ID Flashcards
who gets urine culture sent off for UTI
send a urine culture if:
aged > 65 years
visible or non-visible haematuria
acute pylenonephritis antibiotics
send urine culture
Non pregnant oral:
Cefalexin= 1st line
Co-amoxiclav (only if urine culture says)
Trimethoprim (only if
culture results available
and susceptible)
Ciprofloxacin (only
if other first-choice
antibiotics are
unsuitable)
Pregnant= cefalaxine oral
Pneumocystis jiroveci penumonia antibiotics
co trimoxazole oral ( mix of trimethoprim and sulfamethoxazole )
severe= IV pentamidine
chlamydia treatment in pregnancy
Azithromycin, erythromycin or amoxicillin
doxy is CI due to potential tooth discolouration and fetal bone growth restriction
most common cause of travellers diarrhoea?
E. Coli
Common amongst travellers
Watery stools
Abdominal cramps and nausea
organism
E Coli
Prolonged
non-bloody diarrhoea
organism
Giardisis
Profuse, watery diarrhoea
Severe dehydration resulting in weight loss
Not common amongst travellers
organism
Cholera
Bloody diarrhoea
Vomiting and abdominal pain
Organism
Shigella
A flu-like prodrome is usually followed by crampy abdominal pains, fever and diarrhoea which may be bloody
May mimic appendicitis
organism
Campylobacter
Two types of illness are seen
-vomiting within 6 hours, stereotypically due to rice
-diarrhoeal illness occurring after 6 hours
organism
Bacillus ceures
Gradual onset bloody diarrhoea, abdominal pain and tenderness which may last for several weeks
organism
amoibiasis
pneumonia associted with cold sores
strep pneumonia
pneumonia after influenza
organism
staph aureus
management of cellulitis
pregnant + non pregnant
No systemic upset:
1st= flucloxacillin
2nd= oral clarithromycin, erythromycin (in pregnancy) or doxycycline
systemic upset:
admit + oral/IV co-amoxiclav, oral/IV clindamycin, IV cefuroxime or IV ceftriaxone
vomiting within 4 hours of being at a new restaurant
what organism
staph aureus
OR
Baccilus (vomiting subtype)
-both rly short incubation period 1-6 hours
screening test for HIV
Combination tests
-HIV p24 antigen and HIV antibody
if positive should be repeated to confirm
Meningococcal meningitis
best antibiotics?
benzylpenicillin or ceftriaxone
organism Necrotising fascitis
strep pyogenes
management necrotising fascitis
urgent surgical debridement + IV antibiotics
management gonorrohoea
1st= IM ceftriaxone
f ceftriaxone is refused (e.g. needle-phobic) then:
oral cefixime 400mg (single dose) + oral azithromycin 2g (single dose)
