Treatments MT1

Question 0

Sinusitis

Answer 0

First line:
Amoxicillin/clav
Doxycycline
Second line:
Adults:
Doxycycline
Moxifloxacin or levofloxacin
Children: 
Type 1 pen allergy:
Levofloxacin
Non-type 1 pen allergy:
Clindamycin + cefixime

Question 1

Acute otitis media

Answer 1

1st line:
Amoxicillin
2nd line:
Non-type 1 pen allergy:
Cefprozil
Cefuroxime
Ceftriaxone
Type 1 pen allergy:
Azithromycin
Clarithromycin
If initial therapy fails:
Amoxicillin/clav

Question 2

GABS pharyngitis

Answer 2

First line:
Penicillin v
Amoxicillin 
Second line:
Clindamycin
Azithromycin
Clarithromycin

Question 3

Community acquired pneumonia

Answer 3

Healthy with no recent antibiotics:

• azithromycin
• clarithromycin
• doxycycline

Comorbidities, immunosuppressed, or antibiotics within 3 months
-levofloxacin (high dose) OR + a macrolide OR
moxifloxacin OR Doxycycline
amoxicillin (high dose)

-amoxicillin/clav (high dose) + a macrolide OR
Doxycycline

-2nd/3rd gen cephalosporin + a macrolide OR
Doxycycline