Antibiotics Flashcards
Mild community acquired pneumonia
Amoxicillin (IV/PO)
Moderate community acquired pneumonia
Amoxicillin (IV/PO)
Severe community acquired pneumonia
Co-amoxiclav IV
Clarithromycin IV
(or doxycycline PO)
Severe community acquired pneumonia
penicillin allergic
IV Levofloxacin
Mild community acquired pneumonia
penicillin allergic
PO Doxycycline
A patient with severe CAP is put on Co-amoxiclav IV and Clarithromycin IV. What should this treatment be stepped down to?
Doxycycline (100mg)
Severe hospital acquired pneumonia
IV Amoxicillin
Metronidazole
Gentamicin
A patient with severe hospital acquired pneumonia is treated with IV Amoxicillin, Metronidazole and Gentamicin. What should this treatment be stepped down to?
PO Co-trimoxazole
Metronidazole
Severe hospital acquired pneumonia
Penicillin allergic
IV Co-trimoxazole
Metronidazole
+/- Gentamicin
Non-severe hospital acquired pneumonia
PO Amoxicillin
Metronidazole
(for 5 days)
For how many days should a patient with non-severe hospital acquired pneumonia be treated with Amoxicillin and Metronidazole?
5 days
Non-severe hospital acquired pneumonia
penicillin allergic
PO Co-trimoxazole
Metronidazole
What is the first line antibiotic for an exacerbation of COPD?
Amoxicillin (500mg) (3 times daily)
What is the second line antibiotic for and exacerbation of COPD?
Doxycycline (200mg on day 1) (100mg daily for 5 days)
Native valve indolent endocarditis
subacute
IV Amoxicillin (2g, 4 hourly) Gentamicin (1mg/kg, twice daily)
Native valve severe sepsis endocarditis
acute
IV Flucloxacillin (2g, 6 hourly)
Prosthetic valve endocarditis
IV Vancomycin
IV Gentmicin
PO Rifampicin