Infectious Disease Treatments Flashcards
Bacterial Vaginosis
- oral metronidazole
- alt: topical metronidazole or topical clindamycin
Bacterial Vaginosis with Pregnancy
-oral metronidazole throughout pregnancy
Chlamydia
- doxycycline
- alt: azithromycin
Chlamydia in Pregnancy
- azithromycin
- erythromycin
- amoxicillin
Lymphogranuloma Venereum
Doxycycline
Gingivostomatitis in Herpes
- oral aciclovir
- chlorhexidine mouthwash
Cold sores in Herpes
-topical aciclovir
Genital Herpes
- oral aciclovir
- saline bathing
- topical anaesthetic e.g. lidocaine
- analgesia
Genital Warts
- multiple, non-keratinised: topical podophyllum
- single, keratinised: cryotherapy
- 2nd line: topical imiquimod
Gonorrhoea
- ciprofloxacin
- now more common IM ceftriaxone (+ oral azithromycin)
- alt: oral cefixime + oral azithromycin
Non-gonococcal Urethritis
azithromycin or doxycycline
Syphilis
- IM benzathine penicillin
- doxycycline
Trichomonas Vaginalis
oral metronidazole 5-7 days
Urethritis
- 7 days doxycycline
- 1 dose azithromycin oral
Lower UTI in non-pregnant women
- trimethoprim/nitrofurantoin
- culture if >65 yo or haematuria or pregnant
Lower UTI in pregnant women
-nitrofurantoin (avoid near term), amoxicillin or cefalexin
Lower UTI in catheterised patients
- no treatment if asymptomatic
- symptomatic, Abx 7 days
Acute pyelonephritis
broad spec cephalosporin or quinolone 10-14 days
Amoebiasis
metronidazole
luminal amoebicide for cystic stage
Animal and human bites
co-amoxiclav
doxycycline and metronidazole
Anthrax
ciprofloxacin
Botulism
botulism antitoxin (only effective early on)
Campylobacter
clarithromycin
ciprofloxacin
Cellulitis
flucloxacillin
allergic: clarithromycin, erithromycin (pregnancy), doxycycline
severe: co-amoxiclav, cefuroxime, clindamycin, ceftriaxone
Cholera
doxycycline, ciprofloxacin
Diphtheria
IM penicillin
diphtheria antitoxin
Giardiasis
metronidazole
Legionella
clarithromycin/erythromycin
Leprosy
- rifampicin
- dapsone
- clofazimine
Leptospirosis
benzylpenicillin, doxycyline
Lyme disease
- doxycyline
- ceftriaxone
Malaria
- artemisin based combination therapies
- chloroquine
- ovale/vivax - primaquine after acute treatment
Meningitis
- cefotaxime
- add amoxicillin if <3mo or >50 yo
- meningococcal: or benzylpenicillin
- listeria: amoxicillin and gentamicin
- or chloramphenicol if CONTRA
- IV dexamethasone reduces risk neurological sequelae
- prophylaxis for contacts: oral ciprofloxacin or rifampicin
MRSA
vancomycin, teicoplanin, linezolid
Mycoplasma Pneumoniae
doxycycline or macrolide (erythromycin/clarithromycin)
Strongyloides Stercoralis
ivermectin and albendazole
Tetanus
metronidazole (vaccination)
Toxoplasmosis
pyrimethamine and sulphadiazine
Trypasonomiasis
Benznidazole or nifurtimox
Tuberculosis
rifampicin, isoniazid, pyrazinamide, ethambutol
