Antibiotic guidelines Flashcards
Exacerbations of chronic bronchitis
Amoxicillin or tetracycline or clarithromycin
Uncomplicated community acquired pneumonia
Amoxicillin (Doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staphylococci suspected e.g. in influenza)
Pneumonia possibly caused by atypical pathogens
Clarithromycin
Hospital acquired pneumonia within 5 days of admission
Co-amoxiclav or cefuroxime
Hospital acquired pneumonia more than 5 days after admission
Piperacillin with tazobactam OR Broad spectrum cephalosporin (e.g. ceftazidime) OR Quinolone (e.g. ciprofloxacin)
Lower urinary tract infection
Trimethoprim or nitrofurantoin
Alternative: amoxicillin or cephalosporin
Acute pyelonephritis
Broad spectrum cephalosporin or quinolone
Acute prostatitis
Quinolone or trimethoprim
Impetigo localised
Topical hydrogen peroxide - if resistant topical fusidic acid - topical mupirocin if resistant to fusidic acid or MRSA
Cellulitis
Flucloxacillin (clarithromycin, erythromycin or doxycycline if penicillin-allergic)
Cellulitis (near the eyes or nose)
Co-amoxiclav (clarithromycin, + metronidazole if penicillin allergic)
Erysipelas
Flucloxacillin (clarithromycin, erythromycin or doxycycline if penicillin-allergic)
Animal or human bite
Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)
Mastitis during breast-feeding
Flucloxacillin
Throat infections
Phenoxymethylpenicillin (erythromycin if penicillin-allergic)