Condition Abx Flashcards

1
Q

Human or animal bite first line if symptomatic?

A

Co-amoxiclav for 5 days

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2
Q

Human or animal bite first line if non symptomatic?

A

Co-amoxiclav for 3 days

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3
Q

Human or animal bite second line if symptomatic?

A

Doxycycline and Metronidazole for 5 days
(Metronidazole for anaerobic remaining infection)

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4
Q

Human or animal bite second line if Non symptomatic?

A

Doxycycline and Metronidazole 3 days

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5
Q

For scratches which abx?

A

Flucloxacillin

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6
Q

Why Co amoxiclav?

A

Broad spectrum so tackles a wide range and is good against resistance. Also harder to break down by beta lactamase

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7
Q

Tick bites treatment first line?

A

Doxycycline 100mg BD for 21 days

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8
Q

Tick bites second line?

A

Amoxicillin 1g TDS

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9
Q

Tick bites treatment counselling

A

Must be done prophylatically as won’t know till Bad!

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10
Q

Diabetic foot infection treatment mild less than 2cm

A

Flucloxacillin

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11
Q

Diabetic foot infection moderate/severe (abscess or osteomyelitis) treatment

A

Flucloxacillin or Co-amoxiclav +/- Gentamicin

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12
Q

Diabetic foot infection moderate/severe (abscess or osteomyelitis) treatment
Penicillin Allergy

A

Co-trimoxazole +/- Gentamicin

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13
Q

Cellulitis first line treatment?

A

Flucloxacillin

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14
Q

Cellulitis first line treatment if
Penicillin Allergic ?

A

Clarithromycin, doxycycline

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15
Q

Cellulitis Near eyes or nose treatment?
+ pen allergy treatment

A

First Line: Co-amoxiclav

If pen allergic: Metronidazole + Clarithromycin

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16
Q

Low - mod severity Community pneumonia treatment?

A

Amoxicillin first line

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17
Q

Low - mod community pneumonia
If atypical pathogens are suspected??

A

Amoxicillin and Clarithromycin

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18
Q

High severity community pneumonia
Treatment?

A

First line: Co-amoxiclav and clarithromycin

Amox has been upgraded to co-amox

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19
Q

High severity community pneumonia
Second line treatment?

A

Levofloxacin

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20
Q

C Diff infection treatment?

A

First line: Vancomycin

Second line: Fidaxomicin

10DAY TREATMENT

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21
Q

C diff infection life threatening treatment?

A

Vancomycin and IV METRONIDAZOLE

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22
Q

Standby travellers diarrhoea treatment?

A

Azithromycin

23
Q

Travellers diarrhoea - Prophylaxis or treatment?

A

Bismuth Subsalicylate

Or CIprofloxacin (not routinely recommended)

24
Q

Otitis media first line?

A

Amoxicillin

If worsens : upgrade to Co-amoxiclav

25
Q

Otitis External?

1st line? 2nd line? Systemic?

A

Topical Acetic acid 2%

Second line: topical neomycin sulphate

If systemic needed: Fluclox
Think skin related therefore fluclox

26
Q

H. Pylori treatment?

A

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

27
Q

Which Test should H Pylori diagnosed through?

A

Urea 13c Breath test

Do not perform within 2wks of ppi

Do not perform within 4wks of abx

28
Q

What is classed as hospital pneumonia?

A

Over 48 hours

29
Q

Hospital pneumonia non severe first line treatment?

A

Co-Amoxiclav

30
Q

Hospital pneumonia second line?

A

Doxycycline or Cefalexin or Co-trimoxazole or Levofloxacin

***IN CHILDREN: Clarithromycin
Reason is tetracyclines avoid in 12 or below due to teeth discolouration

31
Q

Impetigo localised non bullous?

A

Hydrogen peroxide 1%

Second line: Fusidic acid (mupirocin 2% if Fusidic acid resistance)

32
Q

Impetigo widespread non bullous

A

Fusidic acid (mupirocin 2% if Fusidic resistance)

33
Q

Impetigo Bullous

A

First line : Flucloxacillin

Second line: clarithromycin

34
Q

Lower urinary tract infection treatment in men?

A

Nitrofurantoin or Trimethoprim

7 days

35
Q

Lower urinary tract infection treatment in non pregnant women?

A

Nitrofurantoin

Second line: Pivmecillinam or Fosfomycin

36
Q

Lower urinary tract infection treatment in PREGNANT WOMEN?
+ 2nd line?

A

Nitrofurantoin

Second line: Amox or cefalexin

7 DAYS

**AVOID TRIMETHOPRIM TERATOGENIC

37
Q

Lower urinary tract infection duration for uncomplicated

A

3 DAYS

EVERYTHING ELSE 7 days include cathet

38
Q

Scarlett fever treatment? 1st & 2nd line?

A

Phenoxymethylpenicillin

Second line: clarithromycin

39
Q

Strep throat treatment?

A

Phenoxymethylpenicillin

Second line: clarithromycin

40
Q

Scarlet fever symptoms?

A

Lymph node swollen

Red rash with small raised bumps

White coating on tongue

41
Q

Chlamydia treatment?

A

Doxycycline

42
Q

Bacterial vaginosis treatment

A

Metronidazole

43
Q

Dental abscess

A

Amox or Metronidazole (Anaerobic respiration
Or
Phenoxymethylpenicillin

44
Q

Dental abscess

A

Amox or Metronidazole (Anaerobic respiration
Or
Phenoxymethylpenicillin

45
Q

Gonorrhoea treatment?

A

Ceftriaxone or Ciprofloxacin

46
Q

Meningitis treatment?

A

Benzylpenicillin

47
Q

Scabies

A

Permethrin

counsel whole body neck down

48
Q

Threadworm?

A

Mebendazole

*No under 2 years or pregnant

49
Q

Sinusitis?

A

Phenoxymethylpenicillin

Pen allergy: Doxycycline

50
Q

UTI pathogen?

A

Escherichia coli

51
Q

Thrush pathogen?

A

Candida Albicans

52
Q

Community acquired pneumonia pathogen?

A

Streptococcus pneumoniae

53
Q

Cellulitis pathogen?

A

Staphylococcus Aureus

mostly fluclox

54
Q

Meningitis pathogens?

A

Streptococcus Pneumoniae