Infections + Common Ax to Rx

Question 1

Common organisms affecting meninges / brain

Answer 1

Neisseria meningitis
S.pneumonia 
E.coli
H.influenza 
Listeria
Treponema pallidum
Toxoplasmosis

Question 2

Common organism Endocarditis

Answer 2

S.aureus
S.viridans
Enterococcus faecalis
S.epidermidis
S.pyogenes
S.bovis after colonoscopy

Question 3

Common organism liver / pancreas

Answer 3

Bacteroides = abscess
Enterococcus
Leptospirosis

Question 4

Common organisms URTI

Answer 4

S.pyogenes
S.pneumonia
H.influenza
M.catarrhalis

Question 5

Common organisms LRTI

Answer 5

S.pneumonia
H.influenza
Klebsiella 
M.catarrhalis - COPD
Mycoplasma
Legionella 
Chlamydia 
TB
S.aureus
Bordetella pertussis

Question 6

Common organisms SSTI

Answer 6

S.aureus
S.pyogenes
S.epidermidis 
Pseudomona / E.coli if immunocompromised 
C.perfrinigens = open wound / gangrene

Question 7

Common organisms bone / joint

Answer 7

S.aureus
S.pyogenes
Pseudomona's 
E.coli / H.influenza in children
Brucellosis - Farmer 
Borellia Burgdoferi - Lyme's 
Salmonella - Sickle 
TB / fungal if immunocompromised 
Nesseria gonorrhoea
S.epididermis in prosthesis

Question 8

UTI

Answer 8

E.coli
Enterococci
Proteus
S.saphrophyticus

Question 9

Intra-abo

Answer 9

E.coli
Klebsiella
Proteus
Bacterodes
Enterococci

Question 10

Rx bronchitis

Answer 10

Amoxicillin
Tetracycline
Clarithromycin

Question 11

Rx uncomplicated CAP

Answer 11

Amoxicillin or doxy

Both if CURB 2+

Question 12

If allergic

Answer 12

Clarithromycin

Question 13

If suspect Staph e.g. influenza

Answer 13

Add flucloxacilin

Question 14

If not responding / increasing CURB

Answer 14

Levofloxacin
Vancomycin
Meropenem

Question 15

Rx atypical

Answer 15

Clarithromycin

Question 16

If <5 days HAP

Answer 16

Co-amoxicillin

Question 17

If >5 days HAP

Answer 17

Pipercillin + Tazobactam
Broad spec cephalosporin
Quinolone - Levo

Question 18

Rx lower UTI

Answer 18

Trimethoprim
Nitrofurantoin
Amoxicillin

Question 19

Rx acute pyelonephritis

Answer 19

Broad spec cephalosporin
Quinolone - ciprofloxacin
Co-amox

Question 20

Rx prostatitis

Answer 20

Trimethoprim

Quinolone

Question 21

Rx urosepsis

Answer 21

Gentamicin

Meropenem

Question 22

Rx impetigo

Answer 22

Topical fusidic
Topical or oral fluclox
Erythromycin if allergic or widespread

Question 23

Rx cellulitis / erysipelas

Answer 23

Flucloxacillin

Question 24

If allergic

Answer 24

Erythromycin / clarithromycin

Doxycycline

Question 25

If near eye

Answer 25

Co-amox

Question 26

Rx MRSA

Answer 26

Vancomycin

Question 27

Rx sinusitis

Answer 27

Amoxicillin | Doxy / erythromycin if allergic

Question 28

Rx ottis media

Answer 28

Amoxicillin

Question 29

Rx otitis externa

Answer 29

Topical fluclox with topical corticosteroid

Question 30

Rx C.diff

Answer 30

Metronidazole | Oral vanc if recurrent

Question 31

Rx cambylobacter

Answer 31

Clarithromycin

Question 32

Rx salmonella

Answer 32

Ciprofloxacin

Question 33

Rx intra-abdominal sepsis

Answer 33

Metronidazole Gentamicin (cipro sometimes used) Amoxicillin

Question 34

How do you Rx animal or human bite

Answer 34

``` Clean wound Co-amoxicalv Doxycycline and met if allergic Tetanus prophylaxis Consider hep C/ HIV prophylaxis if human ```