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
Native valve severe sepsis endocarditis
Risk factors for resistant pathogens
IV Vancomycin IV Meropenem (2g, 3 times daily)
Endocarditis (suspected MRSA)
Vancomycin IV Rifampicin PO (600mg, twice daily) Gentamicin IV (1mg/kg, twice daily)
Severe C. difficile GI infection
PO Vancomycin (125mg, 4 times daily) \+/- IV Metronizadole
Non-severe C. difficile GI infection
PO Metronidazole ( 400mg, 3 times daily) (for 10 days)
For a patient with a non-severe C. difficile GI infection, how many days should they be treated with Metronidazole for?
10 days
Acute gastroenteritis
Antibiotics not used
Peritonitis
IV Amoxicillin
Metronidazole
Gentamicin
Biliary tract infection
IV Amoxicillin
Metronidazole
Gentamicin
Intra-abdominal infection
IV Amoxicillin
Metronidazole
Gentamicin
Peritonitis
Penicillin allergic
IV Vancomycin
Metronidazole
Gentamicin
Biliary tract infection
Penicillin allergic
IV Vancomycin
Metronidazole
Gentamicin
Intra-abdominal infection
Penicillin allergic
IV Vancomycin
Metronidazole
Gentamicin
A patient with (peritonitis/biliary tract infection/intra-abdominal infection) is treated with IV Amoxicillin, Metronidazole and Gentamicin. What should their treatment be stepped down to?
PO Co-trimoxazole
Metronidazole
A patient has recurrent, relapsing C. difficile infection, which antibiotic would be used to treat them?
Fidaxomicin
An infection of an unknown source can be treated with:
IV Amoxicillin
Metronidazole
Gentamicin
An infection of an unknown source can be treated with:
penicillin allergic
IV Vancomycin
Metronidazole
Gentamicin
A patient has an infection of an unknown source but staphylococci is suspected
Flucloxacillin/ Vancomycin
Which antibiotic can be used to a treat staph. aureus infection?
Flucloxacillin
Which antibiotic(s) can be used to treat an MRSA infection?
Vancomycin
or
Teicoplanin
What type of infection can Teicoplanin be used to treat?
MRSA
Which antibiotic can be used to treat an amoebiasis infection?
Metronidazole
Which antibiotic can bee used to treat a giardiasis infection?
Metronidazole
Which antibiotics can be used to Legionnaire’s disease?
Erythromycin
or
Clarithromycin
Which antibiotic can be used to treat Epiglottitis?
IV Ceftriaxone
Tuberculosis
for first 2 months
Rifampicin
Pyrazinamide
Ethembutol
Ioniazid
Tuberculosis
after first 2 months
Rifampicin
Ioniazid
(for a further 4 months)
Pneumocystitis?
Pentamidine
Cotrimidazole