Gastrointestinal

Question 0

In relation to a clostridium difficile infection: a severe patient would receive what treatment?

Answer 0

Vancomycin 125mg qds PO/NG (10 days) +- metronidazole

Question 1

In relation to a clostridium difficile infection: a non-severe patient would receive what treatment?

Answer 1

Metronidazole PO 400mg tds (10 days)

Question 2

What would the treatment be for peritonitis/biliary tract/intra-abdominal?

Answer 2

(total IV/PO 7-10 days)
IV amoxicillin + metronidazole + gentamicin, then step down to PO co-trimoxazole + metronidazole
If penicillin allergic give IV vancomycin + metronidazole + gentamicin, then step down to PO co-trimoxazole + metronidazole

Question 3

In relation to spontanous bacterial peitonitis (5-7 days): for severe disease what would the treatment be?

Answer 3

Piperacillin/tazobactam IV 4.5g tds, then step down to co-trimoxazole PO

Question 4

In relation to spontanous bacterial peitonitis (5-7 days): for mild disease what would the treatment be?

Answer 4

co-triamoxazole PO