North Staffordshire Joint Formulary
North Staffordshire Clinical Commissioning Group
Stoke-on-Trent Clinical Commissioning Group

5 Infections

Please note that Primary and Secondary Care have separate antimicrobial guidelines; Secondary Care utilises a UHNM Trust-specific antimicrobial formulary (note that the UHNM antimicrobial guidelines [microguide] can also be downloaded on smartphones).

These can be found at:

For Primary Care, the Antimicrobial Guidelines can be accessed on netFormulary link:

For Secondary Care on the UHNM intranet by following: http://uhnm/clinicians/clinical-guidance/clinical-guidelines-and-pathways/antimicrobial/

Patients with HIV are treated according to the NICE accredited British HIV Association (BHIVA) guidelines which can be found at

05-01-04 Aminoglycosides

Tobramycin nebuliser solution

300mg/5ml nebuliser liquid Amps

Restriction: Non-CF Bronchiectasis. 1st line

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Tobramycin dry powder for inhalation Tobi® Podhaler

28mg Inhalation Powder Capsules with device


  • CF - In line with NICE Guidance. This is an NHS England Specialised Commissioning Drug for Cystic Fibrosis.


  • Non-CF Bronchiectasis - 2nd line only. Prior approval is required from CCG. Respiratory consultant prescription only
Link  NICE TA276: Cystic fibrosis (pseudomonas lung infection) - colistimethate sodium and tobramycin

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Gentamicin (nebulised)

80mg/2ml Solution for Injection Amps

Restriction: Non-CF Bronchiectasis. 3rd line only in patients who do not tolerate colistimethate and tobramycin nebules due to bronchospasm and side effect.

Amber View adult BNF  View SPC online  View childrens BNF