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Antibiotics > Antibiotics (NICE) > Flashcards

Antibiotics (NICE) Flashcards

1
Q

Acute sore throat?

A
  1. Phenoxymethylpenicillin (5-10 days)
    If pen allergy then Clari/erythromycin(5 days)
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2
Q

Acute otitis media

A
  1. Amoxicllin
  2. Co-amoxiclav
    (Clari/erythro if pen allergic)
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3
Q

Sinusitis

A
  1. Phenoxymethylpenicillin (5 days)
  2. Co-amoxiclav

Doxy/clari/erythro if pen allergic

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4
Q

Scarlet Fever

A
  1. Phenoxymethylpenicillin
  2. Azithromycin
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5
Q

Acute COPD exacerbation

A
  1. Amoxicillin/Doxy/Clari
  2. One of the others

If HIGH RISK,
- Co-amox, co-trimoxazole, levofloxacin

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6
Q

Acute bronchiectasis exacerbation

A
  1. Amox/Doxy/Clari

If high risk,
- Co-amox
- Levoflox
- Ciprofloxacin

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7
Q

Epididymo-orchitis
1. STI
2. Gonorrhoea/enteric org
3. Enteric org

A

Due to STI
- IM Ceftriaxone + Doxy

Due to chlamydia/gon + enteric org
- IM Ceftriaxone + Ofloxacin

**Due to enteric organisms **
- Ofloxacin + Levofloxacin

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8
Q

Acute diverticulitis

A
  1. Co-amox
    If pen allergy then metro + one of cefalexin, trimethoprim, ciprofloxain
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9
Q

HAP
Adults + children

A

Adults
1. Co-amoxiclav
Alt choices doxy, cef, co-trimox, levoflox

Children
1. Clarithromycin

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10
Q

Acute cough
(Adults + children)

A

Adults
1. Doxycycline
Alt choices = amox, clari, erythro

**Children **
1. Amoxicillin
Alt choices = clari, erythro, doxy (if 12 or over)

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11
Q

Lyme disease

A
  1. Doxycyline
    (Amoxicillin if above contraindicated)

**Ceftrixone if disseminated disease **

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12
Q

Scabies

A
  1. Permethrin/malathion
  2. Ivermectin
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13
Q

Mastitis

A

Lactating women
1. Flucloxacillin
2. Co-amox
(If pen allergy, clari/erythromycin)

Non-lactating women
1. Co-amoxiclav
If pen allergy, metro + clari/erythro

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14
Q

Cellulitis/erysipelas

A
  1. Flucloxacillin
    (If pen allergy, doxy/clari/erythro)

If infection near face/nose
1. Co-amox
(Clari + metronidazole if pen allergy)

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15
Q

Leg ulcer

A
  1. Flucloxacillin
    If pen allergy then Doxy/Clari/erythro
  2. Co-amox
    Co-trimoxazole if pen allergy
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16
Q

Bacterial vaginosis

A

Metronidazole 5-7 days

2nd line = Topical clindamycin

17
Q

Genital herpes

A
  1. Aciclovir

Only give if within 5 days of symptom onset
Prophylaxis if at least 6 occurences per year

18
Q

Gonorrhoea

A
  1. IM ceftriaxone
    OR
    Oral ciprofloxacin single dose
19
Q

Trichomoniasis

A

Metronidazole

20
Q

Chlamydia

A
  1. Doxycycline OR
    Azithromycin

If contraindicated erythro OR ofloxacin

Azithro/erythro/amox if pregnant/breastfeeding

21
Q

Vaginal candidiasis

A

Local
1. Clotrimazole pessary 500mg single dose intravaginally

Oral
Fluconazole or itraconazole
**
LOCAL TREATMENTS ONLY IF PREGNANT **

22
Q

Lower UTI (Non-pregnant women)

A
  1. Nitrofurantoin or Trimethoprim
  2. Pivmecillinam/fosfomycin
23
Q

Lower UTI (Pregnant women)

A
  1. Nitrofurantoin
  2. Amoxicillin OR Cefalexin
24
Q

CAP
(Non severe, moderate severity, high severity)

A

Non-severe
1. Amoxiclllin
Alt choices = Doxy/clari/erythro

Moderate severe
1. Amoxicillin + clarithromycin
Alt choices = Doxy/clari

High severity
1. Co-amox + Clari/erythro

25
Q

Acute pyelonephritis (Non-pregnant, pregnant + children)

A

Non-pregnant
1. Cefalexin/co-amox/trimethoprim/ciprofloxacin

Pregnant
1. Cefalexin

Children
1. Cefalexin OR Co-amox

26
Q

Lower UTI (Men)

A
  1. Trimethoprim OR Nitrofurantoin (7 days)
  2. Base on culture
27
Q

CAUTI (Non-pregnant, pregnant + children)

A

Non pregnant
1. Nitro/trimeth/amox
2. Pivmecillinam

Pregnant
1. Cefalexin

Children
1. Trimetho/amox/cefalexin/co-amox

28
Q

Acute prostatitis

A
  1. Ciprofloxacin/ofloxacin/trimethoprim 14 days
  2. Levofloxacin OR co-trimoxazole
29
Q

Oral candidiasis (Children + Adults)

A

Children
1. Miconazole gel
2. Nystatin
3. Refer if no improvement after 2 weeks

Adults
1. Miconazole gel
2. Nystatin
3. Oral fluconazole 50mg OD for 14 days

**HIV positive **
Oral fluconazole 200mg stat, then 100-200mg OD for 14 days

30
Q

Threadworms

A
  1. Single dose of mebendazole

If pregnant, breastfeeding or child < 6 months, hygiene measures only for 6 weeks

31
Q

C.Diff

A
  1. Vancomycin
  2. Fidaxomicin

Further episode within 12 weeks/3months - Fidaxomicin
Further episode after 12 weeks - Vancomycin or Fidaxomicin

32
Q

H.pylori

A
  1. PPI + Amox + Clari/metro

Other options = Levofloxacin, tetracycline or tripotassium

33
Q

PID

A
  1. IM ceftriaxone + metronidazole + doxycycline
    OR
    Ofloxacin + metronidazole
34
Q

Eczema (Bacterial)

A
  1. Fusidic acid 2%
  2. Flucloxacillin (if pen allergy then clari/erythro)
35
Q

Impetigo

A
  1. Hydrogen peroxide 1%
  2. Fusidic acid/mupirocin 2%
  3. Flucloxacillin (Clari/erythro if pen allergy)
36
Q

Human bite

A
  1. Co-amox
    Doxy + metro if pen allergy
37
Q

Diabetic foot infection

A
  1. Flucloxacillin
  2. Doxy/clari/erythro

Antibiotics (4 decks)

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