hospital antibiotic man

Question 1

how do you treat meningitis?

Answer 1

ceftrixone IV plus Dexamethasone IV

Question 2

if encephalitis is suspected what do you add when treating meningitis?

Answer 2

acyclovir IV

Question 3

if the patient has meningitis and is immunocompromised or >60 years what do you add?

Answer 3

amoxicillin IV

Question 4

how do you treat epiglottis/supraglottitis?

Answer 4

ceftrixone IV

Question 5

how do you treatment mild/moderate CAP?

Answer 5

amoxicillin IV/PO

Question 6

if someone is penicillin allergic how d you treat mild/moderate CAP?

Answer 6

doxycycline PO

Question 7

how do you treat severe 3-5 CAP?

Answer 7

co-amoxiclav IV plus doxycycline IV

Question 8

penicillin allergic severe CAP?

Answer 8

levofloxacin IV

Question 9

ICU/HDU or NBM CAP?

Answer 9

co-amoxiclav IV plus clarithromycin IV

Question 10

what is the step down treatment for severe CAP?

Answer 10

doxycycline

Question 11

non-severe HAP?

Answer 11

po amoxilicin

Question 12

non-severe HAP penicillin allergic?

Answer 12

doxycycline

Question 13

severe HAP

Answer 13

IV amoxicillin and gentamicin

Question 14

Severe HAP penicillin allergic?

Answer 14

IV co-trimoxazole and gentamicin

Question 15

what is the step down for severe HAP?

Answer 15

PO co-trimoxazole

Question 16

what is the treatment of aspiration pneumonia?

Answer 16

PO amoxicillin plus metronidazole

Question 17

penicillin allergic aspiration pneumonia?

Answer 17

doxycycline PO and metronidazole

Question 18

severe aspiration pneumonia?

Answer 18

IV amoxicillin and metronidazole and gentamicin

Question 19

severe aspiration pneumonia penicillin allergic?

Answer 19

PO doxycycline or IV clarithromicin plus metronidazole plus gentamicin

Question 20

step down severe aspiration pneumonia?

Answer 20

PO amoxicillin plus metronidazole

Question 21

step down severe aspiration pneumonia (penicillin allergic)

Answer 21

PO doxycycline plus metronidazole

Question 22

exacerbation of COPD

Answer 22

amoxicillin - 1st line

2nd line - doxycycline

Question 23

when do you give antibiotics for COPD?

Answer 23

if increased sputum purulence or consolidation on CXR

Question 24

acute cough/bronchitis

Answer 24

1st line - amoxicillin

2nd line - doxycycline

Question 25

when do you consider antibiotics for acute cough/bronchitis?

Answer 25

in the frail elderly

Question 26

native valve endocarditis indolent (subacute)

Answer 26

amoxicillin IV plus gentamicin 1mg/kg

Question 27

native valve severe sepsis (acute)

Answer 27

flucloxacillin IV

Question 28

prosthetic valve or suspected MRSA

Answer 28

vancomycin IV plus gentamicin IV

Question 29

when therapeutic vancomycin levels reached with endocardiditic (prosthetic value or suspected MRSA)

Answer 29

add rifampicin PO

Question 30

C.diff non-severe

Answer 30

metronidazole PO

Question 31

C.diff severe

Answer 31

vancomycin PO +/- IV metronidazole

Question 32

peritonitis/biliary tract/intra-abdominal

Answer 32

IV amoxicillin plus metronidazole plus gentamicin

Question 33

step down peritonitis/biliary tract/intra-abdominal

Answer 33

PO co-trimoxazole plus metronidazole

Question 34

penicillin allergy peritonitis/biliary tract/intra-abdominal

Answer 34

IV vancomycin plus metronidazole plus gentamicin

Question 35

step down penicillin allergy peritonitis/biliary tract/intra-abdominal

Answer 35

PO co-trimoxazole plus metronidazole

Question 36

proven spontaneous bacterial peritonitis mild disease

Answer 36

co-trimoxazole PO

Question 37

proven spontaneous bacterial peritonitis severe disease

Answer 37

piperacillin/Tazobactam IV

Question 38

step down proven spontaneous bacterial peritonitis severe disease

Answer 38

co-trimoxazole

Question 39

in which patients do you not do urinalysis, and treat unless there are clinical signs/symptoms of infection

Answer 39

catheterized patients and older patients

Question 40

if definite infection in catheterized patient

Answer 40

treat as complicated UTI

Question 41

complicated UTI/pyelonephritis/urosepsis

Answer 41

IV amoxicillin plus gentamicin

Question 42

penicillin allergy complicated UTI/pyelonephritis/urosepsis

Answer 42

IV co-trimoxazole plus gentamicin

Question 43

step down complicated UTI/pyelonephritis/urosepsis

Answer 43

PO co-trimoxazole

Question 44

uncomplicated female lower UTI

Answer 44

nitrofurantoin or trimethoprim 3 days

Question 45

uncatheterised male UTI

Answer 45

nitrofurantoin or trimethoprim (7days)

Question 46

cellulitis

Answer 46

flucloxacillin

Question 47

penicillin allergy cellulitis

Answer 47

doxycycline

Question 48

open fracture prophylaxis (including hand injuries)

Answer 48

IV Co-amoxiclav or IV co-trimoxazole plus metronidazole

Question 49

diabetic foot infection mild

Answer 49

flucloxacillin or doxycycline

Question 50

diabetic foot infection moderate

Answer 50

flucloxacillin plus metronidazole or doxycycline plus metronidazole

Question 51

acute septic arthritis/osteomyelitis

Answer 51

IV flucloxacillin

Question 52

severe systemic infection source unknown

Answer 52

IV amoxicillin plus metronidazole plus gentamicin

Question 53

penicillin allergy severe systemic infection source unknown

Answer 53

IV vancomycin plus metronidazole plus gentamicin