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Antibiotic man Flashcards

1
Q

Gram -ve coliforms. Which antibiotic is commonly used?

A

Gentamicin

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2
Q

Pseudomonas aeruginosa organism is resistant to many antibiotics. Which antibiotic is used?

A

Ciprofloxacin

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3
Q

ESBLs (extended spectrum beta lactamase) are mainly sensitive/resistant to most penicillins?

A

Resistant

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4
Q

Anaerobic organism. Which antibiotic is commonly used?

A

Metronidazole

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5
Q

Anaerobes are generally sensitive to which antibiotics

A

Mainly metronidazole

Also

  • co-amoxiclav
  • clindamycin
  • pip-tazobactam
  • meropenem
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6
Q

MRSA is sensitive to which antibiotic?

A

Vancomycin

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7
Q

Bacterial meningitis - which antibootic is used (incl dose)

A

IV Ceftriaxone 2g bd

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8
Q

Along with antibiotic therapy, what is used to tread bacterial meningitis

A

IV dexamethasone 10mg qds

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9
Q

What is the treatment of bacterial meningitis in pt over 60 years old and likely organism is listeria?

A

IV ceftriaxone 2g bd +
IV dexamethasone 10mg qds +
IV amoxicillin 2g 4 hourly

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10
Q

What is the treatment for suspected encephalitis?

A

IV aciclovir

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11
Q

Pneumococci are sensitive/resistant to penicillin?

A

Sensitive

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12
Q

Meningococci are resistant/sensitive to penicillin ?

A

Sensitive

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13
Q

Listeria is sensitive/resistant to amoxicillin

A

Sensitive

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14
Q

Herpes simplex virus is sensitive to which viral drug

A

IV aciclovir

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15
Q

Common causative organism for epiglottitis?

A

Haemophilus influenza

Strep

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16
Q

Common causative organism for tonsillitis

A

Group A streptococcus

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17
Q

Beta haemolytic streptococci are sensitive/resistant to penicillin

A

Sensitive

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18
Q

Epiglottitis management

A

IV ceftriaxone 2g od

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19
Q

Mild/moderate CAP causative organisms

A

Strep pneumonia
Haemophilus influenzae
Mycoplasma pneumonia

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20
Q

Severe CAP causative organisms

A 
Same as mild/moderate:
Strep pneumoniae, haemophilus influenzae
Plus
Coliforms
Atypicals
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21
Q

Post flu pneumonia is classically caused by which organism

A

Staph aureus

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22
Q

Common causative organisms for acute exacerbation of COPD

A

Pneumococcus

Haemophilus influenzae

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23
Q

Common causative organisms of HAP

A

Strep pneumonia
Haemophilus influenzae
Coliforms

24
Q

Most haemophilus influenzae are sensitive to amoxicillin. True or false?

25
CAP curb score of 0-2 treatment (incl dose and duration)
Amoxicillin 1g tds for 5 days | If penicillin allergic use doxycycline
26
CAP severe 3-5 CURB score then what is the management
IV Co amoxiclav + P.O. doxycycline Step down to P.O. doxycycline If penicillin allergy then monotherapy of IV levofloxacin
27
Severe CAP but patient is NBM. What is the treatment?
IV co-amoxiclav + IV clarithromycin
28
Non severe HAP management
P.O. amoxicillin for 5days | Doxycycline if penicillin allergic
29
Severe HAP management
IV amoxicillin + IV gentamicin Step down to P.O. co-trimoxazole Total 7 days
30
Aspiration pneumonia non severe management
P.O. amoxicillin + metronidazole for 5 days
31
Severe aspiration pneumonia management
IV amoxicillin + metronidazole + gentamicin Step down to P.O. amoxicillin + metronidazole Total 7 days
32
What is first line d treatment of acute exacerbation of COPD
Amoxicillin P.O. 5 days
33
What is second line treatment for acute exacerbation of COPD
Doxycycline P.O. for 5 days
34
Endocarditis - Native valve acute - what is likely causative organism
Staph aureus
35
Endocarditis - native valve sub acute - what is the most likely organism
Strep viridans
36
Prosthetic valve endocarditis what is likely causative organism
Staph epidermidis
37
Native valve acute endocarditis management
IV flucloxacillin 2g 6 hourly
38
Native valve subacute endocarditis management
IV amoxicillin + IV gentamicin
39
Prosthetic valve endocarditis management
IV vancomycin + IV gentamicin | After 3-5 days add in rifampicin P.O.
40
E. coli 0157 is most common in adults or children?
Children
41
C diff non severe management
P.O. metronidazole for 10 days
42
C diff severe management
P.O. vancomycin +/- metronidazole for 10days
43
Peritonitis management
IV amoxicillin c metronidazole + gentamicin | For 7 days
44
Uncomplicated lower UTI common organisms (2)
Coliforms | Enterococcus
45
Complicated UTI investigation
Urinalysis - MSU - white bottle Urine culture Blood cultures
46
Catheter associated UTI - investigation
Blood culture
47
Uncomplicated female lower UTI management
P.O. Trimethoprim or nitrofurantoin for 3 days
48
Uncatheterised male lower UTI management
P.O. Nitrofurantoin or trimethoprim for 7 days
49
Complicated lower UTI (both male and female) in gp setting management
Co-amoxiclav or co-trimoxazole for 14 days
50
Complicated upper UTI (pyelonephritis) management
IV amoxicillin + gentamicin Step down to P.O. co-trimoxazole Total 7 days
51
Catheterised patient UTI management
IV amoxicillin+ gentamicin Step down to P.O. co-trimoxazole Total 7 days
52
Common causative organism for cellulitis
Staph aureus
53
Diabetic foot infection. What is the most likely causative organism?
Staph aureus
54
Management of cellulitis
IV flucloxacillin
55
Management of diabetic foot infection
Flucloxacillin for 7 days
56
Which antibiotics are used in sepsis 6
IV amoxicillin + metronidazole + gentamicin

Y4 (23 decks)

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