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Latest NZ antibiotic guideline

Te Whata Kura is the new national antimicrobial guideline.

It includes revised guidance around:

  • Cellulitis, irrespective of patient BMI, 1000mg Flucloxacillin QID with food for 5 days.
  • Cystitis, uncomplicated: Nitrofurantoin (Micronised version trade name Macrobid), so as not to confuse with the regular Nitrofurantoin and underdose the patient (100 mg BD for 5 days with food).
  • Adult unilateral otitis media and no severe symptoms no antibiotics needed.
  • Adult bilateral otitis media: Amoxicillin 1000mg TDS for 5 days, with or without food. 
  • There is no advice on this website for otitis media in children. 
  • Diverticulitis (in a non-immunocompromised patient) needs 72 hours of observation without antibiotics. Complicated may need a surgical opinion. 

Reference

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