Public Health England has issued guidance on antimicrobial prophylaxis for people injured by bomb blasts, which is intended to support best practice in the management of antimicrobial resistance issues. 

The guidance was produced in response to the May 2017 Manchester Arena bombing and recognises that specific guidance is required for an incident of this nature, which may include paediatric casualties, blast injuries involving embedded metal work, and large numbers of injured people who originate from outside of the incident area.

The guidance is intended to support teams that are responding to people injured by bomb blasts and includes recommendations on:

  • principles of treatment
  • tetanus prophylaxis
  • blood-borne virus prophylaxis
  • antibiotic prophylaxis.

Following the Manchester Arena bombing NHS England has also published information to support the immediate and longer-term care and support of children and adults who were affected by the incident. The information provides guidance on managing mental wellbeing and on how to access further support for people who have been affected.