Antibiotics Guidelines

Question 1

Antibiotic Guidelines

Respiratory system

Answer 1

Exacerbations of chronic bronchitis:

• Amoxicillin
• Tetracycline
• Clarithromycin

Uncomplicated community acquired pneumonia:

• Amoxicillin(doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staph suspected eg in influenza)

Pneumonia possibly caused by atypical pathogens:

• Clarithromycin

Hospital acquired pneumonia:

• Within five days of admission co-amoxiclav or cefuroxime: piperacillin with tazobactam or a broad spectrum cephalosporin (eg ceftazidime) or a quinolone (eg ciprofloxacin)

Question 2

Antibiotic Guidelines

Urinary Tract

Answer 2

Lower urinary tract infection:

• Trimethoprin or nitrofurantoin
• Alternative: Amoxicillin or cephlosporin

Acute pyelonephritis:

• Broad spectrum cephalosporins or quinolones

Acute prostatitis:

• Quinolone trimethaprim

Question 3

Antibiotic Guidelines

Skin

Answer 3

Impetigo:

• Topical fusidic acid
• Oral flucloxacillin
• or Erythromycin if wide spread

Cellulitis:

• Flucloxacillin (clarithromycin or clindomycin if penicillin allergic)

Erysipelas:

• Phenoxymethylpenicillin (erythromycin if penicillin allergic)

Animal or human bite:

• Co-amoxyclav (doxy + metronid if penicillin allergic)

Mastitis during breast feeding:

• Flucoxacillin

Question 4

Antibiotic Guidelines

Ear, Nose and Throat

Answer 4