Antibiotic guidelines: Passmed

Question 1

Exacerbations of chronic bronchitis

Answer 1

Amoxicillin
or tetracycline
or clarithromycin

Question 2

Atypical pneumonia

Answer 2

Clarithromycin

Question 3

HAP:

Answer 3

W/in 5 days of admission: Co-amoxiclav or cefuroxime

More than 5 days after admission: Piperacillin and Tazobactam or broad spec. cephalosporin or quinolone

Question 4

Acute pyelonephritis:

Answer 4

Cephalosporin or Quinolone (ciprofloxacin)

Question 5

Acute prostatitis:

Answer 5

Quinolone (Ciprofloxacin) or trimethoprim

Question 6

Impetigo

Answer 6

Hydrogen peroxide

oral flucloxacillin/erythromycin if widespread

Question 7

Cellulitis near eyes or nose

Answer 7

Co-amoxiclav (Clarithromycin + metronidazole if allergic)

Question 8

Otitis externa

Answer 8

Combined topical antibiotic (cipro)/steroid

Flucloxacillin if severe

Question 9

Peri-apical or periodontal abscess

Answer 9

Amoxicillin

Question 10

Gingivitis: acute necrotising ulcerative

Answer 10

Metronidazole

Question 11

Gonorrhoea

Answer 11

IM ceftriaxone

Question 12

Chlamydia

Answer 12

Doxycycline or

Azithromycin

Question 13

Pelvic inflammatory disease

Answer 13

Oral ofloxacin + metronidazole or

IM ceftriaxone + oral doxycycline + metronidazole

Question 14

Syphilis

Answer 14

Benzyl penicillin or doxycycline or erythromycin

Question 15

Bacterial vaginosis

Answer 15

Oral or topical metronidazole or topical clindamycin

Question 16

C.difficile

Answer 16

First episode: oral vancomycin

second or subsequent: Fidamoxacin

Question 17

Salmonella

Answer 17

Ciprofloxacin

Question 18

Shigellosis

Answer 18

Ciprofloxacin

Question 19

Campylobacter

Answer 19

Clarithromycin

Question 20

UTI in pregnant woman - 3rd TM

Answer 20

Cefalexin or Amoxicillin

Question 21

All HIV patients w/ CD4+ below 200 should receive prophylaxis for?
Which antibiotic

Answer 21

Pneumocystis Jiroveci

Co-trimoxazole