Antibiotic guidelines

Question 1

COPD exacerbation

Answer 1

Amoxicillin or tetracycline or clarithromycin

Question 2

Uncomplicated CA pneumonia

Answer 2

Amoxicillin
Doxy or clarithromycin if pen allergy
Add fluclox if staph expected (eg in influenza)

Question 3

Atypical pneumonia

Answer 3

Clarithromycin

Question 4

Hospital acquired pneumonia

Answer 4

5 days admission - piperacillin + tazobactam (tazocin) OR quinolone

Question 5

LUTI

Answer 5

Trimethoprim or nitrofurantion

Alt - amoxicillin or cephalosporin

Question 6

Acute pyelonephritis

Answer 6

Broad spec ceph or quinolone

Question 7

Acute prostatitis

Answer 7

Quinolone or trimethoprim

Question 8

Impetgo

Answer 8

Topical fusidic acid

PO fluclox or erythromycin if widespread

Question 9

Cellulitis

Answer 9

Flucloxacillin (clarithromycin or clindamycin if pen allergy)

Question 10

Erysipelas

Answer 10

Phenoxymethylpenicillin (erythromycin if pen allergy)

Question 11

Animal or human bite

Answer 11

Co-amoxiclav (doxy + metronidazole if pen allergy)

Question 12

Throat infection

Answer 12

Phenoxymethylpenicillin

Question 13

Sinusitis

Answer 13

Amoxicillin or doxy or erythromycin

Question 14

Otitis media

Answer 14

Amoxicillin (only if >3 days or severe or risk factors or <2y)

Question 15

Otitis externa

Answer 15

Flucloxacillin PO if systemically unwell

If mild - topical abx (neomycin) + steroid

Question 16

Gonorrhoea

Answer 16

Ceftriaxone IM

Question 17

Chlamydia

Answer 17

Azithromycin or doxycycline

Question 18

Pelvic inflammatory disease

Answer 18

Ceftriaxone + doxycycline + metronidazole

Question 19

Syphilis

Answer 19

Benzylpenicillin or doxy or erythromycin

Question 20

Bacterial vaginosis

Answer 20

Metronidazole or clindamycin

Question 21

Pneumocystis carinii pneumonia

Answer 21

Co-trimoxazole