Antibiotic Man Flashcards
what are the indications for IV use?
2> outwith normal range (temp, RR, BP, WCC)
febrile with neutropenia or immunocuppression
endocarditis/ septic arthritis/ abcess/ meningitis/ osteoarthritis
oral route compromised
post surgery - unable to tolerate 1l of oral fluids
no oral formulation available
how often should you review IV therapy
every 12-24 hours
if IV gent still required after 72 hours consider switch to
aztreonam
meningitis
ceftriaxone IV and dexamethasone IV
meningitis with suspected encephalitis add
acyclovir IV
meningitis if >60yo or immunocompromised
add amoxicillin IV
epiglottitis/ supraglottitis
ceftriaxone IV
what scoring system is used in CAP
CURB65
what is CURB65
confusion urea >7 RR>20 BP <90/<60 age >65
mild/mod CAP
Amoxicillin IV/PO 5 days
mild/mod CAP pen allergy
doxy PO or IV clarithromycin if NBM
severe CAP
coamoxiclav IV and Doxy PO
severe CAP pen allergy
IV levofloxacin
severe CAP in ICU/HDU or NBM
IV coamoxiclav and clarithromycin
severe CAP in ICU/HDU or NBM pen allergy
IV levofloxacin
any patient with severe CAP should be stepped down to
Doxycycline
any patient with severe CAP should be treated for
7 days
HAP or aspiration pneumonia severe
IV amox met and gent
HAP or aspiration pneumonia severe pen allergy
IV cotrimoxazole met +/- gent
all patients with severe HAP should be stepped down to
PO cotrimoxazole and metronidazole
patients with severe HAP should be treated for
7 days
no severe hap
PO amox and met
non severe hap pen allergy
PO cotrimox and met
how long should non severe hap be treated for
5 days
