North Central London
Joint Formulary
 
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5 Infections

Prescribing of systemic antimicrobials is 'protected'. All prescribing MUST be in accordance with the Trust Antimicrobial Policy and in conjunction with local antimicrobial guideline:

05-01-07 Fosfomycin

Fosfomycin oral sachets
Formulary

Approved for prescribing in primary and secondary care for symptomatic UTI sensitive to fosfomycin, where patients are unable to receive, or the organism is resistant to, first-line antibiotics (July 2015)

Provider notes

  • NMUH:
    • Consultant Microbiology approval only
  • RFL:
    • See Microguide for approved indications
    • Microbiology/ID approval required for all other indications
  • RNOH:
    • Microbiology approval only
  • UCLH:
  • WH:
    • Microbiology approval only

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Fosfomycin intravenous
Restricted

Microbiology approval only for treatment of infections, or suspected infections, caused by multi-drug resistant Gram-negative organisms, including ESBLs (JFC August 2016)

Provider notes

  • NMUH:
    • Should only be prescribed following advice from a Consultant Microbiologist
  • RFL:
    • Consultant Microbiology/ID approval only
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Microbiology approval only

Restricted Drug View adult BNF  View SPC online  View childrens BNF