Antibiotic Treatments Flashcards
Sepsis
IV Amoxicillin + Gentamicin + Metronidazole
4Cs to avoid
Ciprofloxacin (quinolones), Co-amoxiclav, Clindamycin, Cephalosporins
C. difficile (mild)
Oral Metronidazole
C. difficile (severe)
Oral Vancomycin +/- IV Metronidazole
Acute Traveller’s Diarrhoea
Ciprofloxacin or Azithromycin
Pseudomembranous Colitis (antibiotic induced)
Vancomycin
H.pylori eradication
Amoxycillin/Metronidazole + Clarithromycin (+PPI)
Severe HAP
IV Amoxicillin + Metronidazole + Gentamicin
Severe HAP + penicillin allergy
IV Co-trimoxazole + Metronidazole + Gentamicin
Non-severe HAP
Oral Amoxicillin + Metronidazole
Non-severe HAP + penicillin allergy
Oral Co-trimoxazole + Metronidazole
Mild CAP
Amoxicillin
Mild CAP + penicillin allergy
Doxycycline
Severe CAP
IV Co-amoxiclav + PO Doxycycline
Severe CAP + penicillin allergy
IV Levofloxacin
Acute Epiglottitis
IV Ceftriaxone
COPD acute exacerbation
Amoxicillin (1st line)
Doxycycline (2nd line)
Spontaneous bacterial peritonitis
PO Co-trimoxazole
Peritonitis/ biliary tract infection
IV Amoxicillin + Metronidazole + Gentamicin
Peritonitis/ biliary tract infection + penicillin allergy
IV Vancomycin + Metronidazole + Gentamicin
Coliforms
Gentamicin
Anaerobes
Metronidazole
Enterococcus
Amoxicillin
Staphylococcus
Flucloxacillin
Streptococcus
Flucloxacillin
Endocarditis- Staph Aureus
Flucloxacillin
Endocarditis- Enterococcus
All Germs ENTER the body- Amoxicillin + Gentamicin
Endocarditis- Staph Epidermitis (associated with prosthetic valves)
Give these for Very Good Reasons
Vancomycin + Gentamicin + Rifampicin
Endocarditis- Strep Viridans
Benzylpenicillin + Gentamicin
Endocarditis- Native Valve
NAG
Amoxicillin + Gentamicin
Acute Gastroenteritis
None required- supportive treatment
Cellulitis
IV or oral flucloxacillin 1g qds
Acute septic arthritis or Oesteomyelitis
IV flucloxacillin 2g qds
Diabetic foot infection
Flucloxacillin 1g qds (or Doxycycline 100mg bd if allergic)–> may add 400mg metronidazole if severe
UNKNOWN SOURCE
IV Amoxacillin + Gentamicin + Metronidazole
Uncomplicated female or male UTI
Nitrofurantoin 50mg qds OR 100mg MR bd
OR Trimethoprim 200mg bd
3 day course in females, 7 day course in males
Complicated UTI/Catheterised patient
IV Amoxicillin + Gentamicin
Complicated UTI/Catheterised patient (with penicillin allergy)
IV Co-trimoxazole + Gentamicin