NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Medicines
Medicines Update

Primary Care Antibiotic Guideline update

The primary care infection management guideline and poster summary have been updated. The accompanying GP antibiotics app for iPhone and Android is currently being updated, alongside the e-Formulary and Synonyms.  Synonym disease codes (e.g. ‘.UTI’) for EMIS are included in the poster summary (hard copies being circulated shortly to GP practices), with the full list available via Staffnet.


The main guideline revisions include:


Topic Revision
Urinary Tract Infection

Fosfomycin & pivemecillinam included for second line use

Community Acquired Pneumonia

Antibiotic duration reduced from 7 to 5 days

Sore Throat: Self-limiting - antibiotics often not required

CENTOR replaced with FeverPAIN score for assessing streptococcal infection risk 

Otitis Media: Self-limiting - antibiotics often not required

Erythromycin replaced with clarithromycin (leaving amoxicillin)

Rhinosinusitis: Self-limiting - antibiotics often not required

Phenoxymethylpenicillin removed (leaving amoxicillin and doxycycline)

Long-term Antibiotics Addition of minimum review periods for UTI prophylaxis (every 3-6 months); and acne / rosacea (every 6 months)


A number of other more minor changes have also been made, primarily in relation to genital tract infections, and when to refer to the Sandyford Service.  Please refer to the guideline for details. There are also new learning resources to support prudent use of antibiotics:

  • TARGET  7 x 45 minute webinars available to watch (includes patient expectations, assessing need, UTI, children, back up prescribing)
  • ScRAP 2 –updated during 2016 to support quality improvement in infection management and include interactive small group learning sessions on UTI (available from February 2017)



Published 23/01/2017