First line treatments

Question 1

First line treatment against C.Diff

Answer 1

Metronidazole for mild to moderate

Question 2

What is the first line treatment for Skin and soft tissue bacteria infections?

Answer 2

Non-severe: Flucloxacillin oral 1g QDS for 5days
Severe: Flucloxacillin IV 1-2g QDS
Penicillin allergy:
Non-severe: Doxycycline oral 200mg OD for 5days
Severe: Clindamycin IV 450-600mg QDS

Question 3

Treatment for Osteomyelitis

Answer 3

Flucloxacillin IV 2g QDS for 6 weeks. First 2 weeks must be IV.
Penicillin allergy:
Clindamycin IV 900mg TDS for 6 weeks. First 2 weeks must be IV.

Question 4

Rx for meningitis?

Answer 4

1st line: Ceftriaxone

Question 5

Rx for uncomplicated P. Falciparum

Answer 5

1st line: ACT - Artemisinin Combination Therapy: Riamet (Artemether + Lumefantrine) 4tbl A/L 20/120 bd for 3 days
OR Malarone ( Proguanil + Atovaquone) 4tbl od for 3 days
Alt. Quinine 600mg od for 7 days + Doxycycline 100mg od for 2 weeks if not pregnant (Alt. Clindamycin or F

Question 6

Rx for lobar pneumonia/bronchopneumonia caused by Streptococcus Pneumoniae

Answer 6

Amoxicillin

and Clarithromycin if severe (IV)