Antibiotic Man - CNS, eyes and skin

Question 1

Primary care treatment of suspected meningitis?

Answer 1

Urgent hospital transfer.
One off dose benzylpenicillin IV/IM (cefotaxamine if allergic).
DO NOT delay transfer to give ABx

Question 2

Management of opthalmic shingles

Answer 2

oral Acyclovir and refer to ophthalmology

Question 3

Hospital management of bacterial meningitis

Answer 3

Ceftriaxone IV + IV dexamethasone (+ IV amoxicillin if >60 or immunocompromised)

Question 4

Hospital management of encephalitis

Answer 4

Acyclovir IV

Question 5

Antibiotic for cellulitis

Answer 5

Flucloxacillin (doxycycline if allergic)

Question 6

Management of viral meningitis

Answer 6

Supportive

Question 7

Management conjunctivitis

Answer 7

1st line - bathe eye

2nd line - topical cholramphenicol

Question 8

Management periorbital cellulitis

Answer 8

co-amoxiclav

Question 9

Management of orbital cellulitis

Answer 9

REFER!! medical emergency

IV Ceftriaxone, flucloxacillin and metronidazole

Question 10

Management dendritic ulcer

Answer 10

Topical ganciclovir

Question 11

Management corneal ulcer

Answer 11

Ofloxacin

Question 12

Management of Shingles

Answer 12

Acyclovir if present within 72 hours of rash beginning

Question 13

Management impetigo

Answer 13

topical fusidic acid

oral flucloxacillin if v severe

Question 14

Management fungal skin infection

Answer 14

Terbinafine cream if dermophyte
Clotrimazole if candida
Ketoconazole if on scalp