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