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

Answer 2

1st line amoxicillin 500mg 2nd line doxycycline 200mg then 100mg daily for 5 days

Question 3

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

Answer 3

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

Question 4

In non-severe hospital acquired what antibiotics should be used? (ETG 2023)

Answer 4

Augmentin

High severity: pip-taz

Question 5

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

Answer 5

Benpen + fluclox + gentamicin IV

Question 6

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

Answer 6

Benpen Fluclox Gent

Question 7

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

Answer 7

Fluclox

Vanc

Gent

Question 8

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

Answer 8

Metronidazole PO 400mg tds

Question 9

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

Answer 9

Vancomycin 125mg qds (PO/NG) (consider adding IV metronidazole)

Question 10

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

Answer 10

IV amoxicillin & metronidazole & gentamicin If penicillin allergic - IV vancomycin & metronidazole & gentamicin