Antibiotic Guidelines Flashcards
Exacerbation of chronic bronchitis
Amoxicillin / tetracycline / clarithromycin
CAP
Amoxicillin
(doxycycline or clarithromycin if penicillin allergic)
(add flucloxacillin if staphylococci suspected eg. Influenza)
Pneumonia caused by an atypical pathogen
Clarithromycin
HAP
Within 5 days of admission: co-amoxiclav or cefuroxime
More than 5 days after admission: piperacillin with tazobactam (eg. Ceftazidime) OR a quinolone (eg. Ciprofloxacin)
Lower UTI
Trimethoprim or nitrofurantoin.
Alternative: amoxicillin or cephalosporin
Acute pyelonephritis
Broad-spectrum cephalosporin or quinolone
Acute prostatitis
Quinolone or trimethoprim
Impetigo
Topical hydrogen peroxide, oral flucloxacillin or erythromycin if widespread
Cellulitis
Flucloxacillin
clarithromycin, erythromycin or doxycycline if penicillin allergic
Cellulitis (near 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 bread-feeding
Flucloxacillin
Throat infections
Phenoxymethylpenicillin
erythromycin alone if penicillin allergic
Sinusitis
Phenoxymethylpenicillin
Otitis media
Amoxicillin
erythromycin if penicillin allergic
Otitis externa
Flucloxacillin
erythromycin if penicillin allergic
Periapical or periodontal abscess
Amoxicillin
Gingivitis: acute necrotising ulcerative
Metronidazole
Gonorrhoea
Intramuscular ceftriaxone
Chlamydia
Doxycycline or azithromycin
Pelvic inflammatory disease
Oral ofloxacin + oral metronidazole OR
Intramuscular ceftriaxone + oral doxycycline + oral metronidazole
Syphilis
Benzathine benzylpenicillin or doxycycline or erythromycin
Bacterial vaginosis
Oral or topical metronidazole or topical clindamycin
Clostridium difficile
First episode: metronidazole
Second episode or subsequent episode: vancomycin
Campylobacter enteritis
Clarithromycin
Salmonella (non-typhoid)
Ciprofloxacin
Shigellosis
Ciprofloxacin