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* Changes to Benzathine benzylpenicillin (Bicillin L-A) result from changes to the packaging and formulation made by the manufacturer (Pfizer) after the manuals went to print. The doses are unchanged but are now expressed in units/mL rather than mg.
|
Item |
Manual |
Page |
Content |
Clarification or correction |
|---|---|---|---|---|
|
1* |
STM and WBM |
Various |
benzathine penicillin (penicillin G) |
Should be referred to as Benzathine benzylpenicillin (Bicillin L-A) throughout manuals. |
|
2* |
STM and WBM |
Give benzathine penicillin (penicillin G) IM single dose – adult 1.8g (2 x 900mg vials) |
Give Benzathine benzylpenicillin (Bicillin L-A) IM single dose – adult 2,4000,000U/4.6mL (1.8g) (2 x 2.3mL syringes) | |
|
3* |
STM General section – |
Give benzathine penicillin (penicillin G) (BPG) o Child less than 20kg — 450mg (eg 1.15mL Bicillin L-A) o Child 20kg or more and adult — 900mg (eg 2.3mL Bicillin L-A) |
Give benzathine benzylpenicillin (Bicillin L-A) o Child less than 20kg — 600,000U/1.17mL (450mg) (1 x 1.17mL syringe) o Child 20kg or more and adult — 1,200,000U/2.3mL (900mg) | |
|
4* |
STM General section – |
Give benzathine penicillin (penicillin G) IM single dose – adult 900mg, child see doses (p426) |
Give benzathine benzylpenicillin (Bicillin L-A) IM single dose – adult 1,200,000U/2.3mL (900mg) (1 x 2.3mL syringe), child see doses (p426) | |
|
5* |
STM and WBM Antibiotic doses table |
Benzathine penicillin (penicillin G) |
Benzathine benzylpenicillin (Bicillin L-A) – table entry updated to new formulation in units/mL. | |
|
6 |
STM and WBM Antibiotics Table |
Vancomycin dose for over 12 years 600g |
Dose should be 600mg. | |
|
7 |
WBM Gynaecology/Abnormal vaginal bleeding in non-pregnant women |
(DO) if Hb less than 10g/L |
Hb less than 100g/L | |
|
8 |
STM |
If pinhole perforation — also give amoxicillin oral twice a day (bd) for 3 months – child 25mg/kg/dose up to 1g |
If pinhole perforation – also give amoxicillin oral twice a day (bd) for 14 days or until perforation dry for a week – adult 2g, child 50mg/kg/dose up to 2g | |
|
9 |
STM Ear problems |
Amoxicillin–clavulanic acid oral twice a day (bd) – adult 2+1.4g, |
adult 1.75g+250mg, child 50mg+7.1mg/kg/dose up to 1.75g+250mg | |
|
10 |
WBM Self collected LVS |
|
Add emphasis to dot point: HPV for cervical screening in certain circumstances (p290) | |
|
11 |
WBM Self collected LVS |
Swab provided by laboratory |
Flocked swab (eg FLOQ) provided by laboratory | |
|
12 |
WBM Antenatal checklist |
◦ Cervical screening if due (p272). Best done before 24 weeks pregnant ▪ If speculum exam not done — cervical screen by self-collected HPV test if eligible (p264) AND visual check of vulva and vagina |
o Cervical screening if due (p290). If speculum exam not done BUT eligible for HPV test on LVS (p290) – clinician to collect (ie not self-collected) o Visual check of vulva
|