BNF - Antibiotics

Question 1

Chronic bronchitis
- Exacerbation ABx

Answer 1

Chronic bronchitis
- Exacerbation ABx

1. Amox
2. Tetra
3. Clari

Question 2

CAP
- Uncomp ABx
?Allergy
?Staph

Answer 2

CAP
- Uncomp ABx

1. Amox
   - Doxy/Clari in allergy
2. Fluclox
   - if Staph suspected eg. Influenza

Question 3

HAP ABx
- Within 5 days of admission
- More than 5 days after admission

Answer 3

HAP ABx

• Within 5 days of admission
  1. Co-amox/cefuroxime
• More than 5 days after admission
  1. Taz/ceftaz/cipro

Question 4

Atypical Pneumonia
- BNF Abx

Answer 4

Atypical Pneumonia
- BNF Abx

1. Clarithromycin

Question 5

UTI ABx

• LUTI
• Pyelonephritis
• Prostatitis

Answer 5

UTI ABx

• LUTI
  1. Trimeth/Nitro
  Alternative - Amox/Ceph
• Pyelonephritis
  1. Broad spec ceph/quinol
• Prostatitis
  1. Quinol/trimeth

Question 6

Skin infections - BNF

• Impetigo
  ?if widespread
• Erysipelas + Cellulitis + Mastitis
  ?pen allergic
• Cellulitis near eyes/nose
• Animal/human bite

Answer 6

Skin infections - BNF

• Impetigo
  1. Topical Hydrogen Peroxide
  2. Fluclox/erythro if widespread
• Erysipelas + Cellulitis + Mastitis
  1. Fluclox
  2. Clari, erythro, doxy if pen allergic
• Cellulitis near eyes/nose
  1. Co-amox
  2. Clarithro (+met) if pen allergic
• Animal/human bite
  1. Co-amox
  2. Doxy + met if pen allergic

Question 7

ENT - BNF ABx

• Throat/sinus infections
  ?Pen al.
• Otitis media
  ?Pen all
• Otitis externa
  ?Pen all
• Gingivitis (necrotizing)

Answer 7

ENT - BNF ABx

• Throat/sinus infections
  1. Phenoxymethylpen
  2. Erythro if pen allergen
• Otitis media
  1. Amox
• Erythro if pen
• Otitis externa
  1. Fluclox
• Erythro if pen
• Gingivitis (necrotizing)
  1. Met

Question 8

Genital infections
- BNF ABx

• Gonorrhoea
• Chlamydia
• PID
• Syphilis
• BV

Answer 8

Genital infections
- BNF ABx

• Gonorrhoea
  1. IM Ceftr
• Chlamydia
  1. Doxy/Azithro
• PID
  1. PO Ofloxacin + PO Met
  2. IM Ceftriax + PO doxy + PO Met
• Syphilis
  1. Ben pen/doxy/erythro
• BV
  1. Oral/topical Met
  or Topical clindamycin

Question 9

GI Infections

• Clos dif
  ?2nd episode
• Campylo
• Salmonella and Shigella

Answer 9

GI Infections

• Clos dif
  1. Oral vanc
  2. Oral Fidaxomicin for reinfections
• Campylo
  1. Clarithro
• Salmonella and Shigella
  1. Cipro