Severity
(classification)

1st line oral/iv antibiotics

Penicillin allergy
(see explanatory notes)

A/B

Minor to severe  infection

Review doses in renal impairment

OFLOXACIN 400mg po bd
plus
METRONIDAZOLE 400mg po bd

Duration: 14 days 

Not Applicable

C

Severe life threatening infection

Review doses in renal impairment

GENTAMICIN iv (as per local protocol)
plus
CLINDAMYCIN 1.2g iv qds
STOP and review if patient develops diarrhoea

If GENTAMICIN is contra-indicated (see GHNHSFT protocol)
then discuss with microbiologist

Not Applicable

IV to Oral Switch
(explanatory notes)

As in schedule A/B for a total of 14 days therapy