Antibiotic treatment regimens - MIMS summary table updated

The MIMS quick reference table summarising antibiotic treatment regimens in adults has been updated in accordance with recent NICE guidance relating to UTIs including prostatitis and pyelonephritis.

Antibiotic treatment for UTIs including prostatitis and pyelonephritis should be reviewed once urine culture results are available. | BURGER/PHANIE/SCIENCE PHOTO LIBRARY
Antibiotic treatment for UTIs including prostatitis and pyelonephritis should be reviewed once urine culture results are available. | BURGER/PHANIE/SCIENCE PHOTO LIBRARY

The MIMS table 'Antibiotic Treatments in Adults, Summary of Regimens' is compiled using the NICE antimicrobial prescribing guidelines, updated in October 2018, as well as information from NICE Clinical Knowledge Summaries and guidance from the Health Protection Agency

Organised by organ system and further divided into common infection types, the MIMS table provides information on the antibiotic(s) of choice for each infection type (including dose, frequency, duration and preferred formulation) and where applicable an alternative in case of penicillin allergy.

Treatment options for the following infections have been updated according to the NICE guidance: uncomplicated lower UTI, acute bacterial prostatitis and acute pyelonephritis. A new section for the treatment of recurrent UTI has also been added.

Other changes to the MIMS table include amends to the recommended treatment options for sore throat and sinusitis based on NICE guidance.

The section on treatment of acute otitis media has been removed since routine prescribing of antibiotics for uncomplicated cases in adults is not recommended.

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