BNF Antibacterial Guidelines (MSRA) Flashcards

1
Q

Exacerbations of chronic bronchitis

A

Amoxicillin or tetracycline or clarithromycin

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2
Q

Uncomplicated CAP

A

Amoxicillin

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3
Q

Possible atypical pneumonia

A

Clarithromycin

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4
Q

HAP - within 5 days of admission

A

Co-amoxiclav or cefuroxime

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5
Q

Uncomplicated CAP - penicillin allergic

A

-Doxycycline or clarithromycin

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6
Q

Uncomplicated CAP - suspected stapholocci

A

Amoxicillin + flucloxacillin

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7
Q

HAP - more than 5 days after admission

A

Piperacillin with tazobactam
OR
broad-spectrum cephalosporin (eg ceftazidime)
OR
quinolone (eg ciprofloxacin)

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8
Q

Lower UTI

A

Trimethoprim or nitrofurantoin

(Alternative: amoxicillin or cephalosporin)

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9
Q

Acute pyelonephritis

A

Broad-spectrum cephalosporin or quinolone

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10
Q

Acute prostatitis

A

Quinolone or trimethoprim

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11
Q

Cellulitis - 1st line

A

Flucloxacillin

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12
Q

Cellulitis - pen allergic

A

clarithromycin, erythromycin or doxycycline

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13
Q

Cellulitis - near eyes or nose

A

co-amoxiclav

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14
Q

Erysipelas - 1st line

A

Flucloxacillin

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15
Q

Erysipelas - pen allergic

A

clarithromycin, erythromycin or doxycycline

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16
Q

Animal or human bite - 1st line

A

Co-amoxiclav

17
Q

Animal or human bite - pen allergic

A

doxycycline + metronidazole

18
Q

Mastitis and breast-feeding

A

Flucloxacillin

19
Q

Throat infections - 1st line

A

Phenoxymethylpenicillin

20
Q

Throat infections - pen allergic

A

erythromycin

21
Q

Sinusitis

A

Amoxicillin or doxycycline or erythromycin

22
Q

Otitis media - 1st line

A

Amoxicillin

23
Q

Otitis media - pen allergic

A

erythromycin

24
Q

Otitis externa (severe)

A

Flucloxacillin (erythromycin if pen allergic)

25
Q

Periapical or periodontal abscess

A

Amoxicillin

26
Q

Gingivitis: acute necrotising ulcerative

A

Metronidazole

27
Q

Gonorrhoea

A

IM ceftriaxone + oral azithromycin

28
Q

Chlamydia

A

Doxycycline or azithromycin

29
Q

Pelvic inflammatory disease

A

Oral ofloxacin + oral metronidazole

Or

IM ceftriaxone + oral doxycycline + oral metronidazole

30
Q

Syphilis

A

Benzathine benzylpenicillin

OR

Doxycycline

OR

Erythromycin

31
Q

Bacterial vaginosis

A

Oral or topical metronidazole, or topical clindamycin

32
Q

C.diff: first episode

A

Metronidazole

33
Q

C.diff: Second/subsequent episode

A

Vancomycin

34
Q

Campylobacter enteritis

A

Clarithromycin

35
Q

Salmonella (non-typhoid)

A

Ciprofloxacin

36
Q

Shigellosis

A

Ciprofloxacin