Antibiotic guidelines Flashcards

1
Q

Exacerbations of chronic bronchitis

A

Amoxicillin or tetracycline or clarithromycin

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2
Q

Uncomplicated community acquired pneumonia

A

Amoxicillin (Doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staphylococci suspected e.g. in influenza)

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3
Q

Pneumonia possibly caused by atypical pathogens

A

Clarithromycin

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4
Q

Hospital acquired pneumonia within 5 days of admission

A

Co-amoxiclav or cefuroxime

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5
Q

Hospital acquired pneumonia more than 5 days after admission

A
Piperacillin with tazobactam 
OR
Broad spectrum cephalosporin (e.g. ceftazidime)
OR 
Quinolone (e.g. ciprofloxacin)
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6
Q

Lower urinary tract infection

A

Trimethoprim or nitrofurantoin

Alternative: amoxicillin or cephalosporin

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7
Q

Acute pyelonephritis

A

Broad spectrum cephalosporin or quinolone

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8
Q

Acute prostatitis

A

Quinolone or trimethoprim

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9
Q

Impetigo localised

A

Topical hydrogen peroxide - if resistant topical fusidic acid - topical mupirocin if resistant to fusidic acid or MRSA

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10
Q

Cellulitis

A

Flucloxacillin (clarithromycin, erythromycin or doxycycline if penicillin-allergic)

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11
Q

Cellulitis (near the eyes or nose)

A

Co-amoxiclav (clarithromycin, + metronidazole if penicillin allergic)

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12
Q

Erysipelas

A

Flucloxacillin (clarithromycin, erythromycin or doxycycline if penicillin-allergic)

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13
Q

Animal or human bite

A

Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)

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14
Q

Mastitis during breast-feeding

A

Flucloxacillin

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15
Q

Throat infections

A

Phenoxymethylpenicillin (erythromycin if penicillin-allergic)

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16
Q

Sinusitis

A

Phenoxymethylpenicillin

17
Q

Otitis media

A

Amoxicillin (erythromycin if penicillin-allergic)

18
Q

Otitis externa

A

Flucloxacillin (erythromycin if penicillin-allergic)

19
Q

Gingivitis: acute necrotising ulcerative

A

Metronidazole

20
Q

Gonorrhoea

A

Intramuscular ceftriaxone

21
Q

Chlamydia

A

Doxycycline or azithromycin

22
Q

Pelvic inflammatory disease

A

Oral ofloxacin + oral metronidazole
OR
Intramuscular ceftriaxone + oral doxycycline + oral metronidazole

23
Q

Syphilis

A
Benzathine benzylpenicillin 
OR 
Doxycycline 
OR
Erythromycin
24
Q

Bacterial vaginosis

A

Oral or topical metronidazole
OR
Topical clindamycin

25
Q

Clostridium difficile (1st episode)

A

Metronidazole

26
Q

Clostridium difficile (subsequent episode of infection)

A

Vancomycin

27
Q

Campylobacter enteritis

A

Clarithromycin

28
Q

Salmonella (non-typhoid)

A

Ciprofloxacin

29
Q

Shigellosis

A

Ciprofloxacin

30
Q

Impetigo (widespread)

A

oral flucloxacillin or erythromycin if allergic