All da bugs Flashcards
Meningitis (standard)
Ceftriaxone IV 2g bd + dexamethasone IV 10mg qds
Meningitis and +60 or immunocompromised
add amoxicillin IV 2g 4hrly
Encephalitis
IV aciclovir 10mg/kg tds
Epiglottitis/Supraglottitis
Ceftriaxone IV 2g od
CAP CURB 65 0-2
Amoxicillin 1g tds
pa: doxycycline PO 200mg day 1 then 100mg od
5 days
CAP CURB 65 3-5
Co-amoxiclav 1.2g tds + doxycycline PO 100mg bd
pa: levofloxacin IV 500mg bd
7 days
CAP ICU/HDU/NBM
Co-amoxiclav IV 1.2g tds
+ clarithromycin IV 500mg bd
pa: levofloxacin IV 500mg bd
7 days
HAP non severe
PO amoxicillin
pa: doxycycline 100mg
5 days
HAP severe
IV amoxicillin + gentamicin
pa: IV co-trimoxazole + gentamicin
Step down: PO co-trimoxazole
7 days
Aspiration pneumonia non severe
PO Amoxicillin + metronidazole
pa: doxycycline 100mg bd + metronidazole
5 days
Aspiration pneumonia severe
IV amoxicillin + metronidazole + gentamicin
pa: replace amox with PO doxycycline or IV clarithromycin
Step down: PO amoxicillin + metronidazole
pa: doxycycline 100mg bd + metronidazole
7 days
Acute exacerbation COPD
Amoxicillin 500mg tds
or doxycycline 200mg on day 1 then 100mg od
5 days
Acute cough/Acute Bronchitis
Amoxicillin 500mg tds or doxycycline 200mg on day 1 then 100mg od
5 days
Endocarditis native valve su bacute
Amoxicillin IV 2g 4hrly + gentamicin 1mg/kg bd
Endocarditis native valve severe sepsis
Flucloxacillin IV 2g 6hrly (or 4hrly if >85kg)
Endocarditis prosthetic valve or MRSA
Vancomycin IV + gentamicin IV 1mg/kg bd
once therapeutic vanc level, add rifampicin PO 600mg bd
C diff infection non-severe
Metronidazole PO 400mg tds
10 days
C diff infection severe
Vancomycin 125mg qds PO/NG +/- IV metronidazole
10 days
Peritonitis/Biliary tract/intra-abdo
IV amoxicillin + metronidazole + gentamicin
Step down: PO co-trimoxazole + metronidazole
pa: IV vancomycin + metronidazole + gentamicin
Step down: PO co-trimoxazole + metronidazole
7 days
Proven spontaneous bacterial peritonitis: mild
Co-trimoxazole PO
5-7 days
Proven spontaneous bacterial peritonitis: severe
Piperacillin/Tazobactam IV 4.5mg tds
Step down: co-trimoxazole PO
Uncomplicated female lower UTI
Nitrofurantoin 100mg MR bd or 50mg qds or trimethoprim 200mg bd
5 days
Uncatheterised male UTI
Nitrofurantoin 100mg MR bd or 50mg qds or trimethoprim 200mg bd
7 days
Complicated UTI/pyelonephritis/urosepsis
IV amoxicillin + gentamicin
pa: IV co-trimoxazole + gentamicin
Step down: PO co-trimoxazole
7 days
Cellulitis
Flucloxacillin 1g qds
pa: doxycycline 100mg bd PO
7 days
Diabetic foot infection mild
Flucloxacillin 1g qds or doxycycline 100mg bd
7 days
Diabetic foot infection moderate
Flucloxacillin 1g qds + metronidazole 400mg tds or
doxycycline 100mg bd + metronidazole 400mg tds
7 days
Open fracture prophylaxis
IV co-amoxiclav 1.2g tds
start within 3 hrs for max 72 hrs
Acute septic arthritis/osteomyelitis
IV flucloxacillin 2g qds
