Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

CKS Updates - August 2017

During August 2017 Clinical Knowledge Summaries were updated in the following areas.

The following topics were all reviewed:

The majority of topics have undergone reviews and minor restructures.

The most significant changes are in the Constipation and Nausea/vomiting in pregnancy topics. The constipation topic has been update with the lower age limit of the topic changed to 18 years, recommendations on assessment have been expanded and the scenario on pregnancy and breastfeeding has been incorporated. The Nausea/vomiting in pregnancy topic recommends use of a validated questionnaire to assess the severity of nausea and vomiting of pregnancy, avoiding iron-containing preparations if they are exacerbating symptoms and offering support in the form of self-help and support groups. There have been minor changes on when to admit or seek specialist advice and choice of antiemetic with more detailed prescribing information included.

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

Share 'CKS Updates - August 2017' on Email Share 'CKS Updates - August 2017' on Delicious Share 'CKS Updates - August 2017' on Digg Share 'CKS Updates - August 2017' on Facebook Share 'CKS Updates - August 2017' on Google+ Share 'CKS Updates - August 2017' on reddit Share 'CKS Updates - August 2017' on StumbleUpon Share 'CKS Updates - August 2017' on Twitter

Improved BNF and BNFC app launched

NICE has announced the availability of an improved BNF and BNFC App for mobile devices.

The new App combines the BNF and BNFC in a single application and provides enhanced search and interaction checking as well as making updates easier. The existing apps will no longer be updated and will be withdrawn later this year. The new app is available as follows:

Action: Current users of the Apps should transition to the new App as soon as possible to ensure continued access to the most up to date information.

Share 'Improved BNF and BNFC app launched' on Email Share 'Improved BNF and BNFC app launched' on Delicious Share 'Improved BNF and BNFC app launched' on Digg Share 'Improved BNF and BNFC app launched' on Facebook Share 'Improved BNF and BNFC app launched' on Google+ Share 'Improved BNF and BNFC app launched' on reddit Share 'Improved BNF and BNFC app launched' on StumbleUpon Share 'Improved BNF and BNFC app launched' on Twitter

NICE Guidance - August 2017

The National Institute of Health and Care Excellence (NICE) have published new or updated guidance for the month of August 2017. This month there are three guidelines and three technology appraisals that impact upon primary care.

The Alendronate, etidronate, risedronate, raloxifene and strontium ranelate for the primary prevention of osteoporotic fragility fractures in postmenopausal women technology appraisal has been updated. The guidance on the use of etidronate for the primary prevention of osteoporotic fragility fractures in postmenopausal women has been withdrawn because etidronate is no longer marketed in the UK.

The Alendronate, etidronate, risedronate, raloxifene, strontium ranelate and teriparatide for the secondary prevention of osteoporotic fragility fractures in postmenopausal women technology appraisal has also been updated. The guidance on the use of etidronate for the primary prevention of osteoporotic fragility fractures in postmenopausal women has been withdrawn because etidronate is no longer marketed in the UK.

The Bisphosphonates for treating osteoporosis technology appraisal has been published and partially updates both of the technology appraisals above.

The Developmental follow-up of children and young people born preterm guideline has been published and covers the developmental follow-up of babies, children and young people under 18 years who were born preterm (before 37+0 weeks of pregnancy). It explains the risk of different developmental problems and disorders, and specifies what extra assessments and support children born preterm might need during their growth and development.

The Fever in under 5s clinical guideline has been updated to include a cross-reference to the NICE guideline on sepsis.

The Nutrition support for adults clinical guideline has been updated to include links to resources in several of the recommendations.

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

Share 'NICE Guidance - August 2017' on Email Share 'NICE Guidance - August 2017' on Delicious Share 'NICE Guidance - August 2017' on Digg Share 'NICE Guidance - August 2017' on Facebook Share 'NICE Guidance - August 2017' on Google+ Share 'NICE Guidance - August 2017' on reddit Share 'NICE Guidance - August 2017' on StumbleUpon Share 'NICE Guidance - August 2017' on Twitter

Hepatitis B added to Routine Immunisation Schedule

Public Health England has announced that a hexavalent vaccine will be used for routine immunisation of babies born on or after 1st August 2017. This announcement has been covered by mainstream media outlets (BBC).

The introduced vaccine provides protection against diphtheria, tetanus, pertussis, Haemophilus influenzae type b, polio and now hepatitis B. Interestingly, the vaccine has been available since October 2000 with approximately 150 million doses given worldwide.

Routine vaccine schedules are also available. Children who were started on the schedule using the pentavalent vaccine should continue primary course with pentavalent vaccine unless this is not available, in which case the hexavalent vaccine can be used. The programme guidance provides lots of routine information about the vaccine including contraindications and precautions, storage and administration, vaccine composition and discussion of potential errors in administration.

Action: Clinicians who will be involved in the delivery of the routine infant immunisation programme should be aware of this announcement and may wish to familiarise themselves with details provided.

Share 'Hepatitis B added to Routine Immunisation Schedule' on Email Share 'Hepatitis B added to Routine Immunisation Schedule' on Delicious Share 'Hepatitis B added to Routine Immunisation Schedule' on Digg Share 'Hepatitis B added to Routine Immunisation Schedule' on Facebook Share 'Hepatitis B added to Routine Immunisation Schedule' on Google+ Share 'Hepatitis B added to Routine Immunisation Schedule' on reddit Share 'Hepatitis B added to Routine Immunisation Schedule' on StumbleUpon Share 'Hepatitis B added to Routine Immunisation Schedule' on Twitter

CKS Updates - July 2017

During July 2017 Clinical Knowledge Summaries were updated in the following areas.

The following topics were all reviewed:

The majority of topics have undergone reviews and minor restructures.

The most significant changes are the expansion of assessment recommendations for Infantile Colic and the recommendations on primary care management and referral in the Dyspepsia topics.

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

Share 'CKS Updates - July 2017' on Email Share 'CKS Updates - July 2017' on Delicious Share 'CKS Updates - July 2017' on Digg Share 'CKS Updates - July 2017' on Facebook Share 'CKS Updates - July 2017' on Google+ Share 'CKS Updates - July 2017' on reddit Share 'CKS Updates - July 2017' on StumbleUpon Share 'CKS Updates - July 2017' on Twitter

« Older Posts

Prescribing Advice for GPs is powered by WordPress.
Subscribe for Free to our RSS or Atom Feeds for New Entries.
Akismet has protected Prescribing Advice for GPs from 789,411 spam comments.

atomic-wealth
fond-illness
summer