Antibiotic guidelines (BNF)

Question 1

exacerbations of chronic bronchitis- antibiotics
1. First line

2. If penicillin allergic

Answer 1

Amoxicillin
Tetracycline
Clarithromycin

Question 2

Community acquired pneumonia
1. First line

2. If patient is penicillin allergic
3. If staph is suspected (e.g. in influenza)

Answer 2

1. Amoxicillin
2. Doxycycline or clarithromycin
3. Add flucloxacillin

Question 3

pneumonia possibly caused by atypical pathogens

Answer 3

Clarithromycin

Question 4

lower UTI

Answer 4

Trimethoprim or nitrofurantoin

Question 5

Acute pyelonephritis

Answer 5

Flouroquinolones (‘-acin’)

Question 6

Acute prostatitis

Answer 6

Quinolone or trimethoprim

Question 7

Impetigo
1. First line
2. If widespread

Answer 7

• topical hydrogen peroxide
• oral flucloxacillin or erythromycin if widespread

Question 8

Cellulitis
1. First line
2. If penicillin allergic
3. Cellulitis near the eyes or nose

Answer 8

• Flucloxacillin
• clarithromycin, erythromycin or doxycycline if penicillin allergic
  3. Co-amoxiclav (clarithromycin + metronidazole if penicillin allergic)

Question 9

Animal or human bite
1. first line
2. If penicillin allergic

Answer 9

1. Co-amoxiclav
2. Doxycycline + metronidazole if penicillin allergic

Question 10

Mastitis during breast-feeding

Answer 10

Flucloxacillin

Question 11

Throat infections
1. first line
2. If penicillin allergic

Answer 11

1. Phenoxymethylpenicillin
2. Erythromycin

Question 12

Sinusitis

Answer 12

Phenoxymethylpenicilin

Question 13

Otitis media
1. First line
2. If penicillin allergic

Answer 13

1. Amoxicillin
2. Erythromycin

Question 14

Otitis externa
1. first line
2. If penicillin allergic

Answer 14

1. Flucloxacillin
2. Erythromycin

Question 15

gingivitis

Answer 15

metronidazole

Question 16

Gonorrhoea

Answer 16

IM ceftriaxone

Question 17

chlamydia

Answer 17

Doxycycline or or azithromycin

Question 18

bacterial vaginosis

Answer 18

Oral or topical metronidazole or topical clindamycin

Question 19

C.Diff
1. First episode
2. Second or subsequent episode of infection

Answer 19

1. Oral vancomycin
2. Oral fidaxomicin

Question 20

campylobacter enteritis

Answer 20

Clarithromycin

Question 21

Salmonella (non-typhoid)

Answer 21

ciprofloxacin

Question 22

Syphillis
1. First line
2. If penicillin allergic

Answer 22

1. benzathine benzylpenicillin
2. doxycycline or erythromycin