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Exam Bits > Abx and Antifungal Prescribing Pathway > Flashcards

Abx and Antifungal Prescribing Pathway Flashcards

1
Q

Human and animal bites

A

First Line: Co-Amoxiclav
Second Line: Doxycycline and Metronidazole

Prophylaxis: 3 days
Treatment: 5 days

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2
Q

Tick bites (Lyme disease)

A

First Line: Doxycycline (100mg BD)
Second Line: Amoxicillin (1000mg TDS)

Treatment: 21 days

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3
Q

Human and animal scratch

A

First Line: Flucloxacillin
Second Line:

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4
Q

Diabetic food infection (mild, <2cm)

A

First Line: Flucloxacillin
Second Line: Clarithromycin/erythromycin/doxycycline

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5
Q

Diabetic foot infection (moderate/severe - abscess, osteomyelitis)

A

First Line: Flucloxacillin/Co-Amoxiclav +/- Gentamicin
Second Line: Co-Trimoxazole +/- Gentamicin

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6
Q

Cellulitis

A

First Line: Flucloxacillin
Second Line: Clarithromycin/erythromycin (in pregnancy)/doxycycline/Co-amoxiclav

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7
Q

Cellulitis - infection near eyes or nose

A

First Line: Co-Amoxiclav
Second Line: Clarithromycin and metronidazole

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8
Q

CAP (low severity)

A

First Line: Amoxicillin
Second Line: Clarithromycin/doxycycline (erythromycin if pregnancy)

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9
Q

CAP (moderate severity)

A

First Line: Amoxicillin
Second Line: Clarithromycin (erythromycin if pregnancy)/doxycycline

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10
Q

CAP (high severity)

A

First Line: Co-Amoxiclav and Clarithromycin
Second Line: Levofloxacin

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11
Q

Diarrhoea (C.diff)

A

First Line: Vancomycin
Second Line: Fidaxomicin
Life threatening: Vancomycin and IV methronidazole

Treatment: 10 days

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12
Q

Diarrhoea (traveller’s diarrhoea)

A

Standby: Azithromycin
Prophylaxis/treatment: Bismuth subsalicylate

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13
Q

Otitis media

A

First Line: Amoxicillin
Second Line (worsening symptoms despite 2-3 days treatment): Co-Amoxiclav
Penicillin allergy: Clarithromycin (erythromycin if pregnancy)

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14
Q

Otitis externa

A

First Line: Topical acetic acid 2%
Second Line: Topical neomycin sulphate with corticosteroid
Systemic treatment: Flucloxacillin

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15
Q

H.pylori infection

A

Triple therapy:
- PPI
- Two of the three abx: Amoxicillin (tends to be included), Metronidazole, Clarithromycin

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16
Q

H.pylori infection - Diagnosis?

A

Diagnosed by Urea 13C Breath Test

Shouldn’t be performed:
- within 2 weeks of taking PPI
- within 4 weeks of taking Abx

17
Q

HAP - non severe

A

First Line: Co-Amoxiclav
Second Line (adults): Doxycycline/Cefalexin, Co-tromidazole/Levofloxacin
Second Line (children): Clarithromycin

18
Q

Impetigo - localised non bollous

A

First Line: hydrogen peroxide 1%
Second Line: fusidic acid (mupirocin 2% if fusidic acid resistance suspected)

19
Q

Impetigo - widespread non bollous

A

First line: fusidic acid (mupirocin 2% if fusidic acid resistance suspected)

20
Q

Impetigo - bollous or patients who are systematically unwell

A

First Line: Flucloxacillin
Second Line: Clarithromycin (erythromycin if pregnancy)

21
Q

Lower UTI - Men

A

First Line: Nitrofurantoin/trimethoprim

Treatment: 7 days

22
Q

Lower UTI - non pregnant women

A

First Line: Nitrofurantoin/trimethoprim
Second Line: Pivmecillinam/Fosfomycin

Treatment: 3 days

23
Q

Lower UTI - pregnant women

A

First Line: Nitrofurantoin
Second Line: Cefalexin/Amoxicllin

Treatment: 7 days

24
Q

Strep Throat and Scarlet Fever

A

First Line: Phenoxymethylpenicillin
Second Line: Clarithromycin (erythromycin in pregnancy)

25
Q

Scarlett Fever Symptoms

A

Flu like symptoms
Fever, swollen neck glands
Red rash, rough feeling like sandpaper
White coating on tongue

26
Q

Bacterial Vaginosis and Trichomoniasis

A

Metronidazole

27
Q

Threadworm

A

Mebendazole

28
Q

Meningitis

A

Benzylpenicillin

29
Q

Tuberculosis Treatment

A

Initial phase (2 months): ethambutol, rifampicin, isoniazid, pyrazinamide

Continuation phase (4 months): rifampicin, isoniazid

30
Q

Latent tuberculosis

A

3 months of rifampicin + isoniazid OR 6 months of isoniazid

31
Q

Aspergillosis

A

Voriconazole

32
Q

Cryptococcosis

A

Amphotericin B

33
Q

Vaginal Thrush

A

Clotrimazole/Fluconazole

Itraconazole if resistant

34
Q

Oral Thrush

A

Nystatin/Clotrimazole/Fluconazole

Itraconazole if resistant

35
Q

Skin and nail infections

A

Topical therapy
Systemic therapy (Itraconazole, terbinafine)

36
Q

Nail infection

A

Nail region terbinafine/Amorolfine nail lacquer
- once weekly for up to one year
- refer to GP if <18, more than 2 nails affected, patient is diabetic, pregnant/breastfeeding

Exam Bits (6 decks)

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