Infection - Prescribing Pathways Flashcards

1
Q

What is the first line tx for human and animal bites?

duration for tx and prophylaxis

A
  • co-amoxiclav
  • tx - 5dy
  • prophylaxis - 3dy
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2
Q

What is the second line tx for human and animal bites?

duration for tx and prophylaxis

A
  • doxycycline + metronidazole
  • tx - 5dy
  • prophylaxis - 3dy
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3
Q

what do you use to tx human and animal scratches?

A

flucloxacillin

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4
Q

what is 1st line for tick bites (lyme disease)

dose and duration

A
  • doxycycline
  • 100mg BD 21dy
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5
Q

what is 2nd line for tick bites (lyme disease)

dose and duration

A
  • amoxicillin
  • 1g TDS 21dy
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6
Q

1st line for diabetic foot infection less than 2cm

A

flucloxacillin

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7
Q

2nd line or penicilin allergy for diabetic foot infection less than 2cm

3 option

A
  • clarithyromycin
  • erythromycin
  • doxycycline
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8
Q

1st line for diabetic foot infection - severe abscess or oestomyelitis

1st and 2nd line

A

1) flucloxacillin
2) co-amox +/- gentamicin

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9
Q

2nd line or pen allergy for diabetic foot infection - severe abscess or oestomyelitis

A

co-trimoxazole +/- gentamicin

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10
Q

1st line for cellulitis

A

flucloxacillin

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11
Q

tx for cellulitis if pen allergy or if flucloxacillin unsuitable

4 options

A
  • clarithyromycin
  • erythromycin
  • doxycycline
  • co-amox
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12
Q

tx if infection near nose/eyes

A

co-amox

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13
Q

tx if infection near nose/eyes + pen allergy

A

clarithromycin + metronidazole

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14
Q

tx for low severity community acquired pneumonia

1st and 2nd line

A

1) amox
2) doxy / clarithy / erytho

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15
Q

tx for moderate severity community acquired pneumonia

1st and 2nd line

A

1) amox
2)amox + clarith

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16
Q

tx for high severity community acquired pneumonia

1st and 2nd line

A

1) co-amox + clarith
2) levofloxacin

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17
Q

c.diff tx

1st, 2nd line and life threatening

A

1) vancomycin
2) fidaxomicin
- life threatening = vanco + iv metronidazole

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18
Q

travellers diarrhoea standby tx

A

azithromycin

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19
Q

travellers diarrhoea prophylaxis tx

A

bismuth subsalicylate

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20
Q

tx of otitis media

1st, 2nd line 3rd if unsuitable

A

1) amox
2) co-amox
3) clarith/erytho if allergy

21
Q

tx of otitis externa

1st, 2nd line and systemic

A

1) acetic acid 2%
2) topical neomycin + corticosteriod
- systemic = fluclox

22
Q

h.plyori tx

A

triple therapy
- PPI
- amox 1g BD
- metronidazole 400mg BD
- clarithromycin 500mg BD

23
Q

what do you not give omeprazole with

A

clopidogrel

24
Q

how do you diagnose h.pylori

and when not to give it

A
  • urea 13C breath test
  • x 2WK after PPI
  • x 4WK after antibiotics
25
Q

non-severe hospital acquired pneumonia tx

1st and 2nd line for adults and children

A

1) co-amox
2) adults doxycl, cefalexin, co-trimox or levofloxacin
2) child clarithromycin

26
Q

impetigo localised non-bullous

1st and 2nd line

A

1) hydrogen peroxide
2) fusidic acid or mupirocin 2%

27
Q

impetigo wide spread non-bullous

1st and 2nd line

A

1) fusidic acid
2) mupirocin

28
Q

impetigo bullous or systemically unwell

1st and 2nd line

A

1) flucloxacillin
2) clarithyr

29
Q

lower uti men

1st and 2nd line and duration

A

1) nitrofurantoin
2) trimethoprim
- for 7DY

30
Q

lower uti non preg

1st and 2nd line and duration

A

1) nitrofurantoin or trimethoprim
2) pivmecillinam or fosfomycin
if uncomplicated 3DY

31
Q

lower uti pregn

1st and 2nd line and duration

A

1) nitrofurantoin (if egfr >45)
2) cefalexin or amox
7DY tx

32
Q

what causes strep throat and scarlet fever and what is the tx?

1st and 2nd line

A

streptococcus
1) phenoxymethylpenicillin
2) clarithromycin

33
Q

scarlet fever symptoms

A

flu like symp
- high temp
- swollen neck glands
- red rash small raised bumps rough feeling = sandpaper
- white coating on tongue

34
Q

tx of acne vulgaris

four OPTIONS

A
  • adapalene
  • clindamycin
  • benzoyl peroxide
  • lymecycline
35
Q

tx of bacterial vaginosis + trichomoniasis

A

metronidazole

36
Q

tx of chlamydia

A

Doxycycline

37
Q

tx of conjunctivitis b+ blepharitis

A

choramphenicol x under 2 (POM) or pregn

38
Q

tx of dental absess

A

amox or metronidazole

39
Q

tx of gonorrhoea

A

ceftriaxone or ciprofloxacin

40
Q

tx of meningtisis

A

benzylpenicillin

41
Q

tx of scabies

A

permethrin ( whole body)

42
Q

tx of sinusitis

A

phenoxymethylpencillin or doxycl

43
Q

tx of threatworm

A

mebendazole x under 2 or pregn

44
Q

what pathogen causes community acquired pnuem

A

streptococcus pneumoniae

45
Q

what pathogen causes uti

A

e.coli

46
Q

what pathogen causes thrush

A

candida albicans

47
Q

what pathogen causes cellulitis

A

staphylococcus aures

48
Q

what pathogen causes meningitis

A

steptococcus pneumoniae