Hospital Antibiotics Flashcards
Meningitis
Ceftriaxone IV + Dexamethasone IV
Epiglottitis/supraglottitis
Ceftriaxone IV
Mild-moderate community acquired pneumonia (CURB65 0-2)
Amoxicillin IV/PO
Mild-moderate community acquired pneumonia (CURB65 0-2) when penicillin allergic
Doxycycline PO OR clarithromycin IV if NBM
Severe community acquired pneumonia (CURB65 3-5)
Co-amoxiclav IV + Doxycycline
Severe community acquired pneumonia (CURB65 3-5) when penicillin allergic
IV Levofloxacin
Non-severe aspiration pneumonia
PO Amoxicillin + Metronidazole
Severe aspiration pneumonia
IV Amoxicillin + Metronidazole + Gentamicin
Non-severe aspiration pneumonia with penicillin allergy
PO Doxycycline + Metronidazole
Severe aspiration pneumonia with penicillin allergy
PO Doxycycline OR IV clarithromycin + metronidazole + gentamicin
Acute exacerbation of COPD / acute cough / acute bronchitis
Amoxicillin
Acute exacerbation of COPD with penicillin allergy / acute cough / acute bronchitis
Doxycycline
Subacute endocarditis with native valve
Amoxicillin IV + Gentamicin
Endocarditis with prosthetic valve or suspected MRSA
Vancomycin IV + Gentamicin IV + Rifampicin PO
Septic endocarditis with native valve
Flucloxacillin IV
Non-severe C.diff
Metronidazole PO
Severe C.diff
Vancomycin PO/IV
Peritonitis / biliary tract / intra-abdominal
IV Amoxicillin + Metronidazole + Gentamicin
Peritonitis / biliary tract / intra-abdominal with penicillin allergy
IV Vancomycin + Metronidazole + Gentamicin
Non-severe hospital acquired pneumonia
PO Amoxicillin
Severe hospital acquired pneumonia
IV Amoxicillin + Gentamicin
Non-severe hospital acquired pneumonia with penicillin allergy
Doxycycline
Severe hospital acquired pneumonia with penicillin allergy
IV Co-trimoxazole + Gentamicin
Complicated UTI / pylonephritis / urosepsis
IV Amoxicillin + Gentamicin
Complicated UTI / pylonephritis / urosepsis with penicillin allergy
IV Co-trimoxazole + Gentamicin
Uncomplicated female UTI
Nitrofurantoin or Trimethoprim
Uncatheratised male UTI
Nitrofurantoin or Trimethoprim
Cellulitis
Flucloxacillin
Cellulitis with penicillin allergy
Doxycycline
Open fracture prophylaxis
Co-amoxiclav OR co-trimoxazole + metronidazole
Acute septic arthritis / oestomyelitis
IV Flucloxacillin
Severe systemic infection
IV Amoxicillin + Metronidazole + Gentamicin
Severe systemic infection with penicillin allergy
IV Vancomycin + Metronidazole + Gentamicin
Step-down for severe CAP
Doxycycline 100mg bd
Total IV/PO length of treatment for mild/moderate CAP
5 days
Total IV/PO length of treatment for severe CAP
7 days
Step-down for severe HAP
PO Co-trimoxazole
Total IV/PO length of treatment for severe HAP
7 days
Total IV/PO length of treatment for non-severe HAP
5 days
Length of treatment for both non-severe and severe c.diff
10 days
Step-down for peritonitis/biliary tract/intra-abdominal
PO Co-trimoxazole + Metronidazole
Step-down for complicated UTI/pylonephritis/urosepsis
PO Co-trimoxazole
Total IV/PO length of treatment for complicated UTI/pylonephritis/urosepsis
7 days