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Infectious Diseases > Hospital Antibiotic Man > Flashcards

Hospital Antibiotic Man Flashcards

1
Q

Meningitis In adult treatment

A

IV Ceftriaxone + IV dexametnasone

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2
Q

Meningitis + encephalitis suspected treatment

A

IV ceftriaxone + dexmethasone + IV aciclovir

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3
Q

Meningitis + >60/immunocompromised

A

Ceftriaxone + dexamethasone + amoxicillin

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4
Q

Epiglottitis/supraglottitis

A

IV Ceftriaxone

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5
Q

Curb 65 stands for…

A 
Confusion
Urea > 7
Reps rate increased
BP dropped
> 65
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6
Q

Community acquired pneumonia mild-moderate (CURB65 0-2)

A

Amoxicillin TDS IV/P.O.

Pen allergic - doxycycline

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7
Q

Community acquired pneumonia severe (CURB65 3-5)

A

IV co-amoxiclav + P.O. doxycycline

Pen allergic - levofloxacin

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8
Q

Community acquired pneumonia severe (CURB65 3-5) ICU/HDU

A

IV co-amoxiclav + clarithromycin

Pen allergic - levofloxacin

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9
Q

Total time IV/P.O. treatment hospital acquired pneumonia

A

7 days

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10
Q

Non-severe hospital acquired pneumonia

A

PO Amoxicillin
Pen allergic - doxycline
5 days

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11
Q

Severe hospital acquired pneumonia

A

IV amoxicillin + gentamicin

Pen allergic - IV co-trimoxazole + gentamicin

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12
Q

Step down hospital acquired pneumonia

A

Co-trimoxazole

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13
Q

Non-severe aspiration pneumonia

A

PO amoxicillin + metronidazole

Pen allergic - doxycycline

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14
Q

Severe aspiration pneumonia

A

IV amoxicillin + metronidazole + gentamicin

One allergic - doxycylcine/clarithromycin

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15
Q

Step down severe aspiration pneumonia

A

PO amoxicillin + metronidazole

Pen allergic - doxycycline

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16
Q

When to give antibiotics in acute exacerbation of COPD

A

Increased sputum or consolidation on CXR

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17
Q

1st line treatment exacerbation pneumonia

A

Amoxicillin

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18
Q

2nd line exacerbation COPD

A

Doxycycline

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19
Q

Acute cough/bronchitis when to treat

A

Abx shown no clinical benefit but may be given in frail/elderly

20
Q

Acute cough/bronchitis treatment 1st line

A

Amoxicillin

21
Q

Acute cough/bronchitis 2nd line treatment

A

Doxycycline

22
Q

Subacute native valve endocarditis

A

IV amoxicillin + IV gentamicin

23
Q

Acute native valve indolent endocarditis

A

IV flucloxacillin

24
Q

Prosthetic valve endocarditis or MRSA suspected

A

IV vancomycin + IV gentamicin

once therapeutic levels of vancomycin reached change to rifampicin

25
Q

Non-severe c diff

A

Metronidazole

26
Q

Severe c diff

A

Vancomycin P.O./NG +/- IV metronidazole

27
Q

Peritonitis/biliary tract/infra-abdominal

A

IV amoxicillin + gentamicin + metronidazole

Pen allergic - IV vancomycin + gentamicin + metronidazole

28
Q

Peritonitis/biliary tract/infra-abdominal step down

A

Co-trimoxazole + metronidazole

Pen allergic -

29
Q

Acute gastroenteritis

A

None

Seek advice

30
Q

Acute pancreatitis

A

Antibiotics unlikely to affect outcome, seek advice.

31
Q

Proven spontaneous bacterial peritonitis mild disease

A

Co-trimoxazole PO

32
Q

Proven spontaneous bacterial peritonitis severe disease

A

Piperacillin/tazobactam

Step down - co-trimoxazold

33
Q

UTI catheterised patient

A

No treatment unless symptomatic, if symptomatic treat as complicated

34
Q

UTI in older adults

A

Do not treat unless symptomatic

35
Q

Pyelonephritis/complicated UTI/urosepsis

A

IV amoxicillin + gentamicin

Pen allergic - co-trimoxazole + gentamicin

36
Q

Pyelonephritis/complicated UTI/urosepsis step down

A

P.O. co-trimoxazole

37
Q

Uncomplicated female lower UTI

A

Nitrofurantoin or trimethoprim 3 days

38
Q

Uncatheterised male UTI

A

Nitrofurantoin or trimethoprim 7 days

39
Q

Cellulitis

A

Flucloxacillin

Pen allergic - doxycycline

40
Q

Open fracture prophylaxis

A

IV co-amoxiclav
Or IV co-trimoxazole + metronidazole
Start within 3 hours for max 72 hours

41
Q

Mild diabetic foot infection

A

Flucloxacillin or doxycycline

7 days

42
Q

Moderate diabetic foot infection

A

Flucloxacillin + metronidazole
Or doxycycline + metronidazole
7 days

43
Q

Acute septic arthritis/osteomyelitis

A

Seek advice

IV flucloxacillin

44
Q

SEPSIS of unknown source

A

IV amoxicillin + metronidazole + gentamicin

Pen allergic - IV vancomycin + metronidazole + gentamicin

45
Q

SEPSIS unknown cause + IVDU

A

IV amoxicillin + metronidazole + gentamicin + flucloxacillin

Infectious Diseases (3 decks)

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