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Flashcards in Antibiotic Man Deck (33)
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1

Epiglottitis bacteria and treatment

Haemophilus influenzae
Streptococci
IV ceftriaxone

2

Tonsillitis bacteria and treatment

Group A strep - Strep pyogenes
Penicillin

3

Sinusitis bacteria and treatment

S pneumoniae
Amoxicillin (greater absorption than penicillin)

4

Acute otitis media bacteria and treatment

S pneumonia, H influenzae
Amoxicillin

5

Mild CAP bacteria and treatment

S pneumoniae, H influenzae
Amoxicillin (doxycycline if allergic)

6

Severe CAP bacteria and treatment

S pneumoniae, H influenzae, coliforms, atypicals
Co-amoxiclav and doxycycline

7

Acute exacerbation of COPD bacteria and treatment

S pneumoniae, H influenza
Amoxicillin if purulent sputum (prednisolone if not)

8

Non-severe HAP bacteria and treatment

S pneumo, H inf, coliforms, sometimes legionella
Amoxicillin and metronidazole

9

Severe HAP bacteria and treatment

IV amox + gent + met

10

Native valve endocarditis bacteria and treatment

S aureus
IV flucloxacillin

11

Native valve subacute endocarditis bacteria and treatment

S viridans, enterococci
IV amox + gent

12

Prosthetic valve endocarditis bacteria and treatment

Coagulase negative staph (S epi), MRSA
IV vancomycin, gentamicin and oral rifampicin

13

Mild C diff treatment

PO metronidazole

14

Severe C diff treatment

PO vancomycin +/- metronidazole

15

Intra-abdominal sepsis bacteria and treatment

Anaerobes, polymicrobial coliforms, enterococcus
IV amox + gent + met

16

Spontaneous bacterial peritonitis (ascites) bacteria and treatment

Colifors +/- anaerobes, S pneumo
IV piperacillin, step down to PO co-trimoxazole

17

Cellulitis bacteria and treatment

Staph aureus
Flucloxacillin

18

Diabetic foot acute-on-chronic bacteria and treatment

S aureus, coliforms, anaerobes
Flucloxacillin and metronidazole

19

Septic arthritis/osteomyelitis bacteria and treatment

Staph aureus
IV flucloxacillin

20

Uncomplicated female UTI bacteria and treatment
What about if pregnant?

Coliforms and entrococci
Nitrofurantoin or trimethoprim oral 3 days
Pregnant - 1st/2nd trimester nitrofurantoin, 3rd trimester trimethoprim (also treat asymptomatic bacteriuria)

21

Uncatheterised male UTI bacteria and treatment

Coliforms and enterococci
Nitrofurantoin or trimethoprim oral 7 days

22

Complicated UTI/PN/urosepsis bacteria and treatment

Coliforms, enterococci, pseudomonas
IV amoxacillin + gentamicin, step down to oral co-trimoxazole

23

Acute meningitis bacteria and treatment

Neonates - listeria
Children - H influenza
10-21 - N meningitides
>21 - S pneumo>N meningitides
>65 - S pneumo, listeria
<65y - IV ceftriaxone 2g bd
>65 - IV ceftrixone + amoxicillin
Penicillin allegy - IV chloramphenicol IV, add co-trimoxazole if listeria suspected
10mg IV steroids 15 mins before antibiotics

24

Candida microorganism, diagnosis and treatment

Candida albicans (fungus)
High vaginal swab for culture
Topical clotrimazole pessary or cream, oral fluconazole if non-albicans

25

Bacterial Vaginosis microorganism, diagnosis and treatment

Gardrenella vaginalis
'Whiff' test, wet mount (clue cells)
Metronidazole

26

Chlamydia microorganism, diagnosis and treatment

Chlamydia trachomatis (gram -ve intracellular bacteria)
High vaginal swab or first pass urine for NAATS
7 days doxycycline 100mg BD

27

Gonorrhoea microorganism, diagnosis and treatment

Neisseria gonorrhoea (gram -ve diplococcus)
High vaginal swab or fist pass urine for NAATS
500mg ceftriaxone IM - test of cure recommended

28

Prostatitis microorganism, diagnosis and treatment

Chlamydia/gonorrhoea
28 days ciprofloxacin

29

Syphilis microorganism, diagnosis and treatment

Treponema pallidum
Serology - IgG and IgM ELISA
IM benzylpenicillin

30

Genital Herpes microorganism, diagnosis and treatment

Herpes simplex (usually HSV2, can be HSV1)
Swab of deroofed blister for PCR
Aciclovir, topical lidocaine,