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Klinisk medicin 5 > Antibiotikakort > Flashcards

Antibiotikakort Flashcards

1
Q

Pneumoni, samhällsförvärvad - po

inkl behandling för KOL-patienter

A

PcV, eller till KOL-patienter amoxicillin

Vid pc-allergi klindamycin/erytromycin/doxycyklin (vid KOL?)

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2
Q

Pneumoni, atypisk genes

A

Doxycyklin/erytromycin

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3
Q

Pneumoni, samhällsförvärvad - iv

inkl behandling för KOL-patienter

A

Bensyl-pc, eller om svår KOL grad 3-4 cefotaxim

Vid pc-allergi klindamycin respektive moxifloxacin

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4
Q

Pneumoni, kritiskt sjuka och misstänkt atypisk genes

A

Bensyl-pc + moxifloxacin, alternativt cefotaxim + azithromycin.

Vid pc-allergi klindamycin + moxifloxacin

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5
Q

Pneumoni, vårdrelaterad

A

Pip/tazo eller cefotaxim

Vid pc-allergi klindamycin + ciprofloxacin

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6
Q

KOL-exacerbation

A

Amoxicillin eller cefotaxim

Vid pc-allergi klindamycin + ciprofloxacin

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7
Q

Nedre UVI (kvinnor: okomplicerad)

A

Pivmecillinam eller nitrofurantoin

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8
Q

Febril UVI, kvinnor

A

Ciprofloxacin eller ceftibuten, + ev aminoglykosid

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9
Q

Febril UVI, män

A

Ciprofloxacin + ev aminoglykosid

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10
Q

Febril UVI, iv-behandling

A

Cefotaxim eller pip/tazo + ev aminoglykosid

Vid pc-allergi aztreonam + ev aminoglykosid

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11
Q

Borrelia, erytema migrans

A

PcV

Vid pc-allergi doxycyklin

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12
Q

Borrelia, erytema migrans med feber eller multipla erytema migrans eller neuroborrelios

A

Doxycyklin

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13
Q

Erysipelas

A

PcV

Vid pc-allergi klindamycin

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14
Q

Sårinfektion

A

Flukloxacillin

Vid pc-allergi klindamycin

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15
Q

Katt- och hundbett

A

Amoxicillin + ev klavulansyra

Vid pc-allergi doxycyklin

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16
Q

Allvarlig streptokocksepsis

A

Bensyl-pc + klindamycin (iv)

17
Q

Septisk artrit

A

Kloxacillin

Vid pc-allergi klindamycin (iv)

18
Q

Septisk artrit, äldre eller misstänkt G-

A

Cefuroxim eller cefotaxim

Vid pc-allergi klindamycin + ciprofloxacin

19
Q

Meningit

A

Cefotaxim + ampicillin, båda 3gx3-4,

eller meropenem 2gx3

Vid pc-allergi moxifloxacin 400mgx1 + vankomycin 1gx3 + trim/sulfa 20mlx2

20
Q

Peritonit/djup bukinfektion

A

Pip/tazo eller cefotaxim + metronidazol

Vid pc-allergi ciprofloxacin + metronidazol

21
Q

Peritonit/djup bukinfektion, kritiskt sjuka

A

Imipenem/meropenem + aminoglykosid

22
Q

Svår sepsis, septisk chock

A

Cefotaxim 1-2gx3 eller pip/tazo 4gx3-4 eller imipenem/meropenem 0,5-1gx3,
alla tre alternativ i kombo med aminoglykosid

23
Q

Svår sepsis, septisk chock, om bakomliggande meningit, bukinfektion, hud- eller mjukdelsinfektion

A

Se respektive diagnos + aminoglykosid

24
Q

Clostridier, hela behandlingsstegen!

A

Mild: sätt ut ev antibiotika, avvakta
Medelsvår: metronidazol
Svår, terapisvikt eller recidiv: vankomycin
Kritiskt sjuka, toxisk megakolon: metronidazol + vankomycin

Klinisk medicin 5 (6 decks)

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