netFormulary

North Central London
Joint Formulary

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:

NMUH Antimicrobial guidelines
RFL + RNOH Adult Microguide and RFL + RNOH Paediatric Microguide
UCLH Adult Microguide and UCLH Paediatric Microguide
WH Adult Microguide

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

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

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