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Antibiotics > Tayside Antibiotic man > Flashcards

Tayside Antibiotic man Flashcards

1
Q

How do you treat meningitis

A

Ceftriaxone IV 2g bd + Dexamethasone IV 10mg qds (started with or just before giving the abx)

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2
Q

How do you treat epiglottitis

A

Treated with Ceftriaxone IV 2g od

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3
Q

Prescribing in mild/ moderate CAP

A

Mild/ Mod (CURB65 =0 - 2) - Amoxicillin (Doxycycline if allergic)

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4
Q

Prescribing in Non severe HAP

A

Amoxicillin, doxy if allergic

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5
Q

What is the first and second line treatment for a COPD exacerbation - acute

A

Amoxicillin then doxycycline

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6
Q

What is the treatment for subacute native valve endocarditis?

A

Subacute - Amoxicillin and gentamicin IV

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7
Q

What is the treatment for prosthetic valve endocarditis?

A

Vancomycin, Rifampicin and gentamicin

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8
Q

What is the treatment for a C dif infection?

A

Non severe - Metronidazole PO

Severe - Vancomycin +/- metronidazole

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9
Q

What is the treatment for Peritonitis/ Biliary tract/ Intra abdominal

A

IV amox, metronidazole and gentamicin - step down to Co -trimoxazole and metronidazole
Vancomycin if allergic

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10
Q

Treatment for spontaneous bacterial peritonitis

A

Severe - Piperacillin step down to Co-trimoxazole

Mild - Co-trimoxazole

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11
Q

What do you give a IV drug user for endocarditis?

A

Flucloxacillin

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12
Q

How long are antibiotics normally given for for endocarditis?

A

4 -6 weeks

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13
Q

Prescribing in H pylori infection

A

Triple therapy
Either
PPI + amoxicillin + clarithromycin or
PPI + metronidazole + clarithromycin

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14
Q

How long is it okay to wait to give the steroids with meningitis treatment?

A

12 hrs

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15
Q

How do you treat Severe CAP

A

Severe (CURB65 = 3-5) - Co-amoxiclav + either clarithromycin or doxycycline - if penicillin allergic, levofloxacin

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16
Q

How do you assess CAP severity?

A

CURB65 - Confusion, Urea, Resp rate, Blood pressure, age

17
Q

How do you treat severe HAP

A

IV amox and Gent, if allergic IV co-amox and gent

18
Q

How do you treat non severe aspiration pneumonia?

A

Amox and met PO

19
Q

How do you treat severe aspiration pneumonia?

A

IV amox, met, gent

20
Q

How do you treat acute native valve endocarditis?

A

IV fluclox

21
Q

How do you treat prosthetic valve endocarditis?

A

IV vanc and Gent

22
Q

How do you treat an uncomplicated UTI

A

1st line - Nitrofurantonin

2nd line - Trimethoprim

23
Q

How do you treat a complicated UTI

A

IV amox and gent, if allergic IV co-amox and gent

24
Q

How do you treat cellulitis

A

Flucloxacillin

25
Q

How do you treat MRSA cellulitis

A

Vanc IV

26
Q

How do you treat severe systemic infection of unknown source

A

IV amox, met, gent

27
Q

How do you treat conjunctivitis (bacterial)

A

Usually self limiting. Chloramphenicol eye drops every 2 hours for 2 days

28
Q

How do you treat ophthalmic shingles?

A

Aciclovir 800mg 5 times daily

29
Q

How do you manage tonsillitis?

A

Assess on the feverPAIN score and if more than 4 consider abx - Penicillin V 1g bd or 500mg qds or clarithromycin 500mg bd

30
Q

How do you manage sinusitis?

A

If symptoms <10 days there is no evidence abx will help, if >10 days or worsening symptoms, Penicillin V 500mg qds or doxycycline 200mg

31
Q

How to treat otitis media?

A

Most cases will resolve without abx, consider abx if otorrhoea present. 1st line - amoxicillin 500mg, 2nd line clarithromycin 500mg

32
Q

How to treat otitis externa?

A

Acetic acid 2%, aural care

33
Q

How to treat oral candida?

A

Miconazole gel qds, fluconazole 50mg daily (7days)

34
Q

How to treat prostatitis?

A

ofloxacin 200mg bd or ciprofloxacin 500mg bd

Assess if STI is likely

35
Q

How to treat uncomplicated chlamydia?

A

Doxycycline 100mg bd for 7 days, if intolerant azithromycin 1g od

36
Q

How to treat pelvic inflammatory disease?

A

metronidazole 400mg bd + ofloxacin 400mg bd

37
Q

How do you treat a facial cellulitis - sinus, dental, mandibular

A

co-amoxiclav 625mg tds (7days)

38
Q

How do you treat dog/cat bites?

A

co-amoxiclav 625mg tds, 2nd line metronidazole 400mg tds + doxycycline 100mg bd
For a human bite change the doxycycline to clarithromycin 500mg bd

Antibiotics (3 decks)

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