Antibiotic Man Flashcards
bacterial meningitis
IV ceftriaxone + dexamethasone
when to add IV amoxicillin to treatment of meningitis?
if >60 or immunocompromised
encephalitis
IV aciclovir
epiglottitis
ceftriaxone
CAP mild/mod (0-2)
1) normal
2) if pen allergic
1) amoxicillin PO/IV
2) PO doxycline or IV clarithromycin if NBM
CAP severe (3-5)
1) normal
2) if pen allergic
3) in ICU/ if NBM
4) Step down
1) IV co-amoxiclav + PO doxycyline
2) IV levofloxacin
3) IV co-amoxiclav + IV clarithromycin
4) doxycycline
Non-severe HAP
PO amoxicillin
Severe HAP
1) normal
2) pen allergy
3) step down
1) IV amoxicillin + gentamicin
2) IV co-trimoxazole + gentamicin
3) PO co-trimoxazole
aspiration pneumonia
1) non-severe
2) pen allergy
3) severe
4) pen allergy
5) step down
1) PO amox + metronidazole
2) PO doxy + metronidazole
3) IV amox + gent + metronidazole
4) IV co-trimoxazole + gent
(just the same as HAP with metronidazole thrown in)
5) PO amox + metronidazole (doxy + metro if pen allergic)
COPD exacerbation
1) 1st line
2) 2nd line
1) amox
2) doxy
Endocarditis
1) native valve, subacute
2) native valve, acute
3) prosthetic valve/ suspected MRSA
1) IV amox + gent
2) IV flucloxacillin
3) IV vanc + gent
C diff
1) non severe
2) severe
1) PO metronidazole
2) PO vancomycin +/- IV metronidazole
Peritonitis/ biliary tract/ intra-abdominal
1) initial
2) step down
3) if pen allergic
1) IV AMG
2) PO co-trimoxazole + metronidazole
2) IV vancomycin + met + gent
Acute pancreatitis
Abx unlikely to affect outcome
Proven spontaneous bacterial peritonitis
1) mild
2) severe
1) co-trimoxazole
2) IV Piperacillin/Tazobactam (step down to PO Co-trimoxazole)
