MicroGuide Flashcards
CAP
Amoxicillin
Pen allergy - Doxycycline/ Clarithromycin
If IECOPD - Doxy is first line
Atypical Pneumonia
Clarithromycin
Lower UTI
Nitrofurantoin (contraindicated in CKD, counsel re lung fibrosis)
Trimethoprim (contraindicated in sulfa allergy)
Amoxicillin/ Cefalexin
Upper UTI/ Pyelonephritis
Co-Trimoxazole 960mg BD 10/7
2nd - Ciprofloxacin
Prostatitis
1st - Ciprofloxacin
2nd - Trimethoprim
Impetigo
Top Hydrogen peroxide - Fucidin
PO Flucloxacillin
Cellulitis
PO Flucloxacillin
Pen allergy - Clarithromycin/ Doxycycline
Facial Cellulitis (eyes, nose, mouth)
Co-Amoxiclav 625mg TDS 7/7
Pen allergy - Clarithromycin + Metronidazole
Animal/ Human Bite
Co-Amoxiclav
Pen alelrgy - Doxycycline + Metronidazole
Mastitis
Encourage breast feeding to continue
Flucloxacillin
Tonsillitis
1st - 90% resolve within 7 days
2nd - (FEVERPAIN 3+) Phenoxymethylpenicillin 500mg QDS 5/7 (adult)
Bacterial sinusitis
1st - Self resolve within 10/7
2nd - Amoxicillin 500mg (1g if severe) TDS 5/7
pen allergy - Doxycycline, Clarithromycin
Otitis Media
Amoxicillin
Pen allergy - Clari/ erythromycin
Otitis Externa
1st - Acetic acid (Otomize) Spray TDS 7/7
2nd PO Flucloxacillin
Pen allergy - erythromycin
Gingivitis
Metronidazole
Gonorrhoea
IM Ceftriaxone
Chlamydia
PO Doxycycline
Bacterial Vaginosis
PO Metronidazole
Epididymo-Orchitis
Low risk STI
- Co-Trimoxazole 960mg BD 10/7
If High risk STI - GUM clinic
Salmonella/ Campylobacter
Self limiting
If not for Micro input
H. Pylori
PPI - Omeprazole/ Lansoprazole
Antibiotic
- Amoxicillin 1g BD AND Clarithromycin/ Metronidazole
Antibiotic (pen allergy)
- Clarithromycin AND Metronidazole
Genital Herpes
Aciclovir 400mg TDS 5/7
If recurrent 800mg TDS 2/7
Bacterial Meningitis
Emergency admission
1st - stat Benzylpenicillin IM
- <1yo = 300mg
- 1-9yo = 600mg
- >10yo = 1.2gram
If pen allergy - Cefotaxime
Rosacea
1st - Top Ivermectin (eg Soolantra) (not in breastfeeding/ pregnancy)
2nd - Top Metronidazole (eg MetroGel)
Review in 8-12 weeks
Shingles (Herpes Zoster)
Aciclovir 800mg five times daily 7/7