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
21-Aug-2026Site Specific – Click Here Can’t find it in our drug cupboard try the Emergency 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
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
HCID’s (High Consequence Infection Diseases)
28-Jul-2026High Consequence Infectious Diseases (HCIDs) include a group of rare but severe infections that require ACTIONS – CARD HERE Immediate isolation Enhanced PPE Early specialist… 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
21-Aug-2026Keep your suspicions high – early signs it may not be clear Sepsis Kills – give antibiotics & fluid early Consider Acyclovir Give Dexamethasone with Antibiotics… 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-Nov-2025Prevent the spread of infections by ensuring: routine immunisation, high standards of personal hygiene and practice, particularly hand-washing, and maintaining a clean environment. However, the… Read more
Rabies [notifiable disease]
18-May-2026Recent Incident: Bat contact was not recognised (effectively touching a bat without gloves means treatment is recommended) Important: Rabies Vaccine is in short supply and we must… 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
22-Aug-2026First Aid (ALL) Encourage bleeding Wash with copious amounts of water or saline Don’t Suck Don’t use Caustic agents Link to ALL Trust protocols –… 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-2024The 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