Antimicrobials Bank

Question 1

Suspected meningococcal septicaemia in community - 1-10 years old

Answer 1

IM benzylpenicillin 600mg*

Question 2

Suspected meningococcal septicaemia in community - >10 year old

Answer 2

IM benzylpenicillin 1200mg*

Question 3

Treatment of epidiymo-orchitis, unknown organism

Answer 3

Ceftriaxone 500mg IM + oral Doxycycline 100mcg BD 10-14 days*

Question 4

Impetigo - localised non-bullous: 1st-line

Answer 4

Hydrogen peroxide 1% cream
BD or TDS
5 days (to 7)

Question 5

Impetigo - widespread

Answer 5

oral flucloxacillin or erythromycin

Question 6

Impetigo - localised non-bullous: 2nd-line

Answer 6

Fusidic acid 2% TDS 5 days (to 7)

Question 7

Impetigo - localised non-bullous: 2nd-line + suspect resistance

Answer 7

Topical Mupirocin 2% TDS 5 days (to 7)

Question 8

Impetigo - non-bullous - widespread:

Answer 8

Decide between:
Topical antibiotic 5 days (fusidic acid/mupirocin)
Oral antibiotic 5 days (flucloxacillin/erythromycin/clarithromycin)

Question 9

Impetigo - bullous: 1st-line

Answer 9

Flucloxacillin 500mg QDS 5 days

Question 10

Impetigo - bullous: pen-allergic / 1st-line not suitable

Answer 10

Clarithromycin 500mg BD 5 days
/
Erythromycin 500mg QDS 5 days

Question 11

Impetigo - bullous: suspect MRSA

Answer 11

Contact local microbiologist