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2019 Finals Antibiotic Man > Antibiotic Man > Flashcards

Antibiotic Man Flashcards

1
Q

What is the antibiotic of choice in Meningitis?

A

IV Ceftriaxone 2g bd

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2
Q

What additional drug can you give in addition to antibiotics in meningitis?

A

Dexamethasone IV 10mg qds

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3
Q

When can steroids be given in addition to antibiotics in the treatment of meningitis?

A

Ideally started with or just before first dose of antibiotics for 4 days.

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4
Q

If you are considering treatment of meningitis in the elderly or immunocompromised, what additional antibiotic would you add?

A

IV Amoxicillin 2g 4 hourly

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5
Q

What is the treatment of Epiglottitis?

A

IV Ceftriaxone 2g od

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6
Q

What is the CURB65 score

A 
Confusion
Urea >7mmol/L
Resp Rate > 30
Blood pressure <90/60
>65
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7
Q

What is the antibiotic of choice for mild/moderate CAP?

A

Amoxicillin 1g tds IV/PO

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8
Q

What is the antibiotic of choice for mild/moderate CAP if penicillin allergic?

A

Doxycycline PO 200mg on day 1 then 100mg od.

OR IV Clarythromycin

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9
Q

How long is the treatment duration for mild/moderate CAP/HAP?

A

5 days.

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10
Q

What is the antibiotic of choice for severe CAP (non HDU)?

A

Co-Amoxiclav IV 1.2g tds + Doxycycline PO 100mg bd

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11
Q

What is the antibiotic of choice for severe CAP (HDU)

A

Co-Amoxiclav IV 1.2g tds + Clarythromycin IV 100mg bd

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12
Q

What is the antibiotic of choice for severe CAP if penicillin allergic?

A

Levofloxacin IV 500mg bd

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13
Q

What is the duration of treatment for severe HAP/CAP?

A

7 days

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14
Q

What is the antibiotic of choice for non-severe HAP?

A

PO Amoxicillin

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15
Q

What is the antibiotic of choice for non-severe HAP if penicillin allergic?

A

Doxycycline 100mg bd

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16
Q

What is the antibiotic of choice for Severe HAP?

A

IV Amoxicillin + Gentamicin

17
Q

What is the antibiotic of choice for Severe HAP if penicillin allergic?

A

IV Co-trimoxazole + Gentamicin

18
Q

What are the typical antibiotics of choice in aspiration pneumonia?

A

PO Amoxicillin + Metronidazole

19
Q

What additional antibiotic do you add for a severe aspiration pneumonia?

A

IV Amoxicillin + Metronidazole + Gentamicin

20
Q

What is the antibiotic of choice for acute exacerbation of COPD?

A

Amoxicillin 500mg tds 5 days

21
Q

What is the antibiotic cocktail indicated for subacute endocarditis?

A

IV Amoxicillin + Gentamicin

22
Q

What is the antibiotic cocktail indicated for acute endocarditis?

A

IV Flucloxacillin

23
Q

What is the antibiotic cocktail indicated for prosthetic valve/MRSA endocarditis?

A

IV Vancomycin + Gentamicin + Rifampicin

24
Q

What is the antibiotic of choice for non-severe C. Diff infection?

A

PO Metronidazole 400mg tds 10days

25
Q

What is the antibiotic of choice for severe C.Diff

A

PO Vancomycin 125mg qds 10 days

26
Q

How does one distinguish between severe and non-severe C.Diff?

A 
Temperature >38.5
Colonic dilatation >6cm / ileus
WBC > 15x10^9
Creatinine >1.5x baseline.
Persistient CDI despite 2 courses of appropriate therapy.
27
Q

What is the antibiotic of choice for treating recurrent C.Diff (within 8 weeks of treatment)

A

Fidaxomicin 200mg bd

28
Q

What is the antibiotic of choice for mild spontaneous bacterial peritonitits?

A

Co-trimazole PO

29
Q

What is the antibiotic of choice for severe spontaneous bacterial peritonitis?

A

Pipercilin/Tazobactam IV

30
Q

What is the antibiotic of choice for complicated UTI/pylonephritis/urosepsis?

A

IV Amoxcillin + Gentamicin

31
Q

What is the antibiotic of choice & duration for uncomplicated female UTI?

A

Nitrofurantoin 100mg MR bd OR

Trimethopirm 200mg bd for 3 days

32
Q

What is the antibiotic of choice & duration for uncomplicated male UTI?

A

Nitrofurantoin 100mg MR bd OR

Trimethopirm 200mg bd for 7 days

33
Q

What is the antibiotic of choice in treating acute bacterial prostatits or epididymoorchitis?

A

Depends if there is a suspicion of STI. If so, Doxycycline. If not, Ofloxacin.

34
Q

What is the antibiotic of choice for open fracture prophylaxis?

A

IV Co-Amoxicilav 1.2g tds to be started within 3 hours for 72 hours

2019 Finals Antibiotic Man (1 decks)

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