Primary Care Antibiotic Man Flashcards
Conjunctivitis
Usually self limiting
If necessary give chloramphenicol eye drops. Continue for 2 days after resolution
Opthalmic shingles
Refer to ophthalmology
Oral aciclovir and aciclovir eye ointment
Bacterial tonsillitis/pharyngitis
1st line penicillin
2nd line clarithromycin
Sinusitis
If over ten days, multiple or worsening symptoms consider antibiotic
1st line penicillin
2nd line doxycycline
Epiglottitis/supraglottitis
Transfer to hospital immediately
Otitis media
If otorrhea consider antibiotics
1st line amoxicillin
2nd line clarithromycin
CAP CURB 1-2
1st line amoxicillin
2nd line doxycycline
5 days
If 2 consider hospital referral
CAP CURB 3-4
Urgent hospital admission (give 1g amox before transfer)
Acute exacerbation of COPD
Treat if increased sputum purulence
1st line amoxicillin
2nd line doxycycline
5 days
Acute bronchitis
Only considered in frail elderly
1st line amoxicillin
2nd line doxycycline
C.diff
Non-severe - oral metronidazole
Severe - oral vancomycin
Acute diverticulitis
Metronidazole and cotrim
UTI with catheterisation
Cotrim or coamox (7 days)
Pyelonephritis
Send mid-stream urine
Cotrim or co-amox
Uncomplicated female UTI
1st line nitrofurantoin
2nd line trimethoprim
3 days