antibiotic man Flashcards
Mx of complicated UTI/pyelonephritis
co-trimoxazole or co-amoxiclav
hospital:
IV amoxicillin + gentamicin
if pen allergy
- IV co-trimoxaole + gentamicin
step down = PO co-trimoxazole
ophthalamic shingles management
start treatment up to 7 days after onset of rash
aciclovir 800mg 5 times daily
CURB65 score
confusion new
urea >7
resp rate >30
BP <90 or <=60 diastolic
65 y/o >
diverticulitis management
may respond to analgesia + dietary modification
if indicated - metronidazole plus cotrimoxazole for 5days
uncomplicated lower UTI Mx
1st = nitufurantoin
2nd = trimethoprim
pyelonephritis MX male or female
send MSSU
cotrimoxazole or co-amoxiclav 7days
prostatisis Mx
ofloxacin or ciprofloxacin
if high risk p trimethoprim
epididymo-orchitis management
send MSSU, gonorrhoea + chlamydia tests
STI likely (<35) - doxycycline
UTI likely (>35) - ofloxacin or ciprofloxacin
management of pelvic inflammatory disease
metronidazole + ofloxacin
management of bacterial vaginosis vs vulvovaginal candidiasis
BV = metronidazole (5days)
vulvovaginal candiasis = fluconazole or clotrimazole pessary
cellulitis management
flucloxacillin or doxycycline 5 days
facial cellulitis = coamoxiclav
management of impetigo
topical hydrogen peroxide 1% cream or fusidic acid 2% cream (5days)
more widespread
- fluclox
- clarithromycin
meningitis management
ceftriaxone IV + dexamethasone IV
aciclovir IV if encephalitis suspected
- add amoxicillin IV 4hrly is >= 60 or immunocompromised
management of community acquired pneumonia
mild/mod - amoxicillin or doxycycline
severe - coamoxiclav + doxycycline
management of hospital acquired pneumonia
non severe - amoxicillin PO
severe - IV amoxicillin + gentamicin
