Antibiotics guidlines Flashcards
What is the treatment for exacerbations of chronic bronchitis?
Amoxicillin or tetracycline or clarithromycin
What is the treatment for uncomplicated community-acquired pneumonia?
Amoxicillin (Doxycycline or clarithromycin on penicillin allergic, add flucloxacillin if staphylococci suspected)
What is the treatment for Pneumonia possibly caused by atypical pathogens?
Clarithromycin
What is the treatment for Hospital-acquired pneumonia?
Within 5 days of admission: co-amoxiclav or cefuroxime
More than 5 days after admission: piperacillin with tazobactam OR a broad-spectrum cephalosporin (e.g ceftazidme) OR a quinolone (e.g ciprofloxacin)
What is the treatment for Lower urinary tract infection?
Trimethoprim or nitrofurantoin Alternative amoxicillin or cephalosporin
What is the treatment for Acute pyelonephritis?
Broad-spectrum cephalosporin or quinolone
What is the treatment for Acute prostatitis?
Quinolone or trimethoprim
What is the treatment for Impetigo?
Topical hydrogen peroxide, oral flucloxacillin or erythromycin if widespread
What is the treatment for Cellulitis?
Flucloxacillin ( clarithromycin, erythromycin or doxycycline if penicillin-allergic)
What is the treatment for Cellulitis (near the eyes or nose)?
Co-amoxiclav ( clarithomycin + metronidazole if penicillin-allergic)
What is the treatment for Erysipelas?
Flucloxacillin ( clarithromycin, erythromycin or doxycycline if penicillin-allergic)
What is the treatment for Animal or human bite?
Co-amoxiclav ( doxycycline + metronidazole if penicillin-allergic)
What is the treatment for Mastitis during breast-feeding?
Flucloxacillin
What is the treatment for Throat infections?
Phenoxymethylpenicillin (erythromycin alone if penicillin-allergic)
What is the treatment for Sinusitis?
Phenoxymethylpenicillin
What is the treatment for Otitis media?
Amoxicillin (erythromycin if penicillin-allergic)
What is the treatment for Otitis externa?
Flucloxacillin (erythromycin if penicillin-allergic)
a combined topical antibiotic and corticosteroid is generally used for mild/moderate cases of otitis externa
What is the treatment for Periapical or periodontal abscess?
Amoxicillin
What is the treatment for Gingivitis: acute necrotising ulcerative?
Metronidazole
What is the treatment for Gonorrhoea?
Intramuscular ceftriaxone
What is the treatment for Chlamydia?
Doxycycline or azithromycin
What is the treatment for Pelvic inflammatory disease?
Oral ofloxacin + oral metronidazole or intramuscular ceftriaxone + oral doxycycline + oral metronidazole
What is the treatment for Syphilis?
Benzathine benzylpenicillin or doxycycline or erythromycin
What is the treatment for Bacterial vaginosis?
Oral or topical metronidazole or topical clindamycin
What is the treatment for Clostridioides difficile?
First episode: oral vancomycin
Second or subsequent episode of infection: oral fidaxomicin
What is the treatment for Campylobacter enteritis?
Clarithromycin
What is the treatment for Salmonella (non-typhoid)?
Ciprofloxacin
What is the treatment for Shigellosis?
Ciprofloxacin
What is the prophylactic guide for ascites?
Offer oral ciprofloxacin or norfloxacin with cirrhosis and ascites with an ascitic protein of 15g/litre or less until ascites resolved
Meningitis over 3 months treatment age
IV ceftriaxone
IV dexamethasone ( certain times)
