Antibiotics Flashcards
What are the two divisions of antibiotics that work on DNA replication?
Fluoroquinolones and Metronidazole
Name two broad spectrum fluoroquinolones
Levofloxacin and Ciprofloxacin
What is the mechanism of antibiotics that prevent RNA synthesis?
RNA polymerase inhibitor
Name some RNA polymerase inhibitor drugs?
Rifampicin
Fidaxomicin
Anti-TB drugs
What three classes of antibiotics prevent protein synthesis?
Macrolides
Aminoglycosides
Tetracyclines
Name a macrolide antibiotic?
Clarithromycin
Name an aminoglycoside antibiotic
Gentamicin
Name a tetracycline antibiotic
Doxycycline
What classes of antibiotics work against cell wall synthesis?
Vancomycin
B-Lactams
What are the three types of B-lactam antibiotics?
Penicillins
Cephalosporin
Carbapenem
What are the three classes of penicillins?
Broad
B-lactamase resistant
Extended spectrum
Name some broad spectrum penicillins
Amoxicillin
Name a B-lactamase resistant penicillin
Flucloxacillin
Name an extended spectrum penicillin
Piperacillin
Name two 3rd generation cephaloporins
Cefotaxime
Ceftazidime
Name two carbapenem
Meropenem
Imipenem
Name an antibiotic that prevents folate synthesis
Trimethoprim
Sulphonamide
(Co-trimoxazole)
What is the treatment for pneumococcal pneumonia?
Amoxicillin
Benzyl penicillin
Cephalosporin
What is the treatment for staphylococcal pneumonia?
Flucloxacillin
Rifampicin
What is the treatment for klebsiella pneumonia?
Cefotaxime or imipenem
What is the treatment for pseudomonas pneumonia
Anti-pseudomonal penicillin, ceftazidime, meropenem or ciprofloxacin and aminoglycoside
What is the treatment for mycoplasma pneumonia?
Clarithromycin or doxycycline or a fluoroquinolone
What is the treatment for legionella pneumonia?
Fluoroquinolone or clarithromycin
What is the treatment for chlamydophilia psittaci?
Doxycycline or clarithromycin
What is the treatment for pneumocystis pneumonia?
High dose co-trimoxazole or pentamidine IV
What is the treatment for severe proven spontaneous bacterial peritonitis?
Piperacillin/Tazobactam
Then
Co-trimoxazole
What is the treatment for mild proven spontaneous bacterial peritonitis?
Co-trimoxazole
What is the treatment for non-severe C. diff?
Metronidazole
What is the treatment for severe C. diff?
Vancomycin +/- Metronidazole
What is the treatment for recurrent C. diff?
Fidaxomicin
What is the treatment for Native valve indolent (subacute) endocarditis?
Amoxicilllin Gentamicin
What is the treatment for Native valve severe sepsis (acute) endocarditis?
Flucloxacillin
What is the treatment for Prosthetic valve MRSA endocarditis?
Vancomycin Rifampicin Gentamicin
What is the treatment for Native valve severe sepsis and risk factors of specific resistance endocarditis?
Vancomycin Meropenem
What is the treatment for enterococcus endocarditis?
Amoxicillin Vancomycin Gentamicin
What is the treatment for Viridans endocarditis?
Penicillin Gentamicin
What is the treatment for IV drug user endocarditis?
Flucloxacillin
What is the treatment for Epidermidis endocarditis?
Vancomycin Gentamicin
What is the treatment for peritonitis/biliary/intra-abdominal?
IV Amoxicillin Metronidazole Gentamicin
Then
PO Co-trimoxazole Metronidazole
What is the 1st line treatment for an acute exacerbation of COPD?
Amoxicillin 500mg tds
What is the 2nd line treatment for an acute exacerbation of COPD?
Doxycycline 200mg day one then 100mg (5 days)
What is the 1st line treatment for acute cough/bronchitis?
Amoxicillin 500mg tds
What is the 2nd line treatment for acute cough/bronchitis?
Doxycycline 200mg day one then 100mg after
What is the treatment for mild/moderate CAP?
Amoxicillin (IV/PO 5 Days)
If penicillin allergic Doxycycline
What is the treatment for severe CAP?
Co-amoxiclav IV + Doxycycline PO
*If penicillin allergic Levofloxacin
What is the treatment for ICU/HDU CAP?
Co-amoxiclav IV + Clarithromycin IV
Then
Doxycycline
*If penicillin allergic Levofloxacin
What is the treatment for severe HAP?
IV Amoxicillin+ Metronidazole + Gentamicin
Step down to PO Co-trimoxazole + Metronidazole
*If penicillin allergic IV Co-trimoxazole + Metronidazole +/- Gentamicin
What is the treatment for non-severe HAP?
PO Amoxicillin + Metronidazole
*If penicillin allergic PO Co-trimoxazole + Metronidazole