Antibiotic Hospital Man

Question 1

Treatment of epiglottitis/supraglottitis

Answer 1

Ceftriaxone IV

Question 2

Treatment of epiglottitis/supraglottitis

Answer 2

Ceftriaxone IV

Question 3

Mild to Moderate Community Acquired Pneumonia

Answer 3

Amoxicillin

Doxycycline with loading dose - pen allergy

Question 4

Community Acquired Pneumonia Severe and ICU treatment

Answer 4

Co-amoxiclav and doxycycline

Levofloxacin in pen allergy

Question 5

Treatment of non-severe hospital acquired Pneumonia

Answer 5

Oral amoxicillin

Question 6

Severe hospital acquired Pneumonia

Answer 6

IV amoxicillin (co-trimoxazole in allergy) and gentamicin

Question 7

Acute exacerbation of COPD treatment

Answer 7

1st line - amoxicillin

2nd line - doxycycline

Question 8

Endocarditis - subacute native valve?

Answer 8

Amoxicillin + gentamicin

Question 9

Endocarditis - subacute native valve?

Answer 9

Amoxicillin + gentamicin

Question 10

Native valve - severe sepsis

Answer 10

Flucloxacillin

Question 11

Prosthetic valve or suspected MRSA

Answer 11

Vancomycin + Gentamicin

Question 12

Non severe C. Doff infection

Answer 12

Metronidazole

Question 13

Severe C. Diff infection

Answer 13

Vancomycin +/- Metronidazole

Question 14

Peritonitis treatment

Answer 14

IV amoxicillin (vancomycin in pen allergy) + metronidazole + gentamicin

Step down to co-tromoxazole + metronidazole

Question 15

Acute gastroenteritis

Answer 15

None

Question 16

Meningitis treatment

Answer 16

Ceftriaxone and dexamethasone IV
Aciclovir in suspicion of encephalitis
Amoxicillin in >/= 60 years old

Question 17

Catheterised patient?

Answer 17

Do not use urinalysis! Do not treat unless signs of infection! If infection treat as complicated infection

Question 18

Complicated UTI

Answer 18

IV amoxicillin (co-trimoxazole) + gentamicin
Step down to co-trimoxazole

Question 19

Pyelonephritis treatment

Answer 19

IV amoxicillin (co-trimoxazole) + gentamicin
Step down to co-trimoxazole

Question 20

Urosepsis treatment

Answer 20

IV amoxicillin (co-trimoxazole) + gentamicin
Step down to co-trimoxazole

Question 21

Uncomplicated female UTI

Answer 21

Nitrofuratoin or trimethoprim

Question 22

Uncatheterised male UTI

Answer 22

Nitrofuratoin or trimethoprim

Question 23

Cellulitis

Answer 23

Refer to severity guidelines

Flucloxacillin (doxycycline pen allergy)

Question 24

Open fracture prophylaxis

Answer 24

IV Co-amoxiclav (or co-trimoxazole + metronidazole) within 3hrs

Question 25

Diabetic foot infection

Answer 25

Mild: Flucloxacillin or doxycycline
Moderate: + metronidazole

Question 26

Treatment of septic arthritis or osteomyelitis

Answer 26

Seek specialist advice

Flucloxacillin

Question 27

Treatment of a severe systemic infection of unknown origin?

Answer 27

IV amoxicillin (vancomycin in pen allergy) + metronidazole + gentamicin

Switch for Flucloxacillin in PWID