Antibiotic Man - Hospital

Question 1

What makes up the CURB 65 score?

Answer 1

C = Confusion
U = Blood Urea Nitrogen >7
R = Respiratory Rate >30
B = BP Systolic

Question 2

What should you think if the SEWS is >4 and there is an infection?

Answer 2

Sepsis

Question 3

What clinical signs and symptoms indicate sepsis? (6)

Answer 3

Temperature >38 or 20
Pulse >90
RR >20
WCC >12 or 20
Altered mental state
Neutropenia

Question 4

What makes up the sepsis 6 bundle?

Answer 4

TAKE
Blood cultures
Serum lactate and full blood count
Urine output

GIVE
High flow oxygen
IV antibiotics
IV fluid resus

Question 5

What antibiotics are given for mild/ moderate community acquired pneumonia?

Answer 5

Amoxicillin

Question 6

What antibiotics are given for severe hospital acquired pneumonia?

Answer 6

IV amoxicillin + metrondiazole + gentamicin

Question 7

What antibiotic is given for a non-severe c diff infection?

Answer 7

metrondiazole

Question 8

What antibiotic is given for a severe c diff infection?

Answer 8

Vancomycin and/ or metrondiazole

Question 9

What antibiotics are given for an uncomplicated female lower UTI?

Answer 9

Trimethoprim or nitrofurantoin

Question 10

What antibiotics are given for a complicated UTI or pyelonephritis?

Answer 10

IV amoxicillin and gentamicin

Question 11

What antibiotics are given for cellulitis?

Answer 11

flucloxacillin

Question 12

What is the centor criteria?

Answer 12

1. Fever
2. Purulent tonsils
3. Cervical lymphadenopathy
4. NO cough
   >3/4 then probably bacterial

Question 13

What antibiotic is given for a bacterial tonsillitis/ pharyngitis/ sore throat

Answer 13

Penicillin

Question 14

Why is amoxicillin avoided in sore throats?

Answer 14

If it is infectious mononucleus (glandular fever) then will cause a red rash

Question 15

What are the 4 C antibiotics that cause c diff infections?

Answer 15

Cephalosporins
Co-amoxiclav
Clindamycin
Ciprofloxacin