Primary Care Antibiotic Man Flashcards

1
Q

Conjunctivitis

A

Usually self limiting

If necessary give chloramphenicol eye drops. Continue for 2 days after resolution

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2
Q

Opthalmic shingles

A

Refer to ophthalmology

Oral aciclovir and aciclovir eye ointment

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3
Q

Bacterial tonsillitis/pharyngitis

A

1st line penicillin

2nd line clarithromycin

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4
Q

Sinusitis

A

If over ten days, multiple or worsening symptoms consider antibiotic
1st line penicillin
2nd line doxycycline

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5
Q

Epiglottitis/supraglottitis

A

Transfer to hospital immediately

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6
Q

Otitis media

A

If otorrhea consider antibiotics
1st line amoxicillin
2nd line clarithromycin

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7
Q

CAP CURB 1-2

A

1st line amoxicillin
2nd line doxycycline
5 days
If 2 consider hospital referral

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8
Q

CAP CURB 3-4

A

Urgent hospital admission (give 1g amox before transfer)

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9
Q

Acute exacerbation of COPD

A

Treat if increased sputum purulence
1st line amoxicillin
2nd line doxycycline
5 days

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10
Q

Acute bronchitis

A

Only considered in frail elderly
1st line amoxicillin
2nd line doxycycline

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11
Q

C.diff

A

Non-severe - oral metronidazole

Severe - oral vancomycin

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12
Q

Acute diverticulitis

A

Metronidazole and cotrim

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13
Q

UTI with catheterisation

A

Cotrim or coamox (7 days)

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14
Q

Pyelonephritis

A

Send mid-stream urine

Cotrim or co-amox

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15
Q

Uncomplicated female UTI

A

1st line nitrofurantoin
2nd line trimethoprim
3 days

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16
Q

UTI or asymptomatic bacteriuria in pregnancy

A

1st or 2nd trimester nitrofurantoin
3rd trimester trimethorpim
7 days and test of cure

17
Q

Uncatheterised male UTI

A

Send mid stream urine sample
1st line nitrofurantoin
2nd trimethoprim
7 days

18
Q

Prostatitis

A

Ofloxacin or ciprofloxacin for 28 days

Trimethroprim if high risk of c.diff

19
Q

Cellulitis

A

Flucloxacillin or doxycycline

7 days

20
Q

Athletes foot

A

Topical terbinafine

21
Q

Dermatophyte nail infection

A

Confirm with nail clippings

Topical terbinafine

22
Q

Impetigo

A

Topical fusidic acid if localised

If not 1st line fluclox 2nd line clarithromycin

23
Q

Chickenpox

A

Antiviral if presents within 24 hours of rash onset

Aciclovir

24
Q

Shingles

A

Aciclovir if within 72 hours of rash onset