Infection 3 Flashcards
Treatment of GI infection
1st episode
2nd episode
1st Metronidazole
2nd vancomycin
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What is contraindicated in patients with C.diff
Loperamide
Endocarditis treatment
+ What do add in MRSA resistant
+ What to add in Staphylococci
+ Benzylpenicillin
Amoxicillin +/- gentamycin
MSRA: Vancomycin
Staphylococci : Flucloxacillin
Streptococci : Benzylpenillcin
Respiratory tract infection treatment CAP + length
- Low severity
- Moderate
- High severity
If staph
In strep
CAP (7) days (14-21) in Staph
Low severity: Amoxicillin
Moderate severity: Amoxicillin + Clarithromycin
High severity: Benzylpenicllin + Clarithromycin
If STAPH – flucloxacillin
If STREP – Benzylpenicillin
If MRSA – vancomycin
Respiratory tract infection treatment HAP + length
- Less than 5 days
- More than 5 days
Early onset <5 days severe onset > 5 days
- Early onset: Co-amoxiclav / Cefuroxime
- Severe : antipseudomonal penicillin or broad spec cephalosporins or quinolone
Treatment for Meningitis / Meningococcal / Septicaemia
Benzylpenicillin
Cefotaxime (in pen allergy)
Chloramphenicol (if immediate pen allergy
Osteomyelitis treatment first line
Flucloxacillin
Osteomyelitis treatment in penicillin allergy
Clindamycin
What to give in eye infection
Chloramphenicol
What to give in Impetigo
Fusidic acid + Flucloxacillin
What to give in Cellulitis
Flucloxacillin
What to give in Animal / Human bites
Co-amoxiclav or Doxycycline + Metronidazole
What to give in MRSA (skin and soft tissue)
Tetracyclines / Sodium fusidate + rifampicin/ clindamycin
What to give for oral treatment options
Metronidazole 200mg TDS
What to give for sore throat and what to do if severe and what would you give for people with pen allergy q
Phenoxymethylpenicillin , if severe start with benzylpenicillin .
For pen allergy give clarithyromycin
What to give for Sinusitis
Amoxicillin
What to give for Otis externa
Flucloxacillin
What to give for Otis Media
Amoxicillin
TB treatment Phase 1 + length
RIPE 2 months Rifampicin Isonizaid Pyrazinamide Ethambutol
What is the patient counselling for Rifampicin Isoniazid Pyrazinamide Ethambutol
Rifampicin: enzyme inducter
Colours contact lenses look for hepatotoxicity
Isoniazid
Enzyme inhibitor , look out for signs of hepatotoxicity and it causes Peripheral Neuropathy
Pyrazinamide
Hepatotoxicity
Ethambutol
counselling: Visual changes report immediately
TB treatment Phase 2 + length
RI
4 months
Side effects of Ampthoterin
Fatal hepatotoxicity
Anaphylaxis with IV prep
Brand specific
Side effect of Itraconazole
Hepatotoxicity + Heart failure
Side effect of Ketoconazole
Fatal hepatotoxicity
Side effect of Voriconazole
Photosensitivity and hepatotoxicity
What to give for oral thrush
Nystatin / Miconazole
What to give for vulva or vaginal thrush
Clarithromycin / Fluconazole
What do you give for Tinea Miconazole
Clotrimazole or Terbinafine
What do you give for Fungal nail infection
Amorolfine
Oseltamivir
When do you use it
What group of people is most at risk of side effects
When do you start treatment
- Herpes Prophylaxis of influenza reduces symptoms by one day
- Over 65+.
- Start with 48 hours of symptoms or without symptoms on exposure
BITE prevention (5)
- NETS
- DEET 20-50%
- Long sleeves and trousers
- Sunscreen first then DEET
