GI INFECTIONS

Question 1

How do you treat Gastro-enteritis?

Answer 1

No need to
- self-limiting
- Abx are not indicated
- stomach bug - usually caused by norovirus
- Diarrhoea and vomiting

Question 2

How do you treat
Campylobacter enteritis?

Answer 2

• They are frequently self-limiting (they are common causes of “Food poisoning”)
• But treat if patient is
  immunocompromised or its a severe infection
  1. Clarithromycin (or Azithro or Erythro)
  2. Alternative is Ciprofloxacin

Question 3

When and how would you treat Salmonella?

Answer 3

• Treat ONLY invasive or severe infection
• Those at risk of getting invasive infections are
  immunocompromised patients, those with haemoglobinopathy or children < 6 months
• Give Ciprofloxacin OR
  Cefotaxime

Question 4

How do you treat Shigellosis?

Answer 4

Antibacterials not indicated for mild cases
1. Ciprofloxacin OR
Azithromycin if indicated
Alternative if micro-organism sensitive:
- Amoxicillin OR
- Trimethoprim

Question 6

How do you treat
Typhoid fever?

Answer 6

1. Cefotaxime (or Ceftriazone)
   - Alternative is Azithromycin or
   Ciprofloxacin

Question 7

How do you treat peritonitis?

Answer 7

• Cephalosporin +
  Metronidazole
  OR
• Gentamicin + Metronidazole
  OR
• Gentamicin + Clindamycin
  OR
• Pip w taz

Question 7

How do you treat
Billiary-tract infection?

Answer 7

• Ciprofloxacin
  OR
• Gentamicin
  OR
• Cephalosporin