Common bacterial infections and treatments

Question 1

Upper respiratory tract infections

Answer 1

1) . Phenoxymethylpenicillin
- 1). Clarithromycin (if penicillin allergy)
- 1). Erythromycin (if allergic and pregnant)

Question 2

Scarlet fever

Answer 2

1) . Phenoxymethylpenicillin

- 1). Clarithromycin (if penicillin allergy)

Question 3

Acute otitis media - if cellulitis

Answer 3

1) . Flucloxacillin

2) . Co-amoxiclav

Question 4

Sinusitis

Answer 4

1) . Phenoxymethylpenicillin
- 1). Doxycyclin (not under 12s)
- 1). Clarithromycin (if penicillin allergy)
- 1). Erythromycin (if allergic and pregnant)

Question 5

Acute exacerbation of COPD

Answer 5

1) . Amoxicillin
- 1). doxycycline
- 1). clarithromycin
2) . Co-amoxiclav
- 2). levofloxacin
- 2). co-trimoxazole

Question 6

Acute Cough

Answer 6

1) . doxycycline
- 1). amoxicillin
- 1). clarithromycin (erythromycin if pregnant)

NEVER USE doxycycline in children under 12

Question 7

Community-acquired pneumonia CRB65 = 0

Answer 7

1) . amoxicillin
- 1). clarithromycin
- 1). doxycycline

Question 8

Community-acquired pneumonia CRB65 = 1-2

Answer 8

1) . amoxicillin + clarithromycin

- 1). Doxycycline

Question 9

Lower urinary tract infection (non-pregant) or men

Answer 9

1) . Nitrofurantoin (GFR >45)
- 1). Trimethoprim
2) . pivamecillinam (a penicillin)
- 2). fosfomycin

Question 10

Lower urinary tract infection (pregnant)

Answer 10

1) . Nitrofurantoin (not at term)
2) . amoxicillin
2) . cefalexin

Question 11

Acute pyelonephritis (upper urinary tract)

Answer 11

1) . cefalexin
- 1). co-amoxiclav
- 1). trimethoprim
- 1). ciprofloxacon

Question 12

Acute prostatitis

Answer 12

1) . ciprofloxacin
- 1). ofloxacin
- 1). trimethoprim
2) . levofloxacin
- 2). cotrimoxazole

Question 13

Suspected Meningococcal disease

Answer 13

IV or IM benzylpenicillin

Question 14

Helicobacter pylori

Answer 14

1) . PPI + amoxicillin + Clarithromycin or metronidazole

2) . Penicillin allergy: bismuth subsalicylate + tetracycline

Question 15

Clostridium difficile

Answer 15

1) . metronidazole (first episode)
2) . oral vancomycon (sever or recurrent)
3) . fidaxomicin

Question 16

Travellers diarrhoea

Answer 16

1) . azithromycin

2) . bismuth subsalicylate (if severe)

Question 17

Chlamydia trachomatis/urethritis

Answer 17

1) . doxycycline

2) . azithromycin (if breast feeding, pregnant)

Question 18

Epididymitis

Answer 18

1) . doxycycline
- 1). ofloxacin
- 1). ciprofloxacin

Question 19

Vaginal candidiasis

Answer 19

1) . clotrimazole
- 1). fenticonazole
- 1). oral fluconazole

Question 20

bacterial vaginosis

Answer 20

1) . oral or gel metronidazole

2) . clindamycin

Question 21

Gonorrhoea

Answer 21

1) . Ceftriaxone

- 1). ciprofloaxcin

Question 22

Trichomoniasis

Answer 22

1). metronidazole

Question 23

Pelvic inflammatory disease

Answer 23

1) Ceftriaxone + metronidazole + doxycycline
2) . metrondazole + ofloxacin
- 2). moxifloxacin

Question 24

Impetigo

Answer 24

1) . topical fusidic acid
2) . oral flucloxacillin
- 2). clarithromycin

Question 25

Leg ulcer

Answer 25

1) . flucloxacillin

- 1). clarithromycin

Question 26

Acne

Answer 26

1) . topical retinoid
2) . benzoyl peroxide
3) . topical clindamycin
4) . oral tetracycline or oral doxycycline

Question 27

Cellulitis

Answer 27

1) . flucloxacillin
2) . clarithromycin (allergy to penicillin)
3) . doxycycline (allergy + on statins)

On face take co-amoxiclav

Question 28

Bites

Answer 28

Give prophylaxis

1) . co-amoxiclav
2) . metronidazole + clarithromycin
3) . metronidazole + doxycyclin

pregnant give: ceftriaxone

Question 29

Scabies

Answer 29

1) . permethrin

2) . malathion

Question 30

Tick bite (Lyme disease)

Answer 30

1) doxycycline

2) . amoxicillin