Escalate urgently if…
The workflow highlights red flag symptoms once you reach the complication screen.
Open the NEWS2 calculator before signposting to emergency care.
Pharmacy First | Adults & children ≥1 year
Infected Insect Bites
Evidence-based pathway for ≥1 year across Community pharmacy, urgent care, primary care. Tap start to capture history, otoscopy, risk cues, and shared decision status.
≥1 year Community pharmacy, urgent care, primary care
- Screens for travel/animal exposures, systemic red flags and inflammatory vs infective reactions
- Guides antihistamine/self-care vs oral antibiotics with penicillin allergy + pregnancy branches
- Aligns with NHSE flucloxacillin PGD plus safety-netting and monitoring instructions
What you'll capture
- Age + symptom duration
- Otoscopy appearance and drainage
- Systemic severity and bilateral disease cues
- Risk modifiers (immunosuppression, prematurity, allergy)
- Shared decision plan (immediate vs back-up antibiotics)
Before you begin
- Have otoscopy findings or images ready.
- Confirm allergy history and temperature.
- Document analgesia given and pain score.
- Be prepared to discuss home care (warm compresses, upright feeds, smoke avoidance).