Antibiotic man

Question 1

meningitis causes

Answer 1

neissieria meningitis gram negative
strep pneumonia gram pos
listeria gram pos

Question 2

meningitis treatment

Answer 2

IV ceftriaxone 2g BD
IV amox 2g 4 hourly
IV dexa 10mg QDS 4d

Question 3

supraglottitis/epiglottitis cause

treatment

Answer 3

HI
pneumococcas

IV ceftriaxone 2g OD

Question 4

sinusitis cause

rx

Answer 4

pneumococcal gram pos

amox 1g TDS PO

Question 5

CAP non severe causes

rx PA, NBM

Answer 5

strep pneumonia gram pos
HI

Amox 1g TDS (doxy 200mg->100mg) for 5 days
If NBM IV clarithromycin 500mg BD

Question 6

CAP severe causes

rx PA, ICU/NBM/HDU, step down

Answer 6

coliforms, atypical

7 days total

IV coamox 1.2g TDS and PO doxy 100mg BD
PA: IV Levofloxacin 500mg BD
ICU/NBM/HDU: IV co-amox 1.2g TDS and IV clarithro 500mg BD
step down Doxy 100mg

Question 7

HAP severe causes

treatment PA, step down 7 days

Answer 7

pneumococcus, HI, coliform

IV amox 1g TDS, IV metro 500mg TDS, IV Gent
PA: IV cotrimox 960mg BD, Metro +/- Gent

Step down: Co trimox and metro 400mg TDS

Question 8

HAP non severe causes

treatment, PA

Answer 8

pneumococcus, HI, coliform, leigonella

PO AMox 1g TDS and metro 400mg TDS PO for 5 days

PA: co-tramoxazole 960mg BD PO

Question 9

acute exacerbation of COPD causes

treatment first and second line

Answer 9

pneumococcus, HI

PO amox 500mg TDS 5 days
Doxy PO 100mg->100mg OD 5 days

Question 10

native valve subacute causes

treatment

Answer 10

strep viridian’s gram neg, enterococci

IV amox 2g 4 hourly and IV Gen 1mg/kg

Question 11

native valve acute causes

treatment

Answer 11

staph aureus gram pos

IV fluclox 2g 6 hourly (4 hourly if over 85kg)

Question 12

prosthetic valve or suspected MRSA cause

treatment

Answer 12

MRSA, coag neg staph

IV vancomycin, IV gen 1mg/kg, PO Rifampicin 600mg BG

Question 13

C Diff non severe

Answer 13

PO metro 400ng TDS for 10 days

Question 14

C Diff severe

Answer 14

PO/NG Vancomycin 125mg QDS for 10 days +/- IV metro 500mg TDS

Question 15

Peritonitis/Biliary tract/intra abdominal causes

treatment PA, step down

Answer 15

coliforms, anaerobes, enterococci

IV amoxicillin 1g TDS, IV metro, IV Gent
PA: IV vanc
step down: co-trimox 960mg BD and PO metro 400mg TDS

Question 16

spontaneous bacterial peritonitis cause

treatment step down

Answer 16

coliforms +/- anaerobes

IV Piperacillin /Tazobactem IV 4.5mg TDS 5-7 days
step down: co trimox 960mg BD

Question 17

uncomplicated female lower UTI cause

treatment

Answer 17

coliforms, enterococci gram pos

PO nitrofurantoin 50mg QDS/100mg MR BD OR
PO trim 200mg BD

3 days

Question 18

uncomplicated male LUTI

Answer 18

coliforms, enterococci gram pos

PO nitrofurantoin 50mg QDS/100mg MR BD OR
PO trim 200mg BD

7 days

Question 19

complicated UTI/pylo/urosepsis causes

treatment PA, step down

Answer 19

coliforms, pseudomonas, enterococci

IV amox 1g TDS and IV Gent
PA: IV co-trimox 960mg BD and Gent
step down: co trimox or as per sensitiviets

Question 20

cellulitis cause

treatment PA

Answer 20

SA, GABHS, other beta haemolytic strep

IV fluclox 1g TDS 7 days
PA: Doxy 100mg BD

Question 21

Diabetic foot cause

treatment mild/mod

Answer 21

SA, coliforms, anaerobes

mild: IV fluclox 1g QDS or Doxy 100mg BD 7 days
mod: IV fluclox and Metro 400mg TDS or doxy 100mg BD and metro 7 days

Question 22

acute septic arthritis/soetomyeltis cause

treatment

Answer 22

SA

IV Fluclox 2g QDS

Question 23

open fracture proph

start with how many hours and for a max of how many hours

Answer 23

IV co amox 1.2g TDS ( or co trimox 960mg BD and metro 500mg TDS)

3 hours
72 hours

Question 24

unknown source treatment PA

Answer 24

IV amox (Vanc), IV metro IV Gent

Question 25

neutropenic sepsis

neutropenia sepsis and NEWS 6 or under

Answer 25

Pipercillin/Taz IV 4.5g TDS
PA: Teicoplannin and Aztreonim IV 2g QDS
history of anaphylaxis/angioodema: Teicoplannin and Ciproflox IV 400mg BD

Question 26

neutropenia septic shock and NEWS 7 or over

Answer 26

add Gent to each option