I&D Flashcards
COPD Exacerbations
Amoxicillin/Tetracycline/Clarithromycin
CAP
Amoxicillin (Doxycycline or Clarithromycin if pen allergic)
CAP (if Staph suspected)
Add Flucloxacillin
Atypical CAP
Clarithromycin
HAP (within 5 days of admission)
Co-Amoxiclav and Cefuroxime
HAP (not within 5 days of admission)
Piperacillin/Tazobactam, Ceftazidime or Ciprofloxacin
LUTI
Trimethoprim/Nitrofurantoin/Amoxicillin/Cephalosporin
Acute Pyelonephritis
Broad Spectrum Cephalosporin/Quinolone
Acute Prostatitis
Quinolone/Trimethoprim
Impetigo
Topical Fusidic Acid, PO Flucloxacillin or Erythromycin if widespread
Cellulitis
Flucloxacillin (Clarithromycin or Clindamycin if pen allergic)
Erysipelas
Phenoxymethylpenicillin (Erythromycin if pen allergic)
Animal/Human Bite
Co-Amoxiclav (Doxycycline + Metronidazole if pen allergic)
Mastitis
Flucloxacillin
Throat Infections
Phenoxymethylpenicillin (Erythromycin if pen allergic)
Sinusitis
Amoxicillin/Doxycycline/Erythromycin
Otitis Media
Amoxicillin (Erythromycin if pen allergic)
Otitis Externa
Flucloxacillin (Erythromycin if pen allergic)
Periapical/Periodontal Abscess
Amoxicillin
Gingivitis
Metronidazole
Gonorrhoea
IM Ceftriaxone + PO Azithromycin
Chlamydia
Doxycycline or Azithromycin
Pelvic Inflammatory Disease
PO Ofloxacin + PO Metronidazole or IM Ceftriaxone + PO Doxycycline + PO Metronidazole
Syphilis
Benzathine Benzylpenicillin or Doxycycline or Erythromycin
Bacterial Vaginosis
PO/Topical Metronidazole
Topical Clindamycin
Trichomonas Vaginalis
PO Metronidazole 5-7 days
Clostridium difficile
1st - Metronidazole
2nd - Vancomycin
Campylobacter
Clarithromycin
Salmonella/Shigella
Ciprofloxacin
Bacterial Conjunctivitis
Topical Chloramphenicol
Meningitis (community acquired)
Benzylpenicillin IM + Hospital Admission
Meningitis (hospital acquired)
Ceftriaxone IV
Meningitis (if encephalitis possible)
Add Aciclovir
Meningitis (if pneumococcus likely)
Add Dexamethasone
Meningitis (if listeria possible)
Add Ampicillin/Amoxicillin
Meningitis (if pen allergic)
IV Chloramphenicol
Neutropaenic Sepsis (1st line)
Piperacillin/Tazobactam + Gentamicin
Neutropaenic Sepsis (If no response in 48 hours)
- Escalate to Meropenem
- Add Teicoplanin (for Staph cover)
- Add anti-fungal (if immunocompromise)
Endocarditis (1st line)
Amoxicillin + Gentamicin
Endocarditis (viridians group strep)
Benzylpenicillin + Gentamicin
Endocarditis (IVDUs)
Flucloxacillin
Endocarditis (prosthetic valve)
Teicoplanin + Gentamicin + Rifampicin
Endocarditis (pen allergic)
Teicoplanin + Gentamicin
Traveller’s Diarrhoea (Africa/Middle East)
Ciprofloxacin
Traveller’s Diarrhoea (Asia)
Azithromycin
Traveller’s Diarrhoea (Giardia)
Metronidazole
Peritonitis
1st Line - Cefuroxime + Metronidazole
Pen allergic - Ciprofloxacin + Metronidazole
Cholecystitis
1st Line - Co-Amoxiclav
Pen allergic - Ciprofloxacin + Metronidazole
If severe - Cefuroxime + Metronidazole
Diverticulitis
1st Line - Co-Amoxiclav
Pen allergic - Ciprofloxacin + Metronidazole
If severe - Cefuroxime + Metronidazole
Necrotising Fasciitis
Benzylpenicillin + Ciprofloxacin + Clindamycin
Septic Arthritis
1st Line - Flucloxacillin + Sodium Fusidate
Pen allergic - Clindamycin
Osteomyelitis
1st Line - Flucloxacillin + Sodium Fusidate
Pen allergic - Clindamycin