Antibiotic guidelines Flashcards
Antibiotic guidelines
The following is based on the current BNF guidelines
Respiratory system
Exacerbations of chronic bronchitis:
Amoxicillin or tetracycline or clarithromycin
Uncomplicated community acquired pneumonia:
Amoxicillin (Doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staphlococci suspected eg influenza)
Pneumonia possible 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)
Antibiotic guidelines
The following is based on the current BNF guidelines
Urinary tract
Lower urinary tract infection
Trimethoprim or nitrofurantoin. Alternative: amoxicillin or cephalosporin
Acute pyelonephritis
Broad spectrum cephalosporin or quinalone
Acute prostatitis
Quinolone or trimethaprim
Antibiotic guidelines
The following is based on the current BNF guidelines
Skin
Impetigo
Topical fusidicacid, oral flucoxacillin or erythromycin if wide spread
Cellulitis
Flucoxacillin (clarithromycin or clindomycin if penecillin-allergic)
Erysipelas
Phenoxymethyl penicillin (erythromycin if penicillin allergic)
Animal or human bite
Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)
Mastitis
Flucoxacillin
Antibiotic guidelines
The following is based on the current BNF guidelines
Ear nose ans throat
Throat infections
Phenoxymethyl penicillin (erythromycin alone if penicllin allergic)
Sinusitis
Amoxycillin or doxycycline or erythromycin
Otitis media
Amoxicillin (erythromycin if penicillin-allergic)
Otiti externa
Flucloxacillin (erythromycin if penicillin-allergic)
Periapical or periodontal abscess
Amoxicillin
Gingivitis: acute necrotising ulcerative
Metronidazole
Antibiotic guidelines
The following is based on the current BNF guidelines
Genital system
Gonorrhoea
Intramuscular ceftriaxone + oral azithromycin
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
Antibiotic guidelines
The following is based on the current BNF guidelines
Gastrointestinal
Clostridium difficile
First episode: metronidazole Second or subsequent episode of infection: vancomycin
Campylobacter enteritis
Clarithromycin
Salmonella (non-typhoid)
Ciprofloxacin
Shigellosis
Ciprofloxacin
