Infectious disease Flashcards
Tx for bites
Co-Amox
if penn allergic - Metro + doxy
Abx for uncomplicated CAP
Amoxicillin
Doxycycline or clarithromycin in penicillin allergic
add flucloxacillin if staphylococci suspected e.g. In influenza
Abx for HAP
Within 5 days of admission: co-amoxiclav or cefuroxime
More than 5 days after admission: piperacillin with tazobactam OR a broad-spectrum cephalosporin (e.g. ceftazidime) OR ciprofloxacin
Abx for acute pyelonephritis
Broad-spectrum cephalosporin or quinolone
Abx for impetigo
Topical hydrogen peroxide
oral flucloxacillin or erythromycin if widespread
Abx for cellulitis
Fluclox (clary/doxy if pen allergic)
If near eyes/nose - Co-amox
Abx for Gonorrhoea
IM cef
Abx for Chlamydia
Doxy or Azithro
Abx for PID
IM ceftriaxone + oral doxycycline + oral metronidazole
Abx for Syphilis
Benzathina pen / Doxy / erythro
Abx for Bac Vag
PO metro (5-7d) or topical clinda
Abx for campylobacter
Clari
Abx for Shigella/Salmonella
Cipro
Painful genital ulcers with sharply defined, ragged border. Painful inguinal lymphadenopathy
Chancroid
PV/Urethral discharge, dysuria, PV bleeding
Chlamydia
Tx = 7d doxy
(if preg - azithro, amox, eythro)
HIV/Immunocomp - watery diarrhoea, abdominal cramps, fever
Ziehl-Neelson stain - red cysts
Cryptosporidiosis
Supportive Mx if immunocompetent
If compromised - Nitazoxadine
Sore throat with grey psudomembrane on posterior walkl, bulky cervical lymphadenopathy, cardiac symptoms
Diphtheria
Mx - IM penicillin, Anti-toxin
Malignancies associated with EBV
Burkitt’s Lymphoma
Hodgekins Lymphoma
Cause of HUS
E. Coli O157:H7
Prolonged, non-bloody diarrhoea
Giardiasis
Profuse, watery diarrhoea
Severe dehydration resulting in weight loss
Cholera
Acute onset bloody diarrhoea
Vomiting and abdominal pain
Shigella
A flu-like prodrome followed by crampy abdominal pains, fever and diarrhoea which may be bloody
Campylobacter
Gradual onset bloody diarrhoea, abdominal pain and tenderness which may last for several weeks
Amoebiasis