Condition Abx Flashcards
Human or animal bite first line if symptomatic?
Co-amoxiclav for 5 days
Human or animal bite first line if non symptomatic?
Co-amoxiclav for 3 days
Human or animal bite second line if symptomatic?
Doxycycline and Metronidazole for 5 days
(Metronidazole for anaerobic remaining infection)
Human or animal bite second line if Non symptomatic?
Doxycycline and Metronidazole 3 days
For scratches which abx?
Flucloxacillin
Why Co amoxiclav?
Broad spectrum so tackles a wide range and is good against resistance. Also harder to break down by beta lactamase
Tick bites treatment first line?
Doxycycline 100mg BD for 21 days
Tick bites second line?
Amoxicillin 1g TDS
Tick bites treatment counselling
Must be done prophylatically as won’t know till Bad!
Diabetic foot infection treatment mild less than 2cm
Flucloxacillin
Diabetic foot infection moderate/severe (abscess or osteomyelitis) treatment
Flucloxacillin or Co-amoxiclav +/- Gentamicin
Diabetic foot infection moderate/severe (abscess or osteomyelitis) treatment
Penicillin Allergy
Co-trimoxazole +/- Gentamicin
Cellulitis first line treatment?
Flucloxacillin
Cellulitis first line treatment if
Penicillin Allergic ?
Clarithromycin, doxycycline
Cellulitis Near eyes or nose treatment?
+ pen allergy treatment
First Line: Co-amoxiclav
If pen allergic: Metronidazole + Clarithromycin
Low - mod severity Community pneumonia treatment?
Amoxicillin first line
Low - mod community pneumonia
If atypical pathogens are suspected??
Amoxicillin and Clarithromycin
High severity community pneumonia
Treatment?
First line: Co-amoxiclav and clarithromycin
Amox has been upgraded to co-amox
High severity community pneumonia
Second line treatment?
Levofloxacin
C Diff infection treatment?
First line: Vancomycin
Second line: Fidaxomicin
10DAY TREATMENT
C diff infection life threatening treatment?
Vancomycin and IV METRONIDAZOLE
Standby travellers diarrhoea treatment?
Azithromycin
Travellers diarrhoea - Prophylaxis or treatment?
Bismuth Subsalicylate
Or CIprofloxacin (not routinely recommended)
Otitis media first line?
Amoxicillin
If worsens : upgrade to Co-amoxiclav
Otitis External?
1st line? 2nd line? Systemic?
Topical Acetic acid 2%
Second line: topical neomycin sulphate
If systemic needed: Fluclox
Think skin related therefore fluclox
H. Pylori treatment?
2 Abx and 1 PPI ( omep/esomep)
Amox preferred and either clarithro or metronidazole
Amox 1000mg BD
Clarithro 500mg BD
Metronidazole 400mg BD
If clopidrogrel is being used HAVE TO GIVE LANSOPRAZOLE AS OTHERS INTERACT
Which Test should H Pylori diagnosed through?
Urea 13c Breath test
Do not perform within 2wks of ppi
Do not perform within 4wks of abx
What is classed as hospital pneumonia?
Over 48 hours
Hospital pneumonia non severe first line treatment?
Co-Amoxiclav
Hospital pneumonia second line?
Doxycycline or Cefalexin or Co-trimoxazole or Levofloxacin
***IN CHILDREN: Clarithromycin
Reason is tetracyclines avoid in 12 or below due to teeth discolouration
Impetigo localised non bullous?
Hydrogen peroxide 1%
Second line: Fusidic acid (mupirocin 2% if Fusidic acid resistance)
Impetigo widespread non bullous
Fusidic acid (mupirocin 2% if Fusidic resistance)
Impetigo Bullous
First line : Flucloxacillin
Second line: clarithromycin
Lower urinary tract infection treatment in men?
Nitrofurantoin or Trimethoprim
7 days
Lower urinary tract infection treatment in non pregnant women?
Nitrofurantoin
Second line: Pivmecillinam or Fosfomycin
Lower urinary tract infection treatment in PREGNANT WOMEN?
+ 2nd line?
Nitrofurantoin
Second line: Amox or cefalexin
7 DAYS
**AVOID TRIMETHOPRIM TERATOGENIC
Lower urinary tract infection duration for uncomplicated
3 DAYS
EVERYTHING ELSE 7 days include cathet
Scarlett fever treatment? 1st & 2nd line?
Phenoxymethylpenicillin
Second line: clarithromycin
Strep throat treatment?
Phenoxymethylpenicillin
Second line: clarithromycin
Scarlet fever symptoms?
Lymph node swollen
Red rash with small raised bumps
White coating on tongue
Chlamydia treatment?
Doxycycline
Bacterial vaginosis treatment
Metronidazole
Dental abscess
Amox or Metronidazole (Anaerobic respiration
Or
Phenoxymethylpenicillin
Dental abscess
Amox or Metronidazole (Anaerobic respiration
Or
Phenoxymethylpenicillin
Gonorrhoea treatment?
Ceftriaxone or Ciprofloxacin
Meningitis treatment?
Benzylpenicillin
Scabies
Permethrin
counsel whole body neck down
Threadworm?
Mebendazole
*No under 2 years or pregnant
Sinusitis?
Phenoxymethylpenicillin
Pen allergy: Doxycycline
UTI pathogen?
Escherichia coli
Thrush pathogen?
Candida Albicans
Community acquired pneumonia pathogen?
Streptococcus pneumoniae
Cellulitis pathogen?
Staphylococcus Aureus
mostly fluclox
Meningitis pathogens?
Streptococcus Pneumoniae