Prescribing Pathways Flashcards
what is the 1st and 2nd line treatment for human and animal bites?
1st line : co-amoxiclav
2nd line / penicillin allergy: doxycycline and metronidazole
prophylaxis: 3 days treatment: 5 days
what is used for an infection caused by human/animal scratches?
flucloxacillin
what is the 1st and 2nd line treatment for tick bites (lymes disease)?
1st line: doxycycline 100mg BD
2nd line: Amoxicillin 1000mg TDS
21 days
What is the treatment for mild (less than 2cm) diabetic foot infection?
flucloxacillin
penicillin allergy: clarithromycin/erythromycin/doxycycline
what is the treatment for moderate/severe (abscess, osteomyelitis) diabetic foot infection?
flucloxacillin or co-amoxiclav +- gentamicin
penicillin allergy: co-trimoxazole +- gentamicin
what is the 1st line treatment for cellulitis?
1st line: flucloxacillin
penicillin allergy:
clarithromycin
erythromycin (in pregnancy)
doxycycline
what is the treatment for cellulitis if the infection is near the eyes or nose?
co amoxiclav
penicillin allergy: clarithromycin AND metronidazole
what is the treatment for community acquired pneumonia which is low severity?
1st line - amoxicillin
2nd line - doxycycline or clarithromycin (erythromycin in pregnnacy)
what is the treatment for community acquired pneumonia which is moderate severity?
1st line - amoxicillin AND clarithromycin (erythromycin pregnancy)
2nd line - doxycycline or clarithromycin
what is the treatment for community acquired pneumonia which is high severity?
1st line - co-amoxiclav AND clarithromycin (erythromycin in pregnancy)
2nd line - levofloxacin
What is the 1st and 2nd line treatment for clostridium difficile?
1st line vancomycin
2nd line fidaxomicin
(10 day treatment)
life threatening - vancomycin and iv metronidazole
what is the treatment for travellers diarrhoea?
For prophylaxis and treatment: bismuth subsalicylate (OTC)
standby treatment - azithromycin
what is the first and second line treatment for otitis media?
1st line - amoxicillin
2nd line - stop amoxicillin and start co-amoxiclav (if symptoms have worsened with 2-3 days of amoxicillin)
penicillin allergy: clarithromycin (erythromycin in pregancy)
what is the 1st and 2nd line treatment for otitis externa
1st line - topical acetic acid 2%
2nd line - topical neomycin sulphate with corticosteroid e.g hydrocortisone
if systemic treatment needed - flucloxacillin
What are the conditions for urea 13c breath test?
must be done after 2 weeks of taking PPI or after 4 weeks of taking antibiotics?
What is the triple therapy for helicobacter pylori?
1 PPI - e.g omeprazole, lansoprazole, esomeprazole
2 of the following three antibiotics:
amoxicillin (1000mg BD) or metronidazole (400mb BD) or clarithromycin (500mg BD)
what is the 1st line treatment for non severe hospital acquired pneumonia?
co-amoxiclav
what is the 2nd line treatment for non severe hospital acquired pneumonia for adults and children?
2nd line options for adults: doxycyline, cefalexin, co-trimoxazole, levofloxacin
2nd line option in children: clarithromycin
Why is doxycycline not suitable for children?
due to decolourisation of bones and teeth
What is the 1st and second line treatment for impetigo around lips in one area (localised non-bullous)
1st line - hydrogen peroxide 1%
2nd line - fusidic acid)
What can be used instead of fusidic acid if resistance is suspected?
mupirocin 2%
What is the treatment for impetigo around thw nose, chin and lips (widespread non-bullous)
fusidic acid
What is the 1st and second line treatment for bullous impetigo or patients who are systemically unwell?
1st line -flucloxacillin
2nd line- clarithromycin (erythromycin)
what is used for the treatment of lower urinary tract infection in men?
nitrofurantoin or trimethoprim (7 days)
