Antibiotic Man Flashcards
Bacterial meningitis
IV Ceftriaxone
IV dexamethasone
add IV amoxicillin if >60
ciprofloxacin for close contacts
ENT - epiglottis/supraglottitis
IV cetriaxone
Mild/moderate CAP (CURB65 0-2)
oral amoxicillin (if penicillin allergic, doxycycline)
severe CAP (CURB653-5)
IV co-amoxiclav + oral doxycycline
if penicillin allergic IV levofloxacin
ICU/HDU CAP
IV co-amoxiclav + IV clarithromycin
If penicillin allergic IV levofloxacin
HAP non-severe
oral amoxicillin
HAP severe
IV amoxicillin + IV gentamicin
non-severe aspiration pneumonia
oral amoxicillin + metronidazole
Severe aspiration pneumonia
IV amoxicillin + metronidazole + gentamicin
acute exacerbation of COPD
give antibiotics if:
increases sputum purulence
1st line -amoxicillin
2nd line - doxycycline
acute cough/acute bronchitis
may be considered in frail elderly but no significant benefit of antibiotics
1st line - amoxicillin
2nd line - doxycycline
Native valve indolent endocarditis
IV amoxicillin and IV gentamicin - 4-6 weeks
native valve severe sepsis endocarditis
IV flucloxacillin 4-6 weeks
prosthetic valve or suspected MRSA endocarditis
IV vancomycin + IV gentamicin
when therapeutic Vancomycin level reached at oral rifampicin
Non-severe C.diff
oral metronidazole
severe c.diff
oral/NG vancomycin + IV metronidazole
peritonitis/biliary tract/intra-abdominal infections
IV amoxicillin, metronidazole and gentamicin
proven spontaneous bacterial peritonitis
mild - oral co-trimoxazole
severe - piperacillin/taxobactam IV
Complicated UTI/pyelonephritis/urosepsis
IV amoxicillin
IV gentamicin
step down to co-trimoxazole or as per sensitivities
uncomplicated female lower UTI
Nitrofurantoin or trimethoprim (3 days)
Uncatherterised male UTI
nitrofurantoin or Trimethoprim (7 days)
Cellulitis
Flucloxacillin (IV/PO 5-7 days)
penicillin allergic - doxycycline
open fracture prophylaxis
cefuroxime IV
start within 3 hours for max 72 hours
Diabetic foot infection
Mild - flucloxacillin or doxycycline
moderate - flucloxacillin + metronidazole
