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
More than 5 days after admission: piperacillin with tazobactam OR a broad-spectrum cephalosporin (e.g. ceftazidime) OR a 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
Topical hydrogen peroxide, oral flucloxacillin or erythromycin if widespread
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)
Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)
Animal or human bite
Mastitis during breast-feeding
Flucloxacillin
Throat infections
Phenoxymethylpenicillin (erythromycin alone if penicillin-allergic)
Sinusitis
Phenoxymethylpenicillin