Infection - Prescribing Pathways Flashcards
What is the first line tx for human and animal bites?
duration for tx and prophylaxis
- co-amoxiclav
- tx - 5dy
- prophylaxis - 3dy
What is the second line tx for human and animal bites?
duration for tx and prophylaxis
- doxycycline + metronidazole
- tx - 5dy
- prophylaxis - 3dy
what do you use to tx human and animal scratches?
flucloxacillin
what is 1st line for tick bites (lyme disease)
dose and duration
- doxycycline
- 100mg BD 21dy
what is 2nd line for tick bites (lyme disease)
dose and duration
- amoxicillin
- 1g TDS 21dy
1st line for diabetic foot infection less than 2cm
flucloxacillin
2nd line or penicilin allergy for diabetic foot infection less than 2cm
3 option
- clarithyromycin
- erythromycin
- doxycycline
1st line for diabetic foot infection - severe abscess or oestomyelitis
1st and 2nd line
1) flucloxacillin
2) co-amox +/- gentamicin
2nd line or pen allergy for diabetic foot infection - severe abscess or oestomyelitis
co-trimoxazole +/- gentamicin
1st line for cellulitis
flucloxacillin
tx for cellulitis if pen allergy or if flucloxacillin unsuitable
4 options
- clarithyromycin
- erythromycin
- doxycycline
- co-amox
tx if infection near nose/eyes
co-amox
tx if infection near nose/eyes + pen allergy
clarithromycin + metronidazole
tx for low severity community acquired pneumonia
1st and 2nd line
1) amox
2) doxy / clarithy / erytho
tx for moderate severity community acquired pneumonia
1st and 2nd line
1) amox
2)amox + clarith
tx for high severity community acquired pneumonia
1st and 2nd line
1) co-amox + clarith
2) levofloxacin
c.diff tx
1st, 2nd line and life threatening
1) vancomycin
2) fidaxomicin
- life threatening = vanco + iv metronidazole
travellers diarrhoea standby tx
azithromycin
travellers diarrhoea prophylaxis tx
bismuth subsalicylate