Acute Cystitis and Pyelonephritis Pathway
11-Aug-2024A joint Medical-Urology pathway has been agreed for Pyelonephritis Study Running – Send Urine Sample prior to Antibiotics (if this does not interfere with treatment of Red-Flag… Read more
Antibiotics Guides
22-Sep-2024Sepsis – Click Here Suspected Covid-19 – Click Here Site Specific – Click Here Paediatric – Click Here Can’t find it in our drug cupboard… Read more
Avian Flu – 2022
12-Nov-2022Avian flu is droplet spread and can sometimes effect humans as well as birds. Severity varies in human cases varies widely from mild to severe… Read more
Be #urosceptical
01-Jul-2019Ditch the Dipstick – for patients >65Yrs or Catheterised! Approx. 50% of over 65’s and most of those with catheters have asymptomatic bacteriuria. The patient… Read more
COVID-19 (40 Step Desaturation Test)
12-Apr-2020NHS England has introduced the use of a “40 step desaturation test” into discharge planning from the ED. You will have heard Covid -19 patients… Read more
COVID-19 (Awake Self-Proning)
08-Apr-2020There is increasing evidence that Awake Self-Proning of our Covid-19 patients can improve oxygenation. Proning the patient can has several effects which can dramatically improve their SaO2… Read more
COVID-19 (Doning/Doffing Video)
10-Mar-20202 video links to PHE how to Don and Doff your PPE Read more
COVID-19 (Donning/Doffing-LOCAL)
25-Mar-2020Local instructional videos for donning/doffing Non-Aerosol Generating Procedures Aerosol Generating Procedures Disponible FFP3 (Leeds) Read more
COVID-19 (Paediatric multisystem inflammatory syndrome)
13-May-2020AKA: Paediatric Inflammatory Multi-system Syndrome – Temporally associated with SARS-CoV 2 Although COVID-19 seems a benign disease in almost all children there are increasing evidence (however… Read more
Gentamicin – Prescribing on EPR
12-Sep-2019Do NOT use this regime for: Pregnant women Children under 16 years Urology surgery prophylaxis patients ANY patient who has ascites, limb amputation, cystic fibrosis,… Read more
Legionnaires Disease
20-Jul-2024There has been a resent increase in cases of Legionnaires Disease in the North West. So remember to request Urine Legionella Antigen test, if you… Read more
Measles
23-Jan-2024Suspected/Confirmed patients should be ISOLATED & wear PPE Treating Staff – (should not be; non-immunised, pregnant or immunocompromised) single-use, disposable gloves single-use, disposable apron (or… Read more
Meningitis – Adults
15-Jan-2024Keep your suspicions high – early signs it may not be clear Sepsis Kills – give antibiotics & fluid early Consider Acyclovir Give Dexamethasone with Antibiotics… Read more
MERS
06-Jun-2025Middle East respiratory syndrome coronavirus (MERS-CoV) MERS is classified as a High Consequence Infectious Disease (HCID), and although unlikely is serious and could be imported… Read more
Mpox (Formerly: Monkeypox)
06-Sep-2024Wear Gloves & Wash Your Hands!!! There have been >100 patients identified as having Mpox in the UK during the current outbreak. Most of these… Read more
Notifiable Diseases
10-May-2019Registered Medical Practitioners in England and Wales have a statutory duty to notify Public Health about the following diseases. To facilitate rapid treatment and control… Read more
OPAT – Cellulitis 2023
10-Feb-2023Our OPAT service can provide IV antibiotics for cellulitis for those patients that can be managed as out patients but either require IV antibiotics or… Read more
Paediatric Infections – School Exclusion/Isolation
26-Apr-2023Prevent the spread of infections by ensuring: routine immunisation, high standards of personal hygiene and practice, particularly hand-washing, and maintaining a clean environment. However, Public… Read more
Rabies [notifiable disease]
04-Apr-2024Recent Incident: Bat contact was not recognized (effectively touching a bat without gloves means treatment is recommended) Rabies is an acute viral encephalomyelitis caused by members of… Read more
SEPSIS
13-Jun-2025Three large scale multi-centre trials into Severe Sepsis and Septic Shock: ProCESS (USA), ARISE(Aus), ProMISe(UK), all showed the same thing. What works is good early… Read more
Sex, Bites, and Needle Sticks
12-Sep-2024First Aid (ALL) Encourage bleeding Wash with copious amounts of water or saline Don’t Suck Don’t use Caustic agents Read more
Sore Throat and Group A Strep 2022
15-Dec-2024Due to the increased prevalence of Group A Strep (GAS) during winter 2022-23 national guidance on how we treat sore throats was updated (National advice… Read more
Think -TB
02-May-2025The prevalence of Tuberculosis in our region is increasing and has significant issues for both the patient and public health if we miss it. Symptoms… Read more
Tick-Bourne Diseases
06-Aug-2023The prevalence of diseases transmitted by tick bite have increased in recent years, within the UK. And it is now recognised that there are 3… Read more
