Antibiotics Guidelines Flashcards
Chronic Bronchitis exacerbations
Amoxicillin / tetracyclin / clarithromycin
Uncomplicated CAP
Amoxicillin
- Doxycycline / clarithromycin if penicillin allergic
- Add flucloxacillin if staphylococci susprected eg. in influenza
Atypical pneumonia
Claritromycin
HAP within 5 days of admission
Co-amoxiclav / cefuroxime
HAP more than 5 days after admission
Piperacillin + taxobactam
OR
broad-spectrum cephalosporin (eg. ceftazidime)
OR
quinolone (eg. ciprofloxacin)
Lower UTI
Trimethoprim / nitrofurantoin
Alternative: amoxicillin / cephalosporin
Acute pyelonephritis
Broad-sepectrum cephalosporin / quinolone
Acute prostatitis
Quinolone / trimethoprim
Impetigo
Topical hydrogen peroxide / oral fluxlocaxillin / erythromycin (if widespread)
Cellulitis
Flucloxacillin
clarithromycin / erythromycin / doxycycline if penicillin allergic
Cellulitis near the eyes or nose
Co-amoxiclav
clarithromycin + metronidazole if penicillin allergic
Erysipelas
Flucloxacillin
clarithromycin, erythromycin / doxycycline if penicillin allergic
Animal or human bite
Co-amoxiclav (doxycycline + metronidazole if penicillin allergic)
Mastitis during breast-feeding
Flucloxacillin
Throat infections
Phenoxymethylpenicillin
erythromycin if penicillin allergic
Sinitus
Phenoxymethylpenicillin
Otitis media
Amoxicillin
erythromycin if penicillin allergic
Otitis externa
Flucloxacillin
erythromycin if penicillin allergic
Periapical / peridontal abscess
Amoxicillin
Gingivitis: acute necrotising ulcerative
Metronidazole
Gonorrhoea
IM ceftriaxone
Chlamydia
Doxcycyline / azithromycin
Pelvic inflammatory disease
Oral ofloxacin + oral metronidazole
OR
IM ceftriaxone + oral doxycycline + oral metronidazole
Syphilis
Benzathine benzylpenicillin / doxycycline / erythromycin
Bacterial vaginosis
Oral or topical metronidazole / topical clindamycin
C. diff
1st episode: metronidazole
2nd + episode: vancomycin
Campylobacter enteritis
Clarithromycin
Salmonella (non-typhoid)
Ciprofloxacin
Shiegllosis
Ciprofloxacin