Antibiotic Man - ENT, cardio and resp

Question 1

Antibiotics for CAP

Answer 1

CURB65 0-2 = amoxycillin PO or IV (doxycycline if allergic)

CURB 65 3-4 = IV co-amoxiclav and oral doxycycline (IV levofloxacin if allergic)

Question 2

Antibiotics for CAP (CURB 65 <3)

Answer 2

Amoxicillin PO or IV

doxycycline if allergic

Question 3

Antibiotics for CAP CURB65 >2

Answer 3

IV co-amoxiclav and oral doxycycline (IV levofloxacin if allergic)

Question 4

Antibiotics for HAP

Answer 4

Non-severe - amoxicillin (doxy if allergic)

Severe - IV amoxicillin and gentamycin (co-trimoxazole and gent if allergic)

Question 5

Antibiotics for aspiration pneumonia

Answer 5

Non-severe - amoxicillin and metronidazole (ORAL)

Severe - IV amoxicillin, gentamycin and metronidazole

Question 6

Acute exacerbation of COPD management

Answer 6

Amoxicillin (doxy if allergic) if signs of bacterial infection

Question 7

Antibiotics for epiglottitis

Answer 7

Ceftriaxone IV

Question 8

Antibiotics for tonsillitis

Answer 8

Penicillin V (oral) if scores > 4 on FEVERPAIN score

Question 9

Otitis media management

Answer 9

avoid Abx if possible. Amoxicillin in <2 years and bilateral or perforated eardrum

Question 10

Otitis externa management

Answer 10

Acetic acid if mild

Topical abx and consult ENT if moderate/severe

Question 11

Oral candida management

Answer 11

miconazole gel or nystatin

Question 12

Bacterial Endocarditis management

Answer 12

IV flucloxacillin if severe

IV amoxicillin if indolent

Question 13

How is bacterial endocarditis diagnosed?

Answer 13

3 sets of blood cultures taken 6 hours apart if possible

At least 2 sets 1 hour apart if septic