Antibacterial prophylaxis

Question 1

Rheumatic fever

Answer 1

phenoxymethylpenicillin or sulfadiazine

Question 2

Meningococcal meningitis (prevention of secondary cases)

Answer 2

ciprofloxacin or rifampicin or I/M ceftriazone

Question 3

Haemophilus influenzae type b infection: prevention of secondary disease

Answer 3

Rifampicin

Question 4

Diphtheria

Answer 4

Erythromycin (treat for a further 10 days if nasopharyngeal swabs are positive after 7 days treatment)

Question 5

Pertussis

Answer 5

clarithromycin (or azithromycin or erythromycin) within 3 weeks of onset of cough

Question 6

Human and animal bites

Answer 6

1) co-amoxiclav

OR if allergic

Doxycycline and metronidazole

Question 7

Termination of pregnancy

Answer 7

single dose of oral metronidazole (if chlamydia too then doxycyline)

Question 8

Is prophylaxis for infective endocarditis recommended?

Answer 8

No