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Clinical updates and guidelines for GP locums
The double whammy of the Covid-19 pandemic and flu must be tackled to avoid NHS overwhelm this winter, but GP locums must know the risks before infections rise, Dr Zoe Neill of MPS writes
Practices have already been forced to cancel flu clinics for at-risk under-65s after supply of the vaccine ran short in September.
Most insect bites do not require antibiotics, and most infections in bites are secondary (and quite rare) following itching.
This is an updated guideline from NICE on the management of low back pain and sciatica. There is quite a bit that is new in this guideline, but it probably doesn't really add much to our current management
GP locums are eligible for free flu jabs at GP practices according to the new DES in 2020.
An October 2019 guideline from BSH on managing iron deficiency in pregnancy has a few interesting points, particularly for GP locums facing requests from midwives to prescribe iron
Although fremanezumab seems to be effective in episodic migraine, it hasn't been approved as it isn't felt to be cost-effective
Most of the time, long term macrolide therapy will be initiated in secondary care. However, we may well be the ones writing the prescription, so it is worth being aware of some of the safety concerns
NICE guidance from March 2020 advises that men over 65 should be offered routine screening for AAA
Mental health comes to the fore in new NICE guidance, published March 2020
A NICE update on antibiotic prescribing for leg ulcers published in February 2020 includes a good visual guide to best practice
A new guideline from NICE from February 2020 advises that sotagliflozin can be used alongside insulin for type 1 diabetes
New guidelines from NICE update the guidance on prescribing sodium zirconium cyclosilicate and patiromer
PERC tests, anticoagulants, D-dimers, stockings and cancer investigations: a stack of new advice on VTE in guidance
The FSRH provided a good summary of guidance for those advising women about what to do after a missed pill
New guidance advises GPs consider using hydrogen peroxide cream as a first line in localised non-bullous impetigo
NASGP has produced a new template to make sure practices are able to provide them will all necessary information.
GPs are advised to start looking for at-risk patients, signposting patients to local authority housing assessments, and giving guidance on risk reduction
We have today been notified that there is an additional supply of BNFs (BNF 78, no cBNFs) that can be made available to NASGP members every month.
Symptoms may lag behind treatment changes by weeks, or even months, new NICE guidance warns
About 5 people a year in the UK commit suicide because of cluster headaches. The side-effects from conventional medications and the monitoring required can be difficult.
Louise Hudman introduces the latest guideline on hypertension in pregnancy from NICE.
The main update this year is around Kawasaki disease. It used to be that Kawasaki disease was diagnosed if children had 4 out of 5 features.
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