Infections Flashcards

1
Q

UTI first line treatment

A

Nitrofurantoin or trimethoprim

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2
Q

UTI course length

A
3 days
7 days (men, pregnancy, catheter)
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3
Q

UTI treatment in pregnancy

A

1st line: Nitrofurantoin (avoid at term)

2nd line: Amoxicillin or Cefalexin

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4
Q

UTI second line treatment

A

Fosfomycin
Pivmecillinam
Amoxicillin (only if culture susceptible)

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5
Q

Meningitis

A

1st line: Benzylpenicillin

2nd line: Cefotaxime

3rd line: Chloramphenicol

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6
Q

TB initial phase

A

Rifampicin
Isoniazid ( + pyridoxine)
Pyrazinamide
Ethambutol

2 MONTHS

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7
Q

TB continuation phase

A

Rifampacin + Isoniazid ( + pyridoxine)

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8
Q

MRSA

A

Vancomycin
Teicoplanin
Tetracyclines
Linezolid

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9
Q

Cellulitis first line treatment

A

Flucloxacillin

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10
Q

Cellulitis second line treatment

A

Clarithromycin
Erythromycin
Doxycycline

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11
Q

CAP (mild)

A

1st line: Amoxicillin

2nd line: Doxycycline, Clarithromycin or Erythromycin

5 DAYS

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12
Q

CAP (moderate)

A

1st line: Amoxicillin + Clarith/Erythromycin

2nd line: Doxycycline or Clarithromycin

5 DAYS

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13
Q

CAP (high)

A

1st line: Co-amoxiclav + Clarith/Erythromycin

2nd line: Levofloxacin

Oral or IV

5 DAYS

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14
Q

Impetigo

A
  • Hydrogen peroxide 1% if localised non-bullous
  • Wide spread non-bullous consider:

TOPICAL
1st line: Fusidic acid 2% (5-7 days)
2nd line: Mupirocin

ORAL
1st line: Flucloxacillin (5 days)
2nd line: Clarith/Erythromycin

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15
Q

Animal bites

Cat attack / doggy monster

A

1st line: Co-amoxiclav

2nd line: Doxycycline + Metronidazole

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16
Q

C. Diff treatment

A

1st line: Metronidazole (10-14 days)

2nd line: Vancomycin (oral) OR Fidaxomicin

17
Q

Bacterial Vaginosis

A

1st line: ORAL Metronidazole (5-7 days or single HIGH dose)

2nd line: TOPICAL Metronidazole (5 days) OR TOPICAL Clindamycin ( 7 days )

18
Q

Osteomyelitis

A

1st line: Flucloxacillin (6wks for acute infection)

2nd line: Clindamycin

MRSA suspected = Vancomycin or Teicoplanin

19
Q

Chlamydia

A

1st line: Azithromycin (single dose) OR Doxycycline (7 days)

2nd line: Erythromycin (14 days)

20
Q

Mastitis

A

1st line: Flucloxacillin

2nd line: Erythromycin

10-14 DAYS

21
Q

Sore Throat

A

Viral = self-limiting

Bacterial =

1st line: Phenoxymethylpenicillin (5-10 days)

2nd line: Clarith/Erythromycin (5 days)

22
Q

Sinusitis

A

1st line: Phenoxymethylpenicillin

2nd line: Co-amoxiclav

If systemically unwell: Co-amoxiclav (1st line)

Doxycycline, Clarith/Erythromycin

23
Q

Otitis Media

A

1st line: Amoxicillin

2nd line: Co-amoxiclav

Pen allergy: Clarith/Erythromycin

24
Q

Otitis Externa

A

1st line: Flucloxacillin

2nd line: Clarith/Eryth/Azithromycin

Pseudomonas suspected: Ciprofloxacin

25
Q

⚠️ Flucloxacillin

A
  • Cholestatic jaundice

- Hepatitis

26
Q

⚠️ Co-amoxiclav

A

Cholestatic jaundice

27
Q

⚠️ Linezolid

A
  • Blood disorders

- Optic neuropathy (visual disturbances)

28
Q

⚠️ Co-trimoxazole

A
  • Blood disorders

- Stevens-johnson syndroms

29
Q

⚠️ Quinolones

A
  • Tendon damage
  • Arthropathy (joint problems) in children
  • Convulsions (esp with NSAIDS)
30
Q

⚠️ Amphoteracin B

A

Anaphylaxis (IV)

31
Q

⚠️ Itraconazole

A

Heart failure

32
Q

⚠️ Ketoconazole

A

Fatal hepatoxicity

33
Q

What antibiotics cause blood disorders?

A
  • Linezolid
  • Co-trimoxazole
  • Trimethoprim
  • Gentamycin
  • Vancomycin
34
Q

Which tetracycline is LEAST likely to cause photosensitivity?

A

Minocycline

35
Q

Antibiotics that colour bodily fluids?

A

Rifampacin = red/orange

Nitrofurantoin = brown

36
Q

Antibiotics WITH food?

A
  • Nitrofurantoin
  • Metronidazole
  • Pivmecillinam
37
Q

Antibiotics in pregnancy?

A
  • Penicillins
  • Erythromycin
  • Clindamycin
  • Cephalosporins
  • Nitrofurantoin (but avoid at term)
38
Q

Antibiotics causing C.Diff?

A
  • Clindamycin (mostly)
  • Cephalosporins (2nd & 3rd gen)
  • Co-amoxiclav
  • Ampicillin
  • Amoxicillin
  • Quinolones