Antibiotic Man - GI and GU

Question 1

Management of C diff infection

Answer 1

Oral vancomycin

Question 2

Management acute gasteroenteritis

Answer 2

Supportive

Antibiotics increase risk of HUS

Question 3

Management of intra-abdominal sepsis

Answer 3

IV amoxicillin (vanc if allergic), metronidazole and gentamycin
(Step down co-trimoxazole and metronidazole)

Question 4

Management of uncomplicated Lower UTI

Answer 4

Oral Nitrofurantoin or trimethoprim (3 days women, 7 days men)

Question 5

Management of pyelonephritis or urosepsis

Answer 5

IV amoxicillin and gentamycin

co-trimoxazole if allergic

Question 6

Management of acute prostatitis

Answer 6

Ofloxacin or ciprofloxacin

Question 7

What to use instead of gentamycin if poor renal function?

Answer 7

Aztreonam

eGFR <20

Question 8

When is aztreonam used?

Answer 8

If want to prescribe gent but eGFR <20

If patients need gram negative cover and have already had 72hrs of gentamycin

Question 9

Management of Pelvic inflammatory disease

Answer 9

Metronidazole and ofloxacin if outpatient

Question 10

Management of chlamydia

Answer 10

doxycycline oral

Question 11

Management of vaginal candidiasis

Answer 11

Fluconazole oral or clotrimazole pessary

Question 12

Management of bacterial vaginosis

Answer 12

Metronidazole oral

Question 13

Management of herpes

Answer 13

Acyclovir