Antibiotic Man

Question 1

Meningitis

Answer 1

IV ceftriaxone and IV dexamethasone (add IV amoxicilllin if over 60 or immunosupressed)

Question 2

Encephalitis

Answer 2

IV Aciclovir

Question 3

Epiglottitis/Supraglottitis

Answer 3

IV ceftriaxone

Question 4

Community acquired pneumonia (mild)

Answer 4

PO amoxicillin or PO doxycycline

Question 5

Community acquired pneumonia (severe)

Answer 5

IV coamoxiclav and doxycycline or IV levofloxacin

Question 6

Community acquired pneumonia (ICU/HDU/NBM)

Answer 6

IV coamoxiclav and clarythromicin or IV levofloxacin

Question 7

Hospital acquired pneumonia (severe) and step down

Answer 7

IV amox, met, gent or IV cotrimox, met, gent

Step down to PO cotrimox and met

Question 8

Non-severe hospital acquired pneumonia

Answer 8

PO amoxicillin and metronidazole

Question 9

Subacute native valve endocarditis

Answer 9

IV amoxicillin and gentamicin

Question 10

Acute native valve endocarditis

Answer 10

IV flucloxacillin

Question 11

Prosthetic valve endocarditis (?MRSA)

Answer 11

IV vancomicin, rifampicin, gentamicin

Question 12

Native valve endocarditis (?resistant pathogens)

Answer 12

IV vancomicin, meropenem (micro input)

Question 13

C. difficile (non-severe)

Answer 13

PO metronidazole

Question 14

C. difficile (severe)

Answer 14

PO/NG vancomicin +/- IV metronidazole

Question 15

Intra-abdominal/biliary sepsis (+step down)

Answer 15

IV amox, met, gent or vanc, met, gent

S/d: PO cotrimoxazole and metronidazole

Question 16

Mild proven spontaneous bacterial peritonitis

Answer 16

PO cotrimoxazole

Question 17

Severe proven spontaneous bacterial peritonitis (And stepdown)

Answer 17

IV piperacillin and tazobactam

S/d: PO cotrimoxazole

Question 18

Uncomplicated female UTI

Answer 18

3 days PO nitrofurantoin or trimethoprim

Question 19

Uncatheterised male UTI

Answer 19

7 days PO nitrofurantoin and trimethoprim

Question 20

Complicated UTI/ pyelonephritis/ Urosepsis (and stepdown)

Answer 20

IV amoxicillin and gentamicin

s/d:cotrimoxazole

Question 21

Cellulitis

Answer 21

IV/PO flucloxacillin (doxycycline if Pen allergic)

Question 22

Acute septic arthritis/ osteomyelitis

Answer 22

IV flucloxacillin

Question 23

Diabetic foot infection (mild)

Answer 23

PO flucloxicillin or doxycycline

Question 24

Diabetic foot infection (moderate)

Answer 24

Fluclox/doxy and metronidazole

Question 25

Open fracture prophylaxis

Answer 25

Iv co-amoxiclav or IV cotrimoxazole and metronidazole