Infection - Antibiotic Guidelines For ENT, Skin And GI Flashcards
Recommended treatment for throat infections
Pen V (phenoxymethylpenicillin) or erythromycin alone if pen allergic
Recommended treatment for sinusitis
- Sx <10 days: do not offer ABX as most resolve in 14 days without Tx
- Sx > 10 days and have purulent nasal discharged, fever, severe localised unilateral pain, marked deterioration: delayed Pen V prescription
- If systemically very unwell or more serious signs and Sx: Pen V, or doxy/clarithromycin if Pen allergic.
Recommended treatment for otitis media
-Amoxicillin or erythromycin if pen allergic
Recommended treatment for otitis externa
1st line: analgesia for pain relief and apply localised heat
2nd line: topical acetic acid (2%) or topical antibiotic (Neomycin sulphate) with corticosteroid
*If cellulitis or disease extends out of ear canal: flucloxacillin
Recommended treatment for periapical or periodontal abscess
-Amoxicillin
Recommended treatment for gengivitis (acute/necrotising/ulcerative)
-metronidazole
Recommended treatment for impetigo
-topical fusidic acid or oral flucloxacillin or erythromycin if widespread
Recommended treatment for cellulitis
-Flucloxacillin (clarithromycin our clindomycin if pen allergic)
Recommended treatment for erysipelas
-Pen V or erythromycin
Recommended treatment for animal/human bite
-Co-Amoxiclav or doxycycline + metronidazole if pen allergic
Recommended treatment for mastitis during breast feeding
-fluclox
Clostridium difficile
- 1st episode: metronidazole
- Severe/tu Pre 027/recurrent: oral vancomycin
Campylobacter enteritis
-Clarithromycin
Salmonella (non-typhoid)
-Ciprofloxacin)
Shigellosis
-Ciprofloxacin
Threadworm
- Treat all household contacts at same time
- Advice hygiene measures for 2 weeks (hand hygiene, pants at night, morning shower including perinatal area).
- Child > 6 months: Mebendazole
- Child < 6 months: hygiene measures alone for 6 weeks
