What antibiotics to give for which conditions?

Question 1

Which antibiotic(s) do you give for exacerbations of chronic bronchitis?

Answer 1

Amoxicillin or tetracycline or clarithromycin

Question 2

Which antibiotic(s) do you give for uncomplicated community-acquired pneumonia?

Answer 2

Amoxicillin (Doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staphylococci suspected e.g. In influenza)

Question 3

Which antibiotic(s) do you give for pneumonia possibly caused by atypical pathogens?

Answer 3

Clarithromycin

Question 4

Which antibiotic(s) do you give for hospital-acquired pneumonia?

Answer 4

Within 5 days of admission: co-amoxiclav or cefuroxime
More than 5 days after admission: Tazocin OR a broad-spectrum cephalosporin (e.g. ceftazidime) OR a quinolone (e.g. ciprofloxacin)

Question 5

Which antibiotic(s) do you give for Lower urinary tract infection?

Answer 5

Trimethoprim or nitrofurantoin. Alternative: amoxicillin or cephalosporin

Question 6

Which antibiotic(s) do you give for acute pyelonephritis?

Answer 6

Broad-spectrum cephalosporin or quinolone

Question 7

Which antibiotic(s) do you give for acute prostatitis?

Answer 7

Quinolone or trimethoprim.

Question 8

Which antibiotic(s) do you give for Impetigo?

Answer 8

Topical fusidic acid, oral flucloxacillin or erythromycin if widespread?

Question 9

Which antibiotic(s) do you give for Cellulitis?

Answer 9

Flucloxacillin (clarithromycin or clindomycin if penicillin-allergic).

Question 10

Which antibiotic(s) do you give for Erysipelas?

Answer 10

Phenoxymethylpenicillin (erythromycin if penicillin-allergic)

Question 11

Which antibiotic(s) do you give for Animal or human bite?

Answer 11

Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)

Question 12

Which antibiotic(s) do you give for mastitis during breast-feeding

Answer 12

Flucloxacillin

Question 13

Which antibiotic(s) do you give for throat infections?

Answer 13

Phenoxymethylpenicillin (erythromycin alone if penicillin-allergic)

Question 14

Which antibiotic(s) do you give for otitis media?

Answer 14

Amoxicillin

Question 15

Which antibiotic(s) do you give for otitis externa?

Answer 15

• Topical antibiotic with corticosteroid for mil-moderate disease.
• oral flucloxacillin for severe disease

Question 16

Which antibiotic(s) do you give for HIV: Pneumocystis jiroveci pneumonia( formally carinii (PCP))?

Answer 16

Co-trimoxazole

Question 17

Which antibiotic(s) do you give for Periapical or periodontal abscess?

Answer 17

Amoxicillin

Question 18

Which antibiotic(s) do you give for gingivitis: acute necrotising ulcerative?

Answer 18

Metronidazole

Question 19

Which antibiotic(s) do you give for Gonorrhoea?

Answer 19

Intramuscular ceftriaxone + oral azithromycin

Question 20

Which antibiotic(s) do you give for Chlamydia?

Answer 20

Doxycycline or azithromycin

Question 21

Which antibiotic(s) do you give for pelvic inflammatory disease (PID)?

Answer 21

Oral ofloxacin + oral metronidazole or intramuscular ceftriaxone + oral doxycycline + oral metronidazole

Question 22

Which antibiotic(s) do you give for Syphilis?

Answer 22

Benzathine benzylpenicillin or doxycycline or erythromycin

Question 23

Which antibiotic(s) do you give for bacterial vaginosis?

Answer 23

Oral or topical metronidazole or topical clindamycin

Question 24

Which antibiotic(s) do you give for C.diff?

Answer 24

First episode: metronidazole

Second or subsequent episode of infection: vancomycin

Question 25

Which antibiotic(s) do you give for Campylobacter enteritis?

Answer 25

Clarithromycin

Question 26

Which antibiotic(s) do you give for Salmonella (non-typhoid)?

Answer 26

Ciprofloxacin

Question 27

Which antibiotic(s) do you give for Shigellosis?

Answer 27

Ciprofloxacin

Question 28

What antibiotic do you use to treat amoeba?

Answer 28

Metronidazole