Antibiotic Guidelines

Question 1

CAP

Answer 1

Mild/mod- amox or doxy

Sev- co amox AND doxy, OR meropenem and doxy

Question 2

LRTI

Answer 2

Amox or doxy

If sev the co amox or doxy

Question 3

Bites

Answer 3

Co amox PO 625mg TDS for 5d.
If pen allergic-
For anim bite-doxy PO 200mg OD AND metronidazole 400mg TDS 5d.
For human- metronidazole 400mg TDS AND erythromycin 500mg QDS 5d.

Question 4

Cellultitis

Answer 4

Fluclox OR doxy/vanco

Question 5

Necrotising fasciitis

Answer 5

Ask microbio

Question 6

Discitis

Answer 6

Fluclox or vanco

Question 7

infec jnt repl

Answer 7

Fluclox PO/IV 1-2g QDS

Or vanco 1g IV

Question 8

infec metal

Answer 8

Fluclox PO 2g QDS

Or vanco IV 1g OR doxy 200mg PO OD

Question 9

Open frac

Answer 9

Co amox IV 1.2g TDS til 1st debridement
Or meropenem or clindamycin
At 1st debridement- IV co amox plus gent (contin co amox 72hr). Or meropenem or clindamycin.
At defin surg- gent IV plus teicoplanin IV 400mg NOT contin.

Question 10

Osteomyelitis

Answer 10

Fluclox IV 2g QDS.

Or vanco IV

Question 11

Septic arth

Answer 11

For Sa:
Fluclox IV 2g QDS- IV for 5d then oral 6wk 1g QDS
For beta haemolytic strep/strep pneum:
Benzylpen IV 5d then amox PO 1g TDS 6wk.
OR vanco IV to doxy.

Question 12

Wound infec

Answer 12

fluclox PO 500mg QDS 5d

Or doxy 200mg

Question 13

meningitis

Answer 13

Ceftriaxone 2g IV BD

Question 14

Sepsis

Answer 14

Non sev- co amox IV 1.2g TDS
Or meropenem IV 1g TDS
Sev- meropenem IV 1g

Question 15

Limb surg prophylaxis

Answer 15

None if no prosthetic device
Ortho surg- co amox IV 1.2g on induction, then 2 doses 8 hourly IV 60mg.
If known/prev MRSA- co amox plus teicoplanin IV 400mg.
Jnt repl- teicoplanin IV 400mg plus gent IV 120mg.