Abx Flashcards
abx classes that inhibit protein synthesis
TAMCO
Tetracyclines (doxycycline) --> 30S Aminoglycosides (gentamicin) --> 30S Macrolides (Erythromycin) --> 50S Chloramphenicol --> 50S Oxazolidinones (linezolid)
Acute sore throat
Phenoxymethylpenicillin (Pen V)
Pen allergy: clarithromycin
Acute otitis media
amoxicillin
pen allergy: clarithromycin
Scarlet fever
Pen V
pen allergy: clarithromycin
Sinusitis
Pen V
pen allergy: clarithromycin
Acute exacerbation of COPD
Amoxicillin / Doxycycline / clarithromycin
Hospital Acquired pneumonia
co-amoxiclav
Community aquired pneumonia
Amoxicillin +/- clarithromycin
non pregnant UTI
Nitrofurantoin / trimethoprim
Men/children: trimethoprim
Pregnant: Nitrofurantoin / amoxicillin / cefalexin
pregnant UTI
Nitrofurantoin (avoid at term !!!)
/ amoxicillin / cefalexin
acute pyelonephritis
cefalexin / coamox
Acute prostitis
ciprofloxacin / ofloxacin / trimethoprim
suspected meningococcal disease
IV/IM Benxylpenicillin
oral candidiasis
miconazole oral gel
Threadworm
mebendazole 100mg stat
treat all household contacts
C diff
vacomycin
H Pylori
PPI + amoxicillin + clarithromycin / metronidazole
acute diverticulitis
co-amoxiclav
pen allergy: cefalexin + metronidazole
epididymitis
doxycycline / ofloxacin / ciprofloxacin
Chlamydia
Doxycycline 100 mg BD 7 days
vaginal candidiasis
Clotrimazole pessary /
Fenticonazole pessary /
Oral fluconazole
BV
oral metronidazole 400mg BD 7 days OR 2000mg stat
Genital herpes
oral aciclovir TDS 5 days
Gonorrhoea
Ceftriaxone 1000mg IM stat
or
ciprofloxacin 500mg stat
Trichomoniasis
metronidazole 400 mg BD 7 days
PID
Ceftriaxone 1000mg IM + metronidazole 400 mg BD + doxycycline 100mg BD 2 weeks
Mastitis
flucloxacillin
pen allergy: erythromycin / clarithromycin
tick bites
doxycycline 100 mg BD 21 days
Scabies
Permethrin 5% cream 2 applications 1 week apart
dermatophite skin infection
topical terbinafine / imidazole
dermatophyte nail infection
terbinafine 250mg OD (finger 6weeks toes 12 weeks)
human and animal bites
co-amoxiclav
pen allergy:
doxycyline + metronidazole
severe conjunctivitis
chloramphenicol eye drops
carbapenems
meropenem
1st gen cephalosporin
cefalexin (MSSA, streptoccoci, e coli, p. mirabilis, klebsiella)
3rd gen cephalosporin
ceftriaxone (MSSA, streptoccoci, e coli, p. mirabilis, klebsiella, n. gonorrhoeae, n. meningitis)
beta lactams
penicillins
cephalosporins
carbapenems
glycopeptides
vancomycin
teicoplanin
(MRSA, MSSA, streptococci)
Flouroquinolones
ciprofloxasin (MSSA + gram -ve cocci and rods)
Aminoglycosides
gentamicin
amikacin
(gram -ve baccili)
tetracycline
doxycycline (streptococci, e coli, n. meningitism atypicals)
Macrolides
Axithromycin
Erythromycin
first line topical antibiotic for treatment of limited impetigo
fusidic acid