Treatment Flashcards

1
Q

Neisseria meningitides

A

Ceftriaxone
Cell wall synthesis inhibitor

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2
Q

E Coli

A

Trimethoprim
Inhibitor of folic acid synthesis

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3
Q

Staph aureus

A

Cellulitis - flucloxacillin
MRSA - vancomycin
Both cell wall inhibitors

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4
Q

Staph epidermis

A

Cellulitis - flucloxacillin
Cell wall synthesis inhibitor

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5
Q

Strep pyogenes

A

Flucloxacillin
Vancomycin if allergic to penicillin

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6
Q

C. difficile

A

Vancomycin

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7
Q

Strep pneumonia

A

Mild - amoxicillin
Moderate - amoxicillin and doxycycline
Severe - cephalosporin and doxycycline
All cell wall synthesis inhibitors

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8
Q

Viridans streptococci

A

Surgical antibiotic prophylaxis

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9
Q

Haemophilia influenzae

A

Amoxicillin
Co-amoxiclav

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10
Q

Salmonella typhi

A

Ceftriaxone

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11
Q

Legionella pneumophila

A

Clarythromycin

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12
Q

Epstein Barr virus

A

Acyclovir

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13
Q

Varicella zoster

A

Acyclovir
Viral replication inhibitor

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14
Q

Hepatitis B

A

No cure - supportive treatment

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15
Q

Hepatitis C

A

Ribovarin and interferon

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16
Q

HIV

A

HAART

17
Q

Adenovirus

A

Supportive treatment

18
Q

Norovirus

A

Supportive treatment
(anti-pyretics, IV fluids)

19
Q

Plasmodium falciparum

A

Quinine
Doxycycline

20
Q

Candida albicans

A

Nystatin
Clotrimazole

Systemic: amphotericin B

21
Q

Cellulitis

A

Flucloxacillin
Effective against both staph aureus and strep pyogenes
Beta lactam
Penicillin
Cell wall inhibitor

22
Q

Tonsillitis

A

Penicillin V

23
Q

Sepsis

A

Ceftriaxone
Sepsis six:
- senior help
- give o2 if below 92%
- send blood tests including culture
(eg ALT and AST tests, renal dysfunction tests, FBC, CRP, blood has to check lactate etc.)
- give IV antibiotics and consider source control (removal or drainage of source of infection)
- consider IV fluids
- monitor (urine output, observations)

24
Q

Peritonitis

A

E. Coli, therefore trimethoprim

25
Q

Skin abscess

A

Staph aureus, therefore flucloxacillin (cellulitis) or vancomycin (MRSA)

26
Q

Pneumonia

A

Haemophilus influenzae, therefore
Co-amoxiclav

27
Q

Pneumonia + sepsis

A

Streptococcus pneumoniae, therefore:
Mild pneumonia: Amoxicillin
(Doxycycline if penicillin allergy)
Moderate: Amoxicillin AND
Doxycycline (Doxycycline onlv if penicillin allergy)
Severe: Co-amoxiclav and Doxycycline (cephalosporin and Doxycycline if penicillin allergy)
Cell wall synthesis inhibitors

28
Q

Profuse diarrhoea

A

Clostridium difficile, so vancomycin

29
Q

Aortic valve stenosis/endocarditis

A

Penicillin or gentamicin

30
Q

Pharyngitis

A

Adenovirus or EBV - supportive
Streptococcus pyogenes - flucloxacillin

31
Q

Shingles

A

Varicella zoster - acyclovir

32
Q

Malaria

A

Plasmodium falciparum- quinine

33
Q

Schistosomiasis

A

Helminths - praziquantel

34
Q

Pneumocystis jirovecii

A

Co-trimoxazole