antimicrobial medicine use. 1.2.13 Do not use antibiotic prophylaxis routinely (...) #notice-of-rights). Page 11 of 271.3.19 Consider using gentamicin-collagen implants in cardiac surgery. [2019] [2019] T o find out why the committee made the 2019 recommendations on antiseptics and antibiotics before wound closure and how they might affect practice, see rationale and impact. Closure methods Closure methods 1.3.20 When using sutures, consider using antimicrobial triclosan-coated sutures, especially for paediatric surgery, to reduce the risk of surgical site infection. [2019] [2019

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

105. Abortion care

are having an abortion, see the NICE guideline on preventing sexually transmitted infections and under-18 conceptions. 1.4.2 Do not routinely offer antibiotic prophylaxis to women who are having a medical abortion. 1.4.3 Offer antibiotic prophylaxis to women who are having surgical abortion. 1.4.4 When using doxycycline for antibiotic prophylaxis in medical or surgical abortion, consider oral doxycycline 100 mg twice a day for 3 days. 1.4.5 When using metronidazole for antibiotic prophylaxis in medical (...) or surgical abortion, do not routinely offer it in combination with another broad-spectrum antibiotic such as doxycycline. T o find out why the committee made the recommendations on preventing infection and how they might affect practice, see rationale and impact. 1.5 Venous thromboembolism prophylaxis 1.5.1 For women who need pharmacological thromboprophylaxis, consider low-molecular-weight heparin for at least 7 days after the abortion. 1.5.2 For women who are at high risk of thrombosis, consider

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

106. Cerebral palsy in adults

. Pr Proph ophylactic tr ylactic treatments for r eatments for respir espiratory infections atory infections 1.4.26 Offer vaccinations to adults with cerebral palsy and their carers, in line with the national immunisation programme (see the Green Book for further information). 1.4.27 Do not offer prophylactic antibiotics for lower respiratory tract infections in adults with cerebral palsy, unless: the person is at high risk of respiratory impairment (see recommendation 1.4.23

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

107. Management of suspected bacterial lower urinary tract infection in adult women

for approximately 23% of antibiotic prescriptions where the anatomical site is specified.6 The majority of drug-resistant infections are acquired in the community7 and there is a clear association between antibiotic prescribing in suspected UTI and the development of antimicrobial resistance.8 These factors, the prevalence and burden of UTIs and variation in approaches to diagnosis and management contribute to the need for an evidence-based national guideline in this area. 1.1.1 Prevalence Two national point (...) and limiting unnecessary antibiotic use in patient with suspected (usually self-limiting) LUTI is a crucial step in controlling antimicrobial resistance (AMR). Understanding the evidence supporting LUTI diagnosis and the subsequent appropriate use of alternative (non-antibiotic) strategies which do not compromise clinical outcome and patient well-being is important. The safe and appropriate use of antibiotics is fundamental to national antimicrobial stewardship strategies overseen by the Scottish

2020 SIGN

109. Lyme disease

in this guideline 22 Recommendations for research 23 1 Core outcome set for studies of management of Lyme disease 23 2 Clinical epidemiology of Lyme disease in the UK 23 3 Seroprevalence of Lyme disease-specific antibodies and other tick-borne infections in the UK population 23 4 Antimicrobial management of Lyme disease 24 5 Laboratory tests to diagnose initial and ongoing infection and determine re-infection in the different presentations of Lyme disease in the UK 24 Rationale and impact 26 Awareness of Lyme (...) disease 26 Clinical assessment 27 Laboratory investigations 28 Emergency referral and specialist advice 29 Antibiotic treatment 30 Ongoing symptoms after a course of antibiotics 37 Non-antibiotic management of ongoing symptoms 38 Management for women with Lyme disease during pregnancy and their babies 38 Information for people with Lyme disease 39 Context 41 Finding more information and resources 43 Lyme disease (NG95) © NICE 2019. All rights reserved. Subject to Notice of rights (https

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

110. Chronic obstructive pulmonary disease in over 16s: diagnosis and management

53 Oral prophylactic antibiotic therapy 54 Long-term oxygen therapy 55 Ambulatory and short-burst oxygen therapy 56 Managing pulmonary hypertension and cor pulmonale 57 Lung volume reduction procedures, bullectomy and lung transplantation 58 Risk factors for COPD exacerbations 59 Self-management, education and telehealth monitoring 60 Context 62 Finding more information and resources 63 Update information 64 Chronic obstructive pulmonary disease in over 16s: diagnosis and management (NG115) © (...) to receive a diagnosis earlier so that they can benefit from treatments to reduce symptoms, improve quality of life and keep them healthy for longer. NICE has also produced: a guideline on antimicrobial prescribing for acute exacerbations of COPD a visual summary covering non-pharmacological management and use of inhaled therapies. Who is it for? Healthcare professionals Commissioners and providers People with COPD and their families and carers Chronic obstructive pulmonary disease in over 16s: diagnosis

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

111. Pancreatitis

acute pancreatitis, investigate other possible causes such as: metabolic causes (such as hypercalcaemia or hyperlipidaemia) prescription drugs microlithiasis hereditary causes autoimmune pancreatitis ampullary or pancreatic tumours anatomical anomalies (pancreas divisum). Pre Prev venting infection enting infection 1.2.3 Do not offer prophylactic antimicrobials to people with acute pancreatitis. Fluid resuscitation Fluid resuscitation 1.2.4 For guidance on fluid resuscitation, see the NICE

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

112. Renal Replacement Therapy for Critically Unwell Adult Patients: Guidelines for best practice and service resilience during COVID-19

Babu Muthuswamy Wales Critical Care and Trauma Network & Consultant in Intensive Care Medicine Julie Platten Chair, CC3N & Network Manager, North of England Critical Care Operational Delivery Network Sara Price Renal Dietetic Clinical Lead, University Hospitals Birmingham Laura Radford Senior Pharmacist Critical Care, Cambridge University Hospitals NHS Foundation Trust Reem Santos Principal Pharmacist Antimicrobial Stewardship and Infectious Diseases, Cambridge University Hospitals NHS Foundation (...) and surge scenarios 45 Appendix I: Clinical Guidance for adult critical care units – Antimicrobial drug dosing in different modalities of renal replacement therapy 59 RRT for Critically Unwell Adult Patients: Guidelines for best practice and service resilience during COVID-19 – 2020 6 Introduction Purpose The purpose of this guideline is to support implementation of the NHS England (NHSE) service specification, which describes the requirements for renal replacement therapy (RRT) as an interdependent

2020 Renal Association

115. Clinical guide for the management of critical care for adults with COVID-19 during the Coronavirus pandemic v4

not be withheld. Other Anti-SARS-CoV-2/COVID-19 therapies should only be administered within the context of a nationally approved trial. COVID-19 related clinical trials should be supported to enable the rapid development of an evidence base for this new disease. Routine antibiotics ? Antibiotic adminstration is not recommended for uncomplicated COVID-19. COVID-19 and other infections ? Careful attention to antimicrobial stewardship is important ? Prevalence of both bacterial and fungal infection rises (...) with time on ICU. ? Antibiotics should be considered if there is suspected bacterial super-infection. ? Antifungals should be considered in patients not responding to antibacterial treatment, who are known or strongly suspected to have fungal infection. Consider Galactomannan/ ß-D-glucan testing if available. ? There is limited information available on interactions between seasonal influenza and COVID-19: - PHE analysis of data from the latter part of the 2019-20 influenza season in England found

2020 ICM Anaesthesia COVID-19

116. Advice for pregnant members of the anaesthesia and intensive care workforce during the COVID-19 pandemic

in the “UK Five-year Tackling Antimicrobial Resistance National Action Plan (2019-2024).” COVID-19: infection prevention and control guidance Uncontrolled if printed. 5 Contents 1. Explanation of the updates to infection prevention and control guidance 6 2. Introduction 7 2.1 Scope and purpose 7 3. Governance and responsibilities 9 4. Care pathways 10 4.1 Administration measures for the pathways 12 4.2 Community settings 14 4.3 Outpatient/primary/day care 14 5. Standard Infection Prevention Control

2020 ICM Anaesthesia COVID-19

117. Coronavirus (COVID-19) infection and pregnancy

to blood cultures. • While pyrexia may suggest COVID-19, do not assume that all pyrexia is due to COVID-19. Consider the possibility of bacterial infection and perform full sepsis-six screening and administer intravenous antibiotics when appropriate. • Consider bacterial infection if the white blood cell count is raised (lymphocytes usually normal or low with COVID-19) and commence antibiotics. • Women should be tested for COVID-19 if they meet the inpatient or community PHE criteria. o Current

2020 Royal College of Obstetricians and Gynaecologists

118. Recommendations for good practice in Ultrasound: Oocyte retrieval Full Text available with Trip Pro

and training. One of the major research gaps was training and competence. This paper has also outlined a list of research priorities (including clarification on the value or full blood count, antibiotic prophylaxis and flushing, and the need for training and proficiency). LIMITATIONS, REASONS FOR CAUTION The recommendations of this paper were mostly based on clinical expertise, as at present, only a few clinical trials have focused on the oocyte retrieval techniques, and almost all available data (...) practice in US-guided oocyte retrieval. The Delphi method survey included 53 questions completed in three rounds and resulted in 32 standards of practice. In addition to the results of the dissertation, a new literature search was conducted. Databases (PUBMED/Medline and the Cochrane Library) were searched from inception to 17 July 2018. Search terms focussed on US, oocyte retrieval/pick up, Doppler, sedation, anaesthesia, infection, antibiotics, hydrosalpinx and flushing, and included extended key

2020 European Society of Human Reproduction and Embryology

119. Guide for Completion of the Neonatal Transfer Record

at the beginning of the list. ? Car Bed added as an option in Environment for transfer. ? Care transferred to HART removed. Section 1: ? Maternal / Birth History: Free text box replaced with pertinent questions such as antenatal steroids, prophylactic antibiotics, and delivery type. Section 2: ? Newborn Exposure: Checkbox added to indicate if exposure is unknown. Summary of Changes WHAT’S NEW? The updated record was developed to reflect the recommendations of the BC Coroners report, the Provincial Patient (...) handover.BC Neonatal Transfer Record (PSBC 1995) 6 ABG Arterial Blood Gas ARO Antibiotic Resistant Organisms B Bottle BD Base Deficit BE Base Excess BP Blood Pressure BR Breast CBG Capillary Blood Gas CCHD Critical Congenital Heart Disease CPAP Continuous Positive Airway Pressure CVAD (CVC) Central Venous Access Device (Central Venous Catheter) EBM Expressed Breast Milk ETT Endotracheal Tube F female FiO 2 Fractional concentration of inspired oxygen GBS Group B Streptococcal GI/GU Gastrointestinal

2020 British Columbia Perinatal Health Program

120. Low-Risk Infant Ground Transport in the Care of a Registered Nurse: Practice Resource

transfer in the care of an RN, the following clinical parameters must be met: CLINICAL PARAMETER YES NO* N / A Gestational age = 32 weeks PMA Current weight = 1500 grams On supplemental oxygen by Low Flow Nasal Prongs (LFNP) not requiring additional pressure support for > 48 hours prior to transport If on caffeine, no major episodes of apnea requiring positive pressure ventilation for > 48 hours prior to transport Saline lock can be placed for transport if on intravenous (IV) fluid and / or antibiotics (...) ? Dextrose concentration greater than D12.5%W for hypoglycemia ? Medications for hypoglycemia ? Post op with enteral feeds less than full feeds ? Gastrostomy less than 10 days post-op ? Jejeunal tube ? Ileostomy ? Jejunostomy ? Post op with enteral feeds less than 50% ? Mucous fistula refeeds Other ? Phototherapy ? Post cesarean section ? Terminal palliative care, with no invasive interventions required ? Boarder baby ? Antibiotics in a well baby with risk factors ? ROP: less than weekly checks

2020 British Columbia Perinatal Health Program


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