Antibiotic Man Flashcards
Epiglottitis bacteria and treatment
Haemophilus influenzae
Streptococci
IV ceftriaxone
Tonsillitis bacteria and treatment
Group A strep - Strep pyogenes
Penicillin
Sinusitis bacteria and treatment
S pneumoniae
Amoxicillin (greater absorption than penicillin)
Acute otitis media bacteria and treatment
S pneumonia, H influenzae
Amoxicillin
Mild CAP bacteria and treatment
S pneumoniae, H influenzae
Amoxicillin (doxycycline if allergic)
Severe CAP bacteria and treatment
S pneumoniae, H influenzae, coliforms, atypicals
Co-amoxiclav and doxycycline
Acute exacerbation of COPD bacteria and treatment
S pneumoniae, H influenza
Amoxicillin if purulent sputum (prednisolone if not)
Non-severe HAP bacteria and treatment
S pneumo, H inf, coliforms, sometimes legionella
Amoxicillin and metronidazole
Severe HAP bacteria and treatment
IV amox + gent + met
Native valve endocarditis bacteria and treatment
S aureus
IV flucloxacillin
Native valve subacute endocarditis bacteria and treatment
S viridans, enterococci
IV amox + gent
Prosthetic valve endocarditis bacteria and treatment
Coagulase negative staph (S epi), MRSA
IV vancomycin, gentamicin and oral rifampicin
Mild C diff treatment
PO metronidazole
Severe C diff treatment
PO vancomycin +/- metronidazole
Intra-abdominal sepsis bacteria and treatment
Anaerobes, polymicrobial coliforms, enterococcus
IV amox + gent + met
Spontaneous bacterial peritonitis (ascites) bacteria and treatment
Colifors +/- anaerobes, S pneumo
IV piperacillin, step down to PO co-trimoxazole
Cellulitis bacteria and treatment
Staph aureus
Flucloxacillin
Diabetic foot acute-on-chronic bacteria and treatment
S aureus, coliforms, anaerobes
Flucloxacillin and metronidazole
Septic arthritis/osteomyelitis bacteria and treatment
Staph aureus
IV flucloxacillin
Uncomplicated female UTI bacteria and treatment
What about if pregnant?
Coliforms and entrococci
Nitrofurantoin or trimethoprim oral 3 days
Pregnant - 1st/2nd trimester nitrofurantoin, 3rd trimester trimethoprim (also treat asymptomatic bacteriuria)
Uncatheterised male UTI bacteria and treatment
Coliforms and enterococci
Nitrofurantoin or trimethoprim oral 7 days
Complicated UTI/PN/urosepsis bacteria and treatment
Coliforms, enterococci, pseudomonas
IV amoxacillin + gentamicin, step down to oral co-trimoxazole
Acute meningitis bacteria and treatment
Neonates - listeria Children - H influenza 10-21 - N meningitides >21 - S pneumo>N meningitides >65 - S pneumo, listeria <65y - IV ceftriaxone 2g bd >65 - IV ceftrixone + amoxicillin Penicillin allegy - IV chloramphenicol IV, add co-trimoxazole if listeria suspected 10mg IV steroids 15 mins before antibiotics
Candida microorganism, diagnosis and treatment
Candida albicans (fungus)
High vaginal swab for culture
Topical clotrimazole pessary or cream, oral fluconazole if non-albicans
Bacterial Vaginosis microorganism, diagnosis and treatment
Gardrenella vaginalis
‘Whiff’ test, wet mount (clue cells)
Metronidazole
Chlamydia microorganism, diagnosis and treatment
Chlamydia trachomatis (gram -ve intracellular bacteria) High vaginal swab or first pass urine for NAATS 7 days doxycycline 100mg BD
Gonorrhoea microorganism, diagnosis and treatment
Neisseria gonorrhoea (gram -ve diplococcus) High vaginal swab or fist pass urine for NAATS 500mg ceftriaxone IM - test of cure recommended
Prostatitis microorganism, diagnosis and treatment
Chlamydia/gonorrhoea
28 days ciprofloxacin
Syphilis microorganism, diagnosis and treatment
Treponema pallidum
Serology - IgG and IgM ELISA
IM benzylpenicillin
Genital Herpes microorganism, diagnosis and treatment
Herpes simplex (usually HSV2, can be HSV1) Swab of deroofed blister for PCR Aciclovir, topical lidocaine,
Genital warts microorganism, diagnosis and treatment
HPV 6 and 11
Clinical - cauliflower
Topical podophyllin
Trichomonas vaginalis microorganism, diagnosis and treatment
Trichomonas vaginalis (protozoal parasite)
High vaginal swab for microscopy
Oral metronidazole
Pubic lice microorganism and treatment
Pthirus pubis
Malathion lotion
