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
UTI or asymptomatic bacteriuria in pregnancy
1st or 2nd trimester nitrofurantoin
3rd trimester trimethorpim
7 days and test of cure
Uncatheterised male UTI
Send mid stream urine sample
1st line nitrofurantoin
2nd trimethoprim
7 days
Prostatitis
Ofloxacin or ciprofloxacin for 28 days
Trimethroprim if high risk of c.diff
Cellulitis
Flucloxacillin or doxycycline
7 days
Athletes foot
Topical terbinafine
Dermatophyte nail infection
Confirm with nail clippings
Topical terbinafine
Impetigo
Topical fusidic acid if localised
If not 1st line fluclox 2nd line clarithromycin
Chickenpox
Antiviral if presents within 24 hours of rash onset
Aciclovir
Shingles
Aciclovir if within 72 hours of rash onset
