Antibiotic Guidelines Flashcards
Throat infections
- Phenoxymethylpenicillin
- Penicillin-allergic → erythromycin
Salmonella (non-typhoid)
Ciprofloxacin
C. Diff
- First → metronidazole
- Second or subsequent episodes → vancomycin
Impetigo
Any of:
- Topical hydrogen peroxide
- Oral flucloxacillin
- Erythromycin if widespread
Gingivitis
Metronidazole
Chlamydia
Doxycycline or azithromycin
Exacerbations of chronic bronchitis
Amoxicillin or tetracycline or clarithromycin
PID
- Oral ofloxacin and oral metronidazole, or
- IM ceftriaxone and oral doxycycline and oral metronidazole
Gonorrhoea
IM ceftriaxone
HAP
- <5 days of admission → co-amoxiclav or cefuroxime
- >5d after admission → piperacillin w/ tazobactam OR broad-spectrum cephalosporin (eg. ceftazidime) OR a quinolone (eg. ciprofloxacin)
Cellulitis (near eyes or nose)
- Co-amoxiclav
- Penicillin-allergic → clarithromycin AND metronidazole
Lower UTI
- Trimethoprim or nitrofurantoin
- Alternative → amoxicillin or cephalosporin
Atypical pneumonia
Clarithromycin
Shigellosis
Ciprofloxacin
Acute pyelonephritis
Broad-spectrum cephalosporin or quinolone
Periapical or periodontal abscess
Amoxicillin
Bacterial vaginosis
Oral or topical metronidazole or topical clindamycin
Campylobacter enteritis
Clarithromycin
Sinusitis
Phenoxymethylpenicillin
Otitis externa
- Flucloxacillin
- Penicillin-allergic → erythromycin
Combined topical abx + corticosteroid generally used for mild-mod cases
Animal or human bite
- Co-amoxiclav
- Penicillin-allergic → doxycyline AND metronidazole
Cellulitis
- Flucloxacillin
- Penicillin-allergic → clarithromycin, erythromycin or doxycyline
Mastitis during breast-feeding
Flucloxacillin
Acute prostatitis
Quinolone or trimethoprim
Erysipelas
- Flucloxacillin
- Penicillin-allergic → clarithryomycin, erythromycin or doxycycline
Syphilis
Benzathine benzylpenicillin or doxycycline or erythromycin
Otitis media
- Amoxicillin
- Penicillin-allergic → erythromycin
Uncomplicated CAP
- Amoxicillin
- Penicillin allergic → Doxycycline or Clarithromycin
- Add flucloxicillin if staphylococci suspected (eg in influenza)