Antibiotic Man Flashcards
Mild/mod CAP
amoxicillin for 5 days
doxycycline if pen allergic
severe CAP
7 days
co-amoxiclav + doxycycline (levofloxacin if pen allergic)
severe CAP ICU
7 days
co-amoxiclav + clarithromycin
(levofloxacin if pen allergic)
step down to doxycycline
acute exacerbation of COPD with > in sputum purulence
5 days
1st line- amoxicillin
2nd line- doxycycline
acute exacerbation of COPD with no > in sputum purulence
no abs unless consolidation on CXR or signs of pneumonia
acute cough/ acute bronchitis
no significant clinical improvement but may be considered in the frail or elderly
5 days
1st line- amoxicillin
2nd line- doxycycline
native valve indolent (subacute) endocarditis
amoxicillin IV + gentamicin
native valve severe sepsis (acute) endocarditis
flucloxacillin
prosthetic valve or suspected MRSA endocarditis
vancomycin IV + rifampin PO + gentamicin IV
native valve severe sepsis endocarditis and risk factors for resistance pathogens
vancomycin IV + metropenem IV
non severe C diff
10 days
metronidazole PO
severe C diff
10 days
vancomycin PO
+/- metronidazole
recurrent C diff
(previous 8 weeks)
10 days
fidaxomicin
peritonitis/ biliary tract/ intra-abdominal
7-10 days
IV amoxicillin + metronidazole + gentamicin
step down to co-trimoxazole + metronidazole
peritonitis/ biliary tract/ intra-abdominal in pen allergic
7-10 days
IV vancomycin + metronidazole + gentamicin
same step down
severe HAP
7 days
IV amoxicillin + metronidazole + gentamicin
pen allergic severe HAP
7 days
IV co-trimoxazole + metronidazole +/- gentamicin
step down for severe HAP
co-trimoxazole + metronidazole
non severe HAP
amoxicillin + metronidazole
