Year 2 Antibiotics Flashcards
what is the antibiotic treatment for cellulitis?
flucloxacilin or doxycycline (7-14 days)
what is the treatment for athletes foot?
topical 1% terbinafine (7 days)
what is the treatment for dermatophyte nail infection?
terbinafine
fingers (6-12 weeks)
toes (3-6 months)
what is the treatment for diabetic foot ulcer if it looks clinically infected?
flucloxacillin or doxycycline or co-trimoxazole
if anaerobes present: add metronidazole
what is the treatment for impetigo?
topical fusidic acid then fluloxacillin or clarithromycin
what is the treatment of chicken pox?
aciclovir (7 days)
if presents within 24 hours of rash
what is the treatment of shingles?
aciclovir or valaciclovir (7 days)
must present within 72 hours of rash
what is the antibiotic treatment for infected bites?
co-amoxiclav or metronidaozle + doxycycline (7 days)
what is the treatment for dermatophyte skin infection?
clotrimazole cream
what is the treatment for dermatophyte scalp infections?
terbinafine
what is the treatment of candida?
clotrimazole cream
oral fluconazole
what is the treatment of scabies?
permethrin cream or malathion lotion
what is the antibiotic treatment of septic arthritis?
flucloxacillin or ceftriaxone (children) then adjust once organism confirmed
what is the antibiotic treatment of osteomyelitis?
flucloxacillin
what is the antibiotic treatment of necrotising fasciitis?
penicillin + clidamycin (+ surgical debridement)
what is the treatment of gas gangrene?
penicillin + metronidazole (+ surgical debridement)
what is the treatment of tetanus?
antitoxin + penicillin/metronidazole
+ surgical debirdement + booster vaccine
what is the treatment of PVL producing S. aureus?
flucloxacillin/clindamycin
what is the antibiotic treatment of tonsillitis?
penicillin V (10 days) or clarithromycin ( 5 days)
what is the treatment of diphtheria?
antitoxin + penicillin/erythromycin
what is the antibiotic treatment of sinusitis?
penicillin V (7 days) or doxcycycline (7 days)
what is the antibiotic treatment of otitis media?
amoxicillin or clarithromycin ( 5 days)
what is the treatment of otitis externa?
aural toilet ( gentasone
what is the antibiotic treatment of epiglottis?
IV ceftriazone
what is the treatment of oral thrush?
nystatin liquid (7 days)
what is the antibiotic treatment of bacterial conjuncitivitis?
chloramphenicol drops or ointment
what is the antibiotic treatment of chlamydial conjunctivitis?
topical oxytetracycline
what is the antibiotic treatment of orbital cellulitis?
ceftriaxone IV + fluclozacillin IV + metronidazole IV
what is the antibiotic treatment of bacterial keratitis?
ofloxacin/gentamicin + cefuroxime
what is the treatment of viral keratitis?
aciclovir drops
what is the treatment for ophthalmic shingles?
aciclovir/valciclovir (PO) + aciclovir drops
what is the antibiotic treatment for an uncomplicated female lower UTI?
trimethoprim PO or nitrofurantoin PO (3 days)
what is the antibiotic treatment for a UTI in an uncatheterised male?
trimethoprim PO or nitrofurantoin PO (7 days)
what is the antibiotic treatment for pyelonephritis or a complicated UTI? (in GP)
co-amoxiclav or co-trimoxazole (14 days)
what is the antibiotic treatment for pyelonephtiris or a complicated UTI? (in hospital)
IV gentamicin + IV amoxicillin (3 days)
then step down to sensitivities
what is the antibiotic treatment for UTI/bacteruria in pregnancy?
1/2nd trimester: nitrofurantoin PO (7 days)
3rd trimester: trimethoprim PO (7 days)
all trimesters: cefalexin PO (7 days)
what is the antibitoic treatment for recurrent female UTI?
trimethoprim or nitrofurantoin (post coital or nightly dose)
what is the antibiotic treatment for UTI in cathetrised patients?
co-amoxiclave or co-trimoxazole PO (7 days)
what is the antibiotic treatment for prostatitis?
ofloxacin or ciprofloxacin or trimethoprim (28 days)
what is the antibiotic treatment for epididymo-orchitis?
high risk of STI- azithromycin or doxycycline (14 days)
low risk of STI- ofloxacin or ciprofloxacin (14 days)
what is the treatment of Herpes simplex encephalitis?
IV aciclovir
what is the treatment for meningococcal meningitis?
IV ceftriaxone (7 days)
what is the treatment of pneumococcal meningitis?
IV ceftriaxone (14 days)
what is the treatment of H. influenzae meningitis?
IV ceftriaxone (10 days)
what is the treatment of meningitis in a neonate?
ceftriaxone/cefutaxime + amoxicillin
what is the treatment for campylobacter gastroenteritis?
clarithromycin/azithromycin
or ciprofloxacin
what is the treatment for salmonella gastroenteritis (UK)?
ciprofloxacin
what is the treatment for E. Coli 0157 gastroenteritis?
supportive
what is the treatment for cryptosporidium?
supportive
what is the treatment for shigella (UK)?
supportive
what is the treatment of noravirus/rotavirus?
supportive
what is the treatment of salmonella typhi/paratyphi?
ciprofloxacin
what is the treatment of cholera?
supportive
what is the treatment of amoebiasis?
metronidazole
what is the treatment of shigella dysentry (imported)?
ciprofloxacin
what is the treatment for indolent endocarditis?
amoxicilin + gentamicin
what is the treatment for acute endocarditis?
flucloxacillin
what is the treatment for MRSA endocarditis?
vancomycin + gentamicin + rifampicin
what is the treatment for prosthetic valve endocarditis?
vancomycin + gentamicin + rifampicin
how many blood cultures do you need to take for endocarditis before givien antibiotics?
3 sets
what is the treatment of meningitis in an elderly patient?
ceftriaxone + amoxicillin (for listeria cover)
what is the treatment of meningitis in an immunocompromised patient?
ceftriaxone + amoxicillin (for listeria cover)
what is the treatment for mild/first time C. dif?
PO metronidazole
what is the treatment for severe or second time C. dif?
PO vancomycin +/- IV metronidazole