Antibiotic Guidelines Flashcards

1
Q

Exacerbations of chronic bronchitis

A

Amoxicillin or tetracycline or clarithromycin

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2
Q

Uncomplicated community-acquired pneumonia

A

Amoxicillin (Doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staphylococci suspected e.g. In influenza)

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3
Q

Pneumonia possibly caused by atypical pathogens

A

Clarithromycin

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4
Q

Hospital-acquired pneumonia

A

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)

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5
Q

Lower urinary tract infection

A

Trimethoprim or nitrofurantoin. Alternative: amoxicillin or cephalosporin

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6
Q

Acute pyelonephritis

A

Broad-spectrum cephalosporin or quinolone

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7
Q

Acute prostatitis

A

Quinolone or trimethoprim

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8
Q

Impetigo

A

Topical fusidic acid, oral flucloxacillin or erythromycin if widespread

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9
Q

Cellulitis

A

Flucloxacillin (clarithromycin, erythromycin or doxycycline if penicillin-allergic)

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10
Q

Cellulitis (near the eyes or nose)

A

Co-amoxiclav (clarithromycin, + metronidazole if penicillin-allergic)

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11
Q

Erysipelas

A

Flucloxacillin* (clarithromycin, erythromycin or doxycycline if penicillin-allergic)

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12
Q

Animal or human bite

A

Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)

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13
Q

Mastitis during breast-feeding

A

Flucloxacillin

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14
Q

Throat infections

A

Phenoxymethylpenicillin (erythromycin alone if penicillin-allergic)

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15
Q

Sinusitis

A

Amoxicillin or doxycycline or erythromycin

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16
Q

Otitis media

A

Amoxicillin (erythromycin if penicillin-allergic)

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17
Q

Otitis externa**

A

Flucloxacillin (erythromycin if penicillin-allergic)

18
Q

Periapical or periodontal abscess

A

Amoxicillin

19
Q

Gingivitis: acute necrotising ulcerative

A

Metronidazole

20
Q

Gonorrhoea

A

Intramuscular ceftriaxone

21
Q

Chlamydia

A

Doxycycline or azithromycin

22
Q

Pelvic inflammatory disease

A

Oral ofloxacin + oral metronidazole or intramuscular ceftriaxone + oral doxycycline + oral metronidazole

23
Q

Syphilis

A

Benzathine benzylpenicillin or doxycycline or erythromycin

24
Q

Bacterial vaginosis

A

Oral or topical metronidazole or topical clindamycin

25
Q

Clostridium difficile

A

First episode: metronidazole

Second or subsequent episode of infection: vancomycin

26
Q

Campylobacter enteritis

A

Clarithromycin

or (azithromycin or ciprofloxacin)

27
Q

Salmonella (non-typhoid)

A

Ciprofloxacin

28
Q

Shigellosis

A

Ciprofloxacin

29
Q

Legionella

A

Erythromycin / clarithromycin

30
Q

Bacterial tonsillitis

A

Penicillin V (also called phenoxymethylpenicillin) for a 10 day course is typically first line.

Alternatives antibiotics and for a broader spectrum of activity:
Co-amoxiclav
Clarithromycin
Doxycycline

31
Q

Otitis Media (bacterial)

A

Amoxicillin

Alternatives in penicillin allergy:
Clarithromycin
Erythromycin

Second line if not responding to amoxicillin after 2 days:
Co-amoxiclav

32
Q

Sinusitis (bacterial)

A

Penicillin V (also called phenoxymethylpenicillin) for a 5 day course is typically first line.

Alternatives in penicillin allergy:
Clarithromycin
Erythromycin (pregnancy)
Doxycycline

Second line if not responding after 2 days:
Co-amoxiclav

33
Q

Intra abdominal infection

A

Co-amoxiclav alone

Amoxicillin plus gentamicin plus metronidazole

Ciprofloxacin plus metronidazole (penicillin allergy)

Vancomycin plus gentamicin plus metronidazole (penicillin allergy)

34
Q

Spontaneous Bacterial Peritonitis

A

Piperacillin/Tazobactam (Tazocin) is often first line

Cephalosporins such as cefotaxime are also often used

Levofloxacin plus metronidazole is an common alternative in penicillin allergy

35
Q

Septic arthritis

A

Flucloxacillin plus rifampicin is often first line

Vancomycin plus rifampicin for penicillin allergy, MRSA or prosthetic joint

Clindamycin is an alternative

36
Q

Giardiasis

A

Metronidazole

37
Q

Shigella

A

Azithromycin or ciprofloxacin.

38
Q

Meningococcal meningitis

A

Benzylpenicillin

39
Q

Listeria meningitis

A

Amoxicillin

40
Q

Post exposure prophylaxis for meningococcal meningitis

A

ciprofloxacin