Antiobiotic Man

Question 1

Meningitis

Answer 1

Ceftriaxone IV 2g BD + Dexamethasone IV 10mg QDS
Add Amoxicillin IV 2g 4hrly if >60yrs OR immunocompromised

Question 2

Encephalitis

Answer 2

Aciclovir IV (10mg/kg TDS)

Question 3

Sepsis

Answer 3

IV amoxicillin + Metronidazole (anaerobic cover) + gentamicin (PWID: +IV flucloxacillin 2g QDS)

Question 4

Sepsis (penicillin allergy)

Answer 4

IV Vancomycin + Metronidazole + Gentamicin

Question 5

Cellulitis (normal & penicillin allergic)

Answer 5

Normal: Flucloxacillin 1g QDS

Penicillin allergic: Doxycycline 100mg bd PO

Question 6

Complicated UTI/Pyelonephritis/Urosepsis

Answer 6

IV amoxicillin + Gentamicin

Penicillin allergic: IV co-trimoxazole + gentamicin

Question 7

Uncomplicated female lower UTI

Answer 7

Nitrofurantoin 100mg MR bd or 50mg QDS or Trimethoprim 200mg bd (3 days)

Question 8

Uncatheterised male UTI

Answer 8

Nitrofurantoin 100mg MR bd or 50mg QDS or Trimethoprim 200mg bd (7 days)

Question 9

Diabetic foot infection
(Mild & Moderate)

Answer 9

Mild: Flucloxacillin 1g QDS + Doxycycline 100mg bd

Moderate: Flucloxacillin 1g QDS + Metronidazole 400mg TDS OR Doxycycline 100mg bd + Metronidazole 400mg TDS

Question 10

Uncomplicated Chlamydia

Answer 10

Doxycycline 100mg BD (7 days) OR Azithromycin 1g OD day 1 + 500mg OD for 2 days

Question 11

Vaginal Candidiasis

Answer 11

Fluclonazole 150mg single dose OR Clotrimazole 500mg pessary single dose

Question 12

Bacterial Vaginosis

Answer 12

Metronidazole 400mg BD (5 days) or 2g single dose

Question 13

PID

Answer 13

Metronidazole 400mg BD + Ofloxacin 400mg BD (14 days)