Salford Abx Guidelines Flashcards
Intra abdominal sepsis
Gent, metronidazole, amoxicillin
Step down
Ciprofloxacin, metro, amoxicillin 7d
Penicillin allergy: Vancomycin
Biliary sepsis
Amox, gent
Step down
Co amoxiclav
Or ciprofloxacin 7d
SBP
Tazocin
Or etrapenem
Step down
Co amoxiclav
Or ciprofloxacin 5d
UTI
Uncomplicated: nitrofurantoin Complicated: await Sensitivity \+ Unwell: Gentamicin Urosepsis: gent and amoxicillin \+ shock: gent and Tazocin Penicillin sensitive: meropenem
Nitrofurantoin
PO 50mg QDS 3d
Gentamicin
eGFR? Height and weight, 2 tables
5mg/kg
Trough level under 1mg/L = redose
Amoxicillin
PO and IV
PO 500mg TDS
IV 1g TDS
Tazocin
IV 4.5g TDS
Meropenem
Penicillin sensitive
Not if anaphylaxis, swelling, bronchospasm
IV 1g TDS
Metronidazole
IV 500mg TDS
Vancomycin
Penicillin allergy
IV 1g BD
Elderly 500mg BD
Plasma vancomycin conc after 3 doses
Coamoxiclav
PO 625mg TDS
Ciprofloxacin
Penicillin allergy
PO 500mg BD
Ertapenem
SBP penicillin sensitive
IV 1g OD
Cellulitis
Mild/ severe - PO/ IV flucloxacillin or clarithromycin MRSA - Tazocin and vancomycin Unwell - vancomycin and ciprofloxacin Anaerobic - add metronidazole