Tayside Antibiotic man Flashcards
How do you treat meningitis
Ceftriaxone IV 2g bd + Dexamethasone IV 10mg qds (started with or just before giving the abx)
How do you treat epiglottitis
Treated with Ceftriaxone IV 2g od
Prescribing in mild/ moderate CAP
Mild/ Mod (CURB65 =0 - 2) - Amoxicillin (Doxycycline if allergic)
Prescribing in Non severe HAP
Amoxicillin, doxy if allergic
What is the first and second line treatment for a COPD exacerbation - acute
Amoxicillin then doxycycline
What is the treatment for subacute native valve endocarditis?
Subacute - Amoxicillin and gentamicin IV
What is the treatment for prosthetic valve endocarditis?
Vancomycin, Rifampicin and gentamicin
What is the treatment for a C dif infection?
Non severe - Metronidazole PO
Severe - Vancomycin +/- metronidazole
What is the treatment for Peritonitis/ Biliary tract/ Intra abdominal
IV amox, metronidazole and gentamicin - step down to Co -trimoxazole and metronidazole
Vancomycin if allergic
Treatment for spontaneous bacterial peritonitis
Severe - Piperacillin step down to Co-trimoxazole
Mild - Co-trimoxazole
What do you give a IV drug user for endocarditis?
Flucloxacillin
How long are antibiotics normally given for for endocarditis?
4 -6 weeks
Prescribing in H pylori infection
Triple therapy
Either
PPI + amoxicillin + clarithromycin or
PPI + metronidazole + clarithromycin
How long is it okay to wait to give the steroids with meningitis treatment?
12 hrs
How do you treat Severe CAP
Severe (CURB65 = 3-5) - Co-amoxiclav + either clarithromycin or doxycycline - if penicillin allergic, levofloxacin
How do you assess CAP severity?
CURB65 - Confusion, Urea, Resp rate, Blood pressure, age
How do you treat severe HAP
IV amox and Gent, if allergic IV co-amox and gent
How do you treat non severe aspiration pneumonia?
Amox and met PO
How do you treat severe aspiration pneumonia?
IV amox, met, gent
How do you treat acute native valve endocarditis?
IV fluclox
How do you treat prosthetic valve endocarditis?
IV vanc and Gent
How do you treat an uncomplicated UTI
1st line - Nitrofurantonin
2nd line - Trimethoprim
How do you treat a complicated UTI
IV amox and gent, if allergic IV co-amox and gent
How do you treat cellulitis
Flucloxacillin
How do you treat MRSA cellulitis
Vanc IV
How do you treat severe systemic infection of unknown source
IV amox, met, gent
How do you treat conjunctivitis (bacterial)
Usually self limiting. Chloramphenicol eye drops every 2 hours for 2 days
How do you treat ophthalmic shingles?
Aciclovir 800mg 5 times daily
How do you manage tonsillitis?
Assess on the feverPAIN score and if more than 4 consider abx - Penicillin V 1g bd or 500mg qds or clarithromycin 500mg bd
How do you manage sinusitis?
If symptoms <10 days there is no evidence abx will help, if >10 days or worsening symptoms, Penicillin V 500mg qds or doxycycline 200mg
How to treat otitis media?
Most cases will resolve without abx, consider abx if otorrhoea present. 1st line - amoxicillin 500mg, 2nd line clarithromycin 500mg
How to treat otitis externa?
Acetic acid 2%, aural care
How to treat oral candida?
Miconazole gel qds, fluconazole 50mg daily (7days)
How to treat prostatitis?
ofloxacin 200mg bd or ciprofloxacin 500mg bd
Assess if STI is likely
How to treat uncomplicated chlamydia?
Doxycycline 100mg bd for 7 days, if intolerant azithromycin 1g od
How to treat pelvic inflammatory disease?
metronidazole 400mg bd + ofloxacin 400mg bd
How do you treat a facial cellulitis - sinus, dental, mandibular
co-amoxiclav 625mg tds (7days)
How do you treat dog/cat bites?
co-amoxiclav 625mg tds, 2nd line metronidazole 400mg tds + doxycycline 100mg bd
For a human bite change the doxycycline to clarithromycin 500mg bd
