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
Sexual health – syphilis

STM p281 , 289 
WBM p248 , 257 

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 –
ARF/RHD

STM p295 –296 

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)
(1 x 2.3mL syringe)

4*

STM General section –
Chicken pox,
School sores,
Sore throat

333 ,387 ,
407 

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

STM p426 , WBM p366 

Benzathine penicillin (penicillin G)

Benzathine benzylpenicillin (Bicillin L-A) – table entry updated to new formulation in units/mL.

6

STM and WBM Antibiotics

Table

STM 438 
WBM 378 

Vancomycin dose for over 12 years 600g

Dose should be 600mg.

7

WBM Gynaecology/Abnormal vaginal bleeding in non-pregnant women

303 

(DO) if Hb less than 10g/L

Hb less than 100g/L

8

STM
Ear problems

180 

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

178 , 179 

Amoxicillin–clavulanic acid oral twice a day (bd) – adult 2+1.4g,
child 50+7.1mg/kg/dose
up to 2+1.4g

adult 1.75g+250mg, child 50mg+7.1mg/kg/dose up to 1.75g+250mg

10

WBM Self collected LVS

264 

Add emphasis to dot point: HPV for cervical screening in certain circumstances (p290)

11

WBM Self collected LVS

264 , 265 

Swab provided by laboratory

Flocked swab (eg FLOQ) provided by laboratory

12

WBM Antenatal checklist

86 

◦ 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

STM Chest pain – Flowchart 1.4

51 

• If thrombolysis indicated (Table 1.12)
  
  
• Give tenecteplase IV over 10 seconds – see Table 1.7 for doses

• If thrombolysis indicated (Table 1.13)
  
  
• Give tenecteplase IV over 10 seconds – see Table 1.14 for doses