General Antibiotic Guidelines Flashcards
Exacerbations of chronic bronchitis
Amoxicillin or Doxycycline or Clarithromycin
Uncomplicated community-acquired pneumonia
Amoxicillin or Doxycycline
add Flucloxacillin if Staph Aureus
Atypical Pneumonias
Clarithromycin
Pseudomonas exacerbation of COPD
Ciprofloxacin
Lower UTI
Trimethropin or Nitrofurantion
Amoxicillin if 3rd trimester
Acute Pyelonephritis
Primary Care - Co-Trimoxazole or Co-Amoxiclav
Secondary Care - Amoxicillin + Gentamicin Pen allergy = ( Co-Trimoxazle + Gentamicin )
Acute Prostatitis
Ciprofloxacin 28 days
Trimethropin if high C.Diff risk
Impetigo
Topical hydrogen peroxide -> fusidic acid
Oral flucloxacillin or erythromycin if widespread
Cellulitis or erysipelas
Flucloxacillin (clarithromycin, erythromycin or doxycycline if penicillin-allergic)
Cellulitis - near eye or nose
Co-amoxiclav (clarithromycin, + metronidazole if penicillin-allergic)
Animal or human bite
Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)
Throat infection
Phenoxymethylpenicillin (erythromycin alone if penicillin-allergic)
Sinusitis
Phenoxymethylpenicillin
Acute Otitis Media
Amoxicillin (erythromycin if penicillin-allergic)
Otitis Externa
Flucloxacillin (erythromycin if penicillin-allergic
Periapical or periodontal abscess
Amoxicillin
Gonorrhoea
Intramuscular ceftriaxone
Chlamydia
Doxycycline or azithromycin
PID
Oral ofloxacin + oral metronidazole or intramuscular ceftriaxone + oral doxycycline + oral metronidazole
Syphilis
Benzylpenicillin or doxycycline or erythromycin
Campylobacter
Clarithromycin
Salmonella or Shigellosis
Ciprofloxacin
Patient refuses IM ceftriaxone in Gonorrhoea
Oral cefixime + Oral azithromycin