Salford Abx Guidelines Flashcards

1
Q

Intra abdominal sepsis

A

Gent, metronidazole, amoxicillin

Step down
Ciprofloxacin, metro, amoxicillin 7d
Penicillin allergy: Vancomycin

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2
Q

Biliary sepsis

A

Amox, gent

Step down
Co amoxiclav
Or ciprofloxacin 7d

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3
Q

SBP

A

Tazocin
Or etrapenem

Step down
Co amoxiclav
Or ciprofloxacin 5d

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4
Q

UTI

A
Uncomplicated: nitrofurantoin
Complicated: await Sensitivity
\+ Unwell: Gentamicin
Urosepsis: gent and amoxicillin
\+ shock: gent and Tazocin 
Penicillin sensitive: meropenem
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5
Q

Nitrofurantoin

A

PO 50mg QDS 3d

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6
Q

Gentamicin

A

eGFR? Height and weight, 2 tables
5mg/kg
Trough level under 1mg/L = redose

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7
Q

Amoxicillin

PO and IV

A

PO 500mg TDS

IV 1g TDS

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8
Q

Tazocin

A

IV 4.5g TDS

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9
Q

Meropenem

A

Penicillin sensitive
Not if anaphylaxis, swelling, bronchospasm

IV 1g TDS

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10
Q

Metronidazole

A

IV 500mg TDS

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11
Q

Vancomycin

A

Penicillin allergy

IV 1g BD
Elderly 500mg BD

Plasma vancomycin conc after 3 doses

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12
Q

Coamoxiclav

A

PO 625mg TDS

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13
Q

Ciprofloxacin

A

Penicillin allergy

PO 500mg BD

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14
Q

Ertapenem

A

SBP penicillin sensitive

IV 1g OD

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15
Q

Cellulitis

A
Mild/ severe
- PO/ IV
flucloxacillin or clarithromycin
MRSA
- Tazocin and vancomycin 
Unwell
- vancomycin and ciprofloxacin 
Anaerobic
- add metronidazole
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16
Q

HAP

A

Mild - doxycycline
Severe - Tazocin or meropenem

7d Step down
- co amoxiclav or levofloxacin

17
Q

CAP

A
CURB 0-1
- amoxicillin PO, clarithromycin (atypical)
CURB 2-3
- BenPen IV stat and Doxycycline
CURB 4-5
- co amoxiclav, clarithromycin 
Allergy: vancomycin, ciprofloxacin 
7d Step down:
- amoxicillin and clarithromycin
18
Q

Levofloxacin

A

PO 500mg OD

19
Q

Clarithromycin

PO/IV

A

PO 500mg BD

IV 500mg BD

20
Q

Amoxicillin

PO and IV

A

PO 500mg TDS

IV 1g TDS

21
Q

BenPen

A

IV 1.2g QDS

22
Q

Coamoxiclav

PO/ IV

A

PO 625mg TDS

IV 1.2g TDS