Antibiotic Man

Question 1

CAP (0-2) mild/moderate

Answer 1

amoxicillin (OR doxycycline or clarithromycin)

Question 2

CAP 3-5 severe

Answer 2

co-amoxiclav + doxycycline (or levofloxacin)

Question 3

CAP ICU/HDU

Answer 3

co-amoxiclav + clarithromycin (or levofloxacin)

Question 4

CAP severe step-down

Answer 4

doxycycline

Question 5

management for mycoplasma, coxiella and psittaci

Answer 5

tetracyclines (doxycycline) and macrocodes (clarithromycin)

Question 6

management for legionella

Answer 6

clarithromycin, erythromycin and levofloxacin

Question 7

HAP non-severe

Answer 7

amoxicillin + metronidazole (or doxycycline + metronidazole)

Question 8

HAP severe

Answer 8

amoxicillin + gentamicin (or co-trimoxazole + gentamicin)

Question 9

aspiration non-severe

Answer 9

amoxicillin + metronidazole (ordoxcycline + metronidazole)

Question 10

aspiration severe

Answer 10

amoxicillin (or doxycycline or clarithromycin) + metronidazole + gentamicin

Question 11

when to use antibiotics in acute exacerbation of COPD

Answer 11

only if high sputum purulence, if no sputum then only if there is consolidation of CXR

Question 12

management in acute exacerbation of COPD

Answer 12

1st line: amoxicillin

2nd line: doxycycline

Question 13

acute cough/ acute bronchitis

Answer 13

only if frail and/or elderly then 1st line is amoxicillin and 2nd line is doxycycline