Hospital pneumonia

Question 1

In mild/moderate community acquired pneumonia, what antibiotics should be used?

Answer 1

Amoxicillin 1g tds for 7 days (PO/IV)

Doxycycline 200mg then 100mg od

Question 2

In severe community acquired pneumonia, what antibiotics should be used?

Answer 2

Co-amoxiclav IV & clarithromycin IV or doxycycline
Levofloxacin if penicillin allergic
Step down to doxycycline in all severe CAP

Question 3

In severe hospital acquired or aspiration pneumonia, what antibiotics should be used?

Answer 3

IV gentamicin & amoxicillin & metronidazole

Step down to co-amoxiclav

Question 4

In non-severe hospital acquired or aspiration pneumonia, what antibiotics should be used?

Answer 4

Amoxicillin & metronidazole for 7 days

Question 5

In an acute exacerbation of COPD, what antibiotics should be used?

Answer 5

1st line amoxicillin 500mg

2nd line doxycycline 200mg then 100mg daily for 5 days

Question 6

In endocarditis, what antibiotics should be used in a patient with a native valve affected? (Subacute/non-severe)

Answer 6

Amoxicillin & gentamicin IV

Question 7

In endocarditis, what antibiotics should be used in a patient with a native valve affected? (Acute/sepsis)

Answer 7

Flucloxacillin IV

Question 8

In endocarditis, what antibiotics should be used in a patient with a prosthetic valve affected? (Same for suspected MRSA)

Answer 8

Vancomycin IV & Rifampicin 600mg PO bd & Gentamicin IV

Question 9

In a non severe infection with C. difficile, what antibiotics should be used?

Answer 9

Metronidazole PO 400mg tds

Question 10

In a severe infection with C. difficile, what antibiotics should be used?

Answer 10

Vancomycin 125mg qds (PO/NG)

consider adding IV metronidazole

Question 11

In patients suffering from peritonitis/biliary tract/intra-abdominal infection, what antibiotics should be used?

Answer 11

IV amoxicillin & metronidazole & gentamicin

If penicillin allergic - IV vancomycin & metronidazole & gentamicin