Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

NICE Guidance - December 2018

The National Institute of Health and Care Excellence (NICE) have published new or updated guidance for the month of December 2018. This month there are five guidelines that impact upon primary care.

The Antenatal care for uncomplicated pregnancies guideline has been updated. The recommendations on alcohol consumption in pregnancy have been removed and replaced by a link to the UK CMOs' low-risk drinking guidelines.

The Post-traumatic stress disorder guideline has been published and replaces prior guidance from 2005. It covers recognising, assessing and treating post-traumatic stress disorder (PTSD) in children, young people and adults. It aims to improve quality of life by reducing symptoms of PTSD such as anxiety, sleep problems and difficulties with concentration. Recommendations also aim to raise awareness of the condition and improve coordination of care.

The Chronic obstructive pulmonary disease in over 16s guideline has been published and replaces prior guidance from June 2010. It covers diagnosing and managing chronic obstructive pulmonary disease (COPD) in people aged 16 and older, which includes emphysema and chronic bronchitis. It aims to help people with COPD to receive a diagnosis earlier so that they can benefit from treatments to reduce symptoms, improve quality of life and keep them healthy for longer.

The Chronic obstructive pulmonary disease (acute exacerbation): antimicrobial prescribing guideline has been published. It sets out an antimicrobial prescribing strategy for acute exacerbations of chronic obstructive pulmonary disease (COPD). It aims to optimise antibiotic use and reduce antibiotic resistance.

The Bronchiectasis (non-cystic fibrosis), acute exacerbation: antimicrobial prescribing guideline has been published. It sets out an antimicrobial prescribing strategy for managing and preventing acute exacerbations of bronchiectasis (non-cystic fibrosis). It aims to optimise antibiotic use and reduce antibiotic resistance.

Action: Clinicians should be aware of this month's new guidance and implement any necessary changes to practice.

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