Antibiotic Treatment Flashcards
CURB 65
Confusion of recent onset Urea >7 mmol/l Resp rate =/> 30 per minute Low systolic BP (<90) Low diastolic BP (=/<60) Age 65 or over
CURB65=2
Community acquired pneumonia
Amoxicillin 1g tds IV/PO 5 days
CURB65=4
Community acquired pneumonia
Co-amoxiclav IV + 1.2g tds + Doxycycline PO 100mg
ICU patient
CURB65=5
Community acquired pneumonia
Co-amoxiclav IV + 1.2g tds + Clarithromycin IV 500mg
Then step down to doxycycline 100mg
Penicillin allergic
CURB65=1
Community acquired pneumonia
Doxycycline 200mg on day 1 (PO)
100mg od or clarithromycin id NBM
CURB65=4 Penicillin allergic NBM
Community acquired pneumonia
IV Levofloxacin 500mg td
CURB65=5 Penicillin allergic
Community acquired pneumonia
IV Levofloxacin 500mg td
Hospital Acquired pneumonia CURB65=4
IV amoxicillin + Metronidazole + Gentamicin
Step down to PO co-trimoxazole + metronidazole (Total IV/PO 7 days)
Hospital Acquired pneumonia
CURB65=2
PO Amoxicillin + Metronidazole (5 days)
Hospital Acquired pneumonia
CURB65=2
Penicillin allergic
PO Co-trimoxazole+ Metronidazole
Hospital Acquired pneumonia
CURB65=5
Penicillin allergic
IV Co-trimoxazole + Metronidazole +/- Gentamicin
Total IV/PO 7 days
Hospital Acquired pneumonia
CURB65=5
Previous ICU admission
Seek advice
Hospital Acquired pneumonia
CURB65=5
Previous MRSA
Seek advice
Acute exacerbation of COPD
Increased sputum purulence
1st line Amoxicillin 500mg tds
2nd line Doxycycline 200mg on day one then 100mg daily (5 days)
Acute exacerbation of COPD
No increased sputum purulence
Consolidation on CXR
1st line Amoxicillin 500mg tds
2nd line Doxycycline 200mg on day one then 100mg daily (5 days)