Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

CKS Updates - August 2020

During August 2020 Clinical Knowledge Summaries were published or updated in the following areas.

All of the topics have been reviewed and undergone minor restructuring. The Appendicitis topic has been significantly restructured in the Diagnosis section. The HIV infection and AIDS topic has been updated to include iformation on the use of pre-exposure prophylaxis.

Action: Clinicians who see patients with any of these conditions may find the new and updated information useful when reviewing current clinical practice.

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NICE Guidance - August 2020

The National Institute for Health and Care Excellence (NICE) have published new or updated guidance for the month of August 2020. This month is one guideline and one COVID-19 rapid guideline that impact upon primary care.

The Surgical site infections: prevention and treatment guideline has been updated. It covers preventing and treating surgical site infections in adults, young people and children who are having a surgical procedure involving a cut through the skin. It focuses on methods used before, during and after surgery to minimise the risk of infection. This update links to new guidance on perioperative care.

The COVID-19 rapid guideline: children and young people who are immunocompromised guideline has been updated. It aims to maximise the safety of children and young people who are immunocompromised during the COVID-19 pandemic. It also aims to protect staff from infection and enable services to make the best use of NHS resources. The update removes a link to withdrawn government guidance on safeguarding.

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

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CKS Updates - July 2020

During July 2020 Clinical Knowledge Summaries were published or updated in the following areas.

All of the topics have been reviewed and undergone minor restructuring. The Coeliac disease topic has been significantly restructured and several sections have been relocated. The Rosacea topic has been renamed, formerly it was Acne Rosacea. This topic has also been restructured and recommendations on diagnosis and management are now in keeping with international consensus and should be based on individual clinical features. Antibiotic choices have been updated and the option to use topical ivermectin in primary care has been included.

Action: Clinicians who see patients with any of these conditions may find the new and updated information useful when reviewing current clinical practice.

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NICE Guidance - July 2020

The National Institute for Health and Care Excellence (NICE) have published new or updated guidance for the month of July 2020. This month are two guidelines and one medtech innovation briefing that impact upon primary care.

The COVID-19 rapid guideline: rheumatological autoimmune, inflammatory and metabolic bone disorders guideline has been updated. It aims to maximise the safety of children and adults with rheumatological autoimmune, inflammatory and metabolic bone disorders during the COVID-19 pandemic, while protecting staff from infection. It also enables services to make the best use of NHS resources. This update highlights the possible risk of adrenal crisis for patients on long-term corticosteroids.

The COVID-19 rapid guideline: arranging planned care in hospitals and diagnostic services guideline has been published. It aims to help healthcare professionals deliver efficient planned care while minimising the risk of COVID-19 in the context of increasing or decreasing local prevalence. It also aims to help patients make decisions about their planned care. It includes recommendations on social distancing and hand hygiene measures prior to planned care.

The Prontosan for acute and chronic wounds medtech innovation briefing has been published. This briefing notes that the intended place in therapy would be as an alternative to saline or water to cleanse wounds during dressing changes. The available evidence indicates that Prontosan is likely to be better than saline for treating acute and chronic wounds, but it is noted that the studies were of short duration and there could be significant resource implications depending on product type and quantity used.

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

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CKS Updates - June 2020

During June 2020 Clinical Knowledge Summaries were published or updated in the following areas.

All of the topics have been reviewed and undergone minor restructuring. The Vitiligo topic has been significantly restructured and recommendations have been updated in line with current evidence; several areas have been moved in line with CKS layout and the Prescribing information section now directs readers to the CKS topic on Corticosteroids - topical (skin), nose, and eyes.

Action: Clinicians who see patients with any of these conditions may find the new and updated information useful when reviewing current clinical practice.

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