Antibiotics Flashcards
chlamydia
doxycycline or azithromycin
candidiasis
fluconazole, amphotericin
bacterial vaginosis
metronidazole (pregnancy safe) or clindamycin
trichomoniasis
metronidazole
gonorrhoea
ceftriaxone + azithromycin
cystitis (lower UTI)
oral nitrofurantoin or trimethoprim
pyelonephritis (upper UTI)
IV cephalosporin/quinolone/gentamicin
salmonella typhi
ciprofloxacin if outside indian subcontinent, otherwise ceftriaxone
meningococcal
IM or IV benzylpenicillin, household/close contacts rifampicin
impetigo
localised: fusidic acid 2% cream or mupiricin 2% cream
widespread: flucloxacillin or erythromycin
erysipelas
benzylpenicillin + flucloxacillin
cellulitis
benzylpenicillin + flucloxacillin
enteric fever
azithromycin +/- ceftriaxone
dexamethasone if CNS involvement
dermatopytosis
superficial mycoses: topical azole antifungal or terbinofine + topical nystaxin + amphotericin
tinea capitis: grisecfulrin, terbinafine, itraconazole
nail infection: systemic, terbinafine, itraconazole
cryptococcus neoformans
amphotericin + flucytosine, fluconazole
histoplasmosis
amphotericin, itraconazole
cholera
doxycycline or tetracycline
shigella
ciprofloxacillin, azithromycin
campylobacter
macrolide, doxycycline, quinolone
giardiasis
metronidazole, tinidazole, albenazole
cryptosporidium
nitazoxamide
amoebiasis
metronidazole/tinidazole, diloxanide furoate for gut cysts
nematodes
mebendazole (roundworm, hookworm, whipworm)
albendazole (ascariasis, hookworm, strongyloides)
ivermectin (strongyloides, ascariasis)
pyrantel pamoate (threadworm, roundworm, hookworm)
piperazine (ascariasis, pregnancy)
taemiasis (tapeworms)
praziquantel, niclosamide
listeria infection
ampicillin + gentamicin
clostridium perfringens
protein synthesis inhibitors
diptheria
benzylpenicillin/erythromycin
resistant staph aureus
vancomycin (MRSA), teicoplanin
oral agents: clindamycin, co trimoxazole, doxycycline, linezolid
strep agalactiene
penicillin, macrolide, cephalosporin, chloramphenicol
neisseria
benzylpenicillin/ceftriaxone
moraxella catarrhalis
macrolide, cephalosporin
haemophilus influenzae
amoxicillin, macrolide, cephalosporin, chloramphenicol, rifampicin
clostridium difficile
moderate-mild: metronidazole
severe: vancomycin or fidaxomicin
non responders: high dose vancomycin + IV metronidazole fidaxomicin, IVg
recurrence: vancomycin, fidaxomicin, faecal transplanr
hepatitis B
entecavir + tenofovir
hepatitis C
gamma PEGylated alpha interferon + ribavirin
HSV (herpes)
aciclovir
VZV
aciclovir (safe in pregnancy)/valaciclovir
CMV
ganciclovir, valganciclovir
foscarnet, cidofovir
HIV
PEP: truvada + vategravir, short term CART
ART: NRTI backbone (tenofovir, truvada + kinexa), protease inhibitors (azamativir, darunavir), NNRTI (nipivirine, efavirenz)
pneumocystis jirovecii
IV co trimoxazole, 2nd line clindamycin, pentamidine, atoragrene
influenza
oseltamivir, zanamivir
invasive pulmonary aspergillosis
antifungals, amphotericin B, VFend
malaria
uncomplicated: ACT, dihydro ortemistrin - piperaquine
severe: artesumate, quinine
prophylaxis: chloroquine +/- proguanil
chloroquine resistance: mefloquine or doxycycline or atovaquone - proguanil combo
bacterial meningitis
benzylpenicillin or ceftriaxone
meningococcal meningitis
IV penicillin @ GP, high dose ceftriaxone prior to LP
discharge w/ rifampicin or ciprofloxacin
pneumococcal meningitis
high dose ceftriaxone
haemophilus influenzae meningitis
ceftriaxone
prophylaxis w/ rifampicin for close contacts
listeria monocytogenes meningitis
IV ampicillin
neonatal meningitis
group B strep: benzylpenicillin + amoxicillin
E coli: cefotaxime
listeria monocytogenes: ampicillin + gentamicin
viral meningitis
IVg + aciclovir IV for HSV
necrotising fasciitis
flucloxacillin: staph aureus + other gram +ves
gentamicin: gram +ve + some gram -ves
clindamycin: anaerobic + gram +ve
botulism
antitoxin, benzylpenicillin, metronidazole
tetanus
metronidazole
spasm: diazepam/lorazepam/midazolam, IV magnesium sulfate, baclofen
schistosomiasis
2x doses praziquantel
echinococcosis
triclabendazole
pertussis
macrolide e.g. clarithromycin
scabies
permethrin 5% dermal cream
malathion (2nd line)
oral ivermectin (severe)
leprosy
multibacillary: rifampicin, dapsone, clofazimine
paucibacillary: rifampicin, dapsone
TB
rifampicin 2 months intensive, 4 months continuous isoniazid (same as above) pyrazinamide 2 months intensive ethambutol (same as above) latent: 3 months I + R or 6 months I
lyme disease
ceftriaxone, IV benzylpenicillin or doxycycline
rickettsial disease
doxycycline, azithromycin, chloramphenicol
leishmaniasis
amphotericin
anthrax
quinolone/doxycycline, ciprofloxacin + clindamycin or linezolid
brucellosis
doxycycline + rifampicin or gentamicin
+ co trimoxazole for CNS disease
Q fever
doxycycline
leptospirosis (weil’s disease)
doxycycline if mild, IV penicillin if severe
toxoplasmosis
pyrimethamine + sulfaclinazine + folic acid