antibiotic man 2016

Question 1

Meningitis (bacterial)

Answer 1

Ceftriaxone + Dexamethasone for 4 days (+Amoxicillin 2g 4 hourly if >60)

Question 2

Encephalitis

Answer 2

Aciclovir (10mg/kg)

Question 3

Epiglottitis/ supraglottitis

Answer 3

Ceftriaxone (2g od)

Question 4

(mild) Com. Acq. Pneumonia

Answer 4

Amoxicillin (5 days) or doxy on (or clarithromycin)

Question 5

(severe) Com. Acq. Pneumonia

Answer 5

Co-amoxiclav + Doxycycline (levofloxacin if allergic)) 7 days

Question 6

ICU Com. Acq. Pneumonia

Answer 6

Co-amoxiclav + Clarithromycin (Levofloxacin if allergic) 7 days

Question 7

HAPneumonia (severe=

Answer 7

Amox + Gent + Metro (if allergic - co-trimoxazole +m+g) 7 days

Question 8

Non-severe HAPneumonia

Answer 8

Amox + metronidazole (co-trimoxazolee if allergy) 5 days

Question 9

Acute exacerbation of COPD

Answer 9

1st line) Amox

2nd line) Doxy 5 days

Question 10

Acute cough/ acute bronchitis

Answer 10

CONSIDER in frail and elderly

1st) Amox
2nd) Doxy 5 days

Question 11

Endocarditis (native valve indolent)

Answer 11

Amox (2g 4 hourls) + Gentamicine

Question 12

Endocarditis native valve severe sepsis (acute)

Answer 12

Flucloxacillin IV

Question 13

Endocarditis (prosthetic valve or suspected MRSA)

Answer 13

Vancomycin + Rifamolein + Gent

Question 14

Endocarditis Native valve + severe sepsis + risk factors for resistent pathogens

Answer 14

Vanc + Meropenem

Question 15

C.dif (non-severe)

Answer 15

Metronidazole (10 days)

Question 16

C-dif. Severe

Answer 16

Vancomycin +/- metronidazole (10 days)

Question 17

Peritonitis/ biliary tract/ intra-abdominal

Answer 17

Amox+ gent + met

Step down to co-trimoxazole + met

Question 18

Proven spontaneous bacterial peritonitis (severe)

Answer 18

Piperacillin/ tazobactam

then co-trimoxazole
Pr

Question 19

Prove spontaneous bac. peritonitis severe

Answer 19

Piperacillin/ tazobactam. Then step down to co-trimoxazole

Question 20

Uncomplex UT (female)

Answer 20

Nitrofuratoin or trimeth.

Question 21

Uncomplex male UTI

Answer 21

Nitrofuratoin or Trimethoprim 7 days

Question 22

COmplicated UTI/ pyelonephritis/ urosepsis

Answer 22

Amoxicillin + gent (IV) step down to PO co-trimoxazole as per sensitivities . TOTAL OF 7 DAYS

Question 23

Cellulitis

Answer 23

Fluclox (or doxy)

Question 24

Diabetic foot infection

Answer 24

Flucloc or doxy (moderate -> fluclox + metro. Or doxy + metro)

Question 25

Acute septic arthritis/ osteomyelitis

Answer 25

fluclox.

Question 26

Open fracture prophylaxis

Answer 26

Co–amoxicla (or co-trimoxazole) + metronidazole. Start within 3 hours for max 72 hours.