Antibiotic Man

Question 1

What Suggests SEPSIS

Answer 1

SEWS >(or equal to) 4 and Infection

Question 2

SEPSIS 6

Answer 2

If 2 or more of the following and clinical suspicion of infection:

• temp >38 or (or equal to) 90bpm
• Altered Mental State
• Resp. Rate >20 breaths/min
• WCC 12
• known or suspected neutropaenia

Question 3

Assessing Severity of Community Acquired Pneumonia

Answer 3

CURB 65

Question 4

CURB 65

Answer 4

Confusion
Urea >7mmol/l
Resp Rate >(or equal to)30
Blood Pressure: systolic

Question 5

Mild/Moderate CAP (0-2)

Answer 5

Amoxicillin IV/PO (pen allergic Doxycycline PO)

Question 6

Severe CAP (3-5)

Answer 6

Co-amoxiclav IV + either Clarithromycin IV or Doxycycline PO (if pen allergic IV Levofloxacin)

Question 7

Severe HAP

Answer 7

IV Amoxicillin + Metronidazole + Gentamicin (pen allergic: IV Co -trimoxazole)

Question 8

Non Severe HAP

Answer 8

PO Amoxicillin + Metronidazole (5 days) (Pen allergic: Co-trimoxazole)

Question 9

Acute Exacerbation of COPD

Answer 9

ABs if purulent sputum. If no purulent sputum then no ABs, unless CXR shows consolidatio or signs of pneumonia.

Question 10

Native Valve indolent Endocarditis

Answer 10

Amoxicillin IV + Gentamicin

Question 11

Native Valve Acute Endocarditis

Answer 11

Flucloxacillin IV

Question 12

Prosthetic Valve Endocarditis

Answer 12

Vancomycin IV + Rifampicin PO + Gentamicin IV

Question 13

Native valve severe sepsis + risk factors for resistant pathogens

Answer 13

Vancomycin IV + Meropenum IV

Question 14

PO

Answer 14

Orally

Question 15

C Diff non severe

Answer 15

Metronidazole PO

Question 16

C Diff Severe

Answer 16

Vancomycin PO

Question 17

Acute Gastroenteritis

Answer 17

N/A

Question 18

Acute Pancreatitis

Answer 18

N/A

Question 19

Peritonitis/Biliary Tract/ Intra Abdominal

Answer 19

7-10 days
IV Amoxicillin + Metronidazole + Gentamicin
(If pen allergic IV Vancomycin)