Tayside Antibiotics Hospital Guidelines Flashcards
Meningitis
Ceftriaxone
Dexamethasone
Amoxicillin if >60 or immunocompromised
Epiglottitis/supraglottitis
Ceftriaxone IV
Mild/mod CAP (curb 0-2)
Amoxicillin 1g tds 5 days
Severe cap (curb 3-5)
IV co-amox
Oral doxy (or IV clarithromycin if nil by mouth)
Step down is oral doxy
Pen allergic severe HAP
IV co-trimoxazole and gent
Pen allergic severe CAP
IV levofloxacin monotherapy
Pen allergic mild/mod CAP
Doxycycline
Non-severe HAP
Oral amoxicillin
Severe HAP
IV amox and gent
Pen allergic non severe HAP
Doxycycline
Step down severe HAP treatment
Co-trimoxazole
Non severe aspiration pneumonia
Amoxicillin and metronidazole
Severe aspiration pneumonia
IV amox met and gent (doxy if pen allergic)
Severe aspiration pneumonia step down
Oral amox and met
IECOPD 1st and 2nd line
1st line amoxicillin
2nd line doxycycline
Native valve subacute endocarditis
Amox and gent
Native valve acute endocarditis
Flucloxacillin
Prosthetic valve/suspected MRSA endocarditis
Vancomycin and gent
(add rifampicin when therapeutic vancocmycin levels reached)
Intra-abdominal sepsis
IV amox met and gent (vanc if pen allergic)
Intra-abdominal sepsis step down
Co-trim and met
Spontaneous bacterial peritonitis (incidental diagnosis on tap)
Oral co-trim
Severe spontaneous bacterial peritonitis
Piperacillin/tazobactam IV
Co-trim PO
Complicated UTI (incl catheterised)/pyelonephritis/urosepsis
IV amox and gent
Co-trim step down
Pen allergic complicated UTI/pyelonephritis/urosepsis
IV co-trim and gent
Uncomplicated female lower UTI
Nitrofurantoin or trimethoprim (3 days)
Uncatheterised male UTI
Nitrofurantoin or trimethoprim 7 days
Cellulitis
Flucloxacillin
Cellulitis pen allergic
doxycycline
Open fracture prophylaxis
Cefuroxime
Mild Diabetic foot infection
Fluclox or doxy
Moderate diabetic foot infection
Flucox and met
OR
Doxy and met
Acute septic arthritis/osteomyelitis
IV fluclox
Sepsis source unknown
IV amox met and gent (add fluclox if PWID)
Vanc if pen allergic
