WHAT'S NEW?

1. Adult Section

Chemoprophylaxis 

• Colorectal surgery

Gastrointestinal Infections 

• H. pylorii infection

• Infectious diarrhoea

• Spontaneous bacterial peritonitis

• Liver abscess

Obstetrics and Gynecological Infections

• Septic abortion

• Endometritis

• Postpartum mastitis

• Lower Segment Caesarean Section (LSCS) infection

• Bartholin's Gland Abscess (NEW TOPIC)

Orthopaedic Infections

• Definitive Prosthetic Joint infection treatment (MSSA and MRSA)

• Diabetic Foot Infections

Respiratory Infections

• Community-acquired pneumonia

• Influenza

• Lung abscess and empyema

Skin and Soft Tissue Infections

• Furuncles (boils)

• Ecthyma gangrenosum

• Cellulitis

• Bite-related infections

• MRSA infections

• Pressure Injury (Bed Sore/Pressure Sore/ Decubitus Ulcer)

• Non tuberculous mycobacterial infection

• Tinea corporis/Tinea cruris/Tinea faciei

• Systemic sporotrichosis 

• Herpes simplex infections (non-genitalia)

• Varicella zoster (Chickenpox)

• Herpes zoster

• Severe Burn and High-risk Group

• Non-odontogenic Infections

• Musculoskeletal Infections

Tropical Infections

• Melioidosis

Urinary Tract Infections

• Asymptomatic bacteriuria (ABU)

• Uncomplicated UTI

• Complicated UTI

• Urosepsis

• Acute Bacterial Prostatitis (ABP)

• Chronic Bacterial Prostatitis (CBP)

• Testicular/ Scrotal Abscess

• Fournier’s Gangrene

2. Paediatric Section

Central Nervous Infections

• Neonatal Herpes Simplex Encephalitis

Chemoprophylaxis

• Rheumatic fever (Secondary prevention)

• Post-splenectomy

• Haemophilus influenza B exposure

• Meningococcal exposure

Gastrointestinal Infections 

• Dysentry

• Cholera

• Peritonitis

• Liver abscess (amoebic)

• Liver abscess (pyogenic) 

• Acute cholangitis

Neonatal Infections

• Necrotising enterocolitis (NEC)

• Group B Streprococcus (GBS)

• Meningitis

Ocular Infections

• Preseptal cellulitis 

• Orbital cellulitis/absces

Otorhinolaryngology Infections

• Tonsillitis/Pharyngitis

• Rhinosinusitis

• Acute otitis media

• Diphtheria

Respiratory Infections

• Community-acquired Pneumonia

• Pneumonia (inpatient, fully immunised)

Skin and Soft Tissue Infections

• Abscess

• Cellulitis

• Hansen’s Disease (leprosy) in children

• Necrotising fasciitis

• Scalded skin syndrome (SSSS

• Cat bites

• Dog bites

Tropical Infections

• Leptospirosis

• Tetanus

• Malaria - P. falciparum, P. Vivax, P. Malariae, P. Knowlesi 

Urinary Tract Infections

• Acute Pyelonephritis

• Lower Urinary Tract Infection

• Prophylaxis for UTI

Vascular Infections

• Methicillin-resistant (MRCoNS)

• Methicillin-resistant (MRSA)

• ESBL Negative

• Pseudomonas aeruginosa

• Candida albicans or other Candida species

• Suppurative thrombophlebitis

3. Clinical Pathways in Primary Care Section

• Acute otitis media

4. Appendix

• Nil

1. Adult Section

• Nil

2. Paediatric Section

• Nil

3. Clinical Pathways in Primary Care Section

• Acute Bronchitis and Pneumonia

• Acute Rhinosinusitis

4. Appendix

• Nil

1. Adult Section

• Nil

2. Paediatric Section

• Nil

3. Clinical Pathways in Primary Care Section

• UTI in Pregnancy (Asymptomatic Bacteriuria)

• UTI in Pregnancy (Symptomatic)

4. Appendix

• Nil

1. Adult Section

• Post splenectomy - vaccination

• Uncomplicated Cystitis - alternative treatment

• Acute pancreatitis - Frequency of ceftriaxone

• Frequency of ampicillin/sulbactam

2. Paediatric Section

• Neonatal sepsis / meningitis - Frequency of cefotaxime

• Neonatal Group B Streptococcus Infection - remove loading dose of clindamycin

3. Clinical Pathways in Primary Care Section

• SSTI - additional information on cloxacillin (paediatric dose)

4. Appendix

• Nil

1. Adult Section

• Infective endocarditis - Gentamicin duration for Penicillin-Relatively Resistant Viridans 

• Testicular/Scrotal Infection - Treatment recommendation for Epididymo-orchitis (Non-STD related)

• Complicated UTI - Oral treatment option

• Liver abscess - Dose for ampicillin/sulbactam

• Cryptocococcal meningitis - Dose for amphotericin B Deoxycholate

2. Paediatric Section

• Rhinosinusitis - Update on treatment duration

• Abscess, cellulitis, impetigo - Cloxacillin dose

• Acute otitis media - Update on amoxicillin/clavulanate formulation

3. Clinical Pathways in Primary Care Section

• Abscess, cellulitis, impetigo - Cloxacillin dose

• Acute otitis media - Update on amoxicillin/clavulanate formulation and duration of treatment based on age range for children

4. Appendix

• Appendix 1 - Update on dosing guide for vancomycin intermittent infusion