MSRA - BNF Antibacterial Guidelines Flashcards
Exacerbations of chronic bronchitis
Amoxicillin or tetracycline or clarithromycin
Uncomplicated CAP
Amoxicillin
Possible atypical pneumonia
Clarithromycin
HAP - within 5 days of admission
Co-amoxiclav or cefuroxime
Uncomplicated CAP - penicillin allergic
-Doxycycline or clarithromycin
Uncomplicated CAP - suspected stapholocci
Amoxicillin + flucloxacillin
HAP - more than 5 days after admission
Piperacillin with tazobactam OR broad-spectrum cephalosporin (eg ceftazidime) OR quinolone (eg ciprofloxacin)
Lower UTI
Trimethoprim or nitrofurantoin
Alternative: amoxicillin or cephalosporin
Acute pyelonephritis
Broad-spectrum cephalosporin or quinolone
Acute prostatitis
Quinolone or trimethoprim
Impetigo - localised
Topical fusidic acid
Impetigo - widespread
oral flucloxacillin or erythromycin
Cellulitis - 1st line
Flucloxacillin
Cellulitis - pen allergic
clarithromycin, erythromycin or doxycycline
Cellulitis - near eyes or nose
co-amoxiclav
Erysipelas - 1st line
Flucloxacillin
Erysipelas - pen allergic
clarithromycin, erythromycin or doxycycline
Animal or human bite - 1st line
Co-amoxiclav
Animal or human bite - pen allergic
doxycycline + metronidazole
Mastitis and breast-feeding
Flucloxacillin
Throat infections - 1st line
Phenoxymethylpenicillin
Throat infections - pen allergic
erythromycin
Sinusitis
Amoxicillin or doxycycline or erythromycin
Otitis media - 1st line
Amoxicillin
Otitis media - pen allergic
erythromycin
Otitis externa (severe)
Flucloxacillin (erythromycin if pen allergic)
Periapical or periodontal abscess
Amoxicillin
Gingivitis: acute necrotising ulcerative
Metronidazole
Gonorrhoea
IM ceftriaxone + oral azithromycin
Chlamydia
Doxycycline or azithromycin
Pelvic inflammatory disease
Oral ofloxacin + oral metronidazole
Or
IM ceftriaxone + oral doxycycline + oral metronidazole
Syphilis
Benzathine benzylpenicillin
OR
Doxycycline
OR
Erythromycin
Bacterial vaginosis
Oral or topical metronidazole, or topical clindamycin
C.diff: first episode
Metronidazole
C.diff: Second/subsequent episode
Vancomycin
Campylobacter enteritis
Clarithromycin
Salmonella (non-typhoid)
Ciprofloxacin
Shigellosis
Ciprofloxacin