Antibiotic Man

Question 1

Management of viral encephalitis

Answer 1

IV aciclovir

Question 2

Pathogen implicated in viral encephalitis

Answer 2

Herpes Simplex Virus

Question 3

Management of ventriculitis

Answer 3

IV ceftazidime

Question 4

Pathogen implicated in ventriculitis

Answer 4

Pseudomonas

Question 5

Management of brain abscess

Answer 5

IV ceftriaxone

IV metronidazole

Question 6

Pathogen implicated in brain abscess

Answer 6

Streptococci

Question 7

Standard management of bacterial meningitis

Answer 7

IV Ceftriaxone

IV Dexamethasone

Question 8

Add in management of bacterial meningitis

Answer 8

Amoxicillin - listeria cover (>60, immunocompromised)

Vancomycin - suspect resistant pneumococcus

Question 9

Management of meningococcus meningitis

Answer 9

Ceftriaxone

Question 10

Management of pneumococcus meningitis

Answer 10

Ceftriaxone
Dexamethasone
Add vancomycin if suspect resistance

Question 11

Management of listeria meningitis

Answer 11

Amoxicillin

Question 12

Management of h. influenzae meningitis

Answer 12

Ceftriaxone

Question 13

Standard management of bacterial meningitis (penicillin allergic)

Answer 13

IV Chloramphenicol

IV Dexamethasone

Question 14

Management of 0-2 CURB65 Pneumonia

Answer 14

Amoxicillin IV/PO

Question 15

Management of 0-2 CURB65 Pneumonia (Penicillin Allergic)

Answer 15

Doxycycline PO

Double dose Day 1

Question 16

Management of 3-5 CURB65 Pneumonia

Answer 16

IV Co-Amoxiclav

PO Doxycycline

Question 17

Management of 3-5 CURB65 Pneumonia (Penicillin Allergic)

Answer 17

IV Levofloxacin

Question 18

Management of 3-5 CURB65 ICU/HDU/NBM Pneumonia

Answer 18

IV Co-Amoxiclav
IV Clarithromycin
STEP DOWN - doxycycline

Question 19

Management of 3-5 CURB65 ICU/HDU/NBM Pneumonia (Penicillin Allergic)

Answer 19

IV Levofloxacin

Question 20

Management of non severe HAP

Answer 20

PO Amoxicillin

Question 21

Management of non severe HAP (penicillin allergic)

Answer 21

PO Doxycycline

Question 22

Management of severe HAP

Answer 22

IV Amoxicillin
IV Gentamicin
STEP DOWN - co-trimoxazole

Question 23

Management of severe HAP (penicillin allergic)

Answer 23

IV Co-Trimoxazole

IV Gentamicin

Question 24

Management of non severe aspiration pneumonia

Answer 24

PO Amoxicillin

PO Metronidazole

Question 25

Management of non severe aspiration pneumonia (penicillin allergic)

Answer 25

PO Doxycycline | PO Metronidazole

Question 26

Management of severe aspiration pneumonia

Answer 26

AGM

Question 27

Management of severe aspiration pneumonia (penicillin allergic)

Answer 27

PO doxycycline or IV clarithromycin IV Gentamicin Metronidazole

Question 28

Management of peritonitis/intra-abdominal/biliary tract

Answer 28

AGM

Question 29

Management of peritonitis/intra-abdominal/biliary tract (penicillin allergic)

Answer 29

Vancomycin Gentamicin Metronidazole

Question 30

Management of pancreatitis (if AB needed)

Answer 30

AGM

Question 31

Management of mild spontaneous bacterial peritonitis

Answer 31

Co-trimoxazole

Question 32

Management of severe spontaneous bacterial peritonitis

Answer 32

Piperacillin or Tazobactam

Question 33

Management of indolent native valve endocarditis

Answer 33

IV Amoxicillin | IV Gentamicin

Question 34

Management of indolent native valve endocarditis (penicillin allergic)

Answer 34

IV Vancomycin | IV Gentamicin

Question 35

Management of septic native valve endocarditis

Answer 35

IV Flucloxacillin

Question 36

Management of prosthetic valve endocarditis

Answer 36

Vancomycin IV Gentamicin 1mg/kg Add in rifampicin 3-5 days after

Question 37

Management of MRSA suspected endocarditis

Answer 37

Vancomycin IV Gentamicin 1mg/kg Add in rifampicin 3-5 days after

Question 38

Management of cellulitis

Answer 38

Flucloxacillin

Question 39

Management of cellulitis (penicillin allergic)

Answer 39

Doxycycline

Question 40

Management of acute osteomyelitis

Answer 40

Flucloxacillin (2 weeks IV 2 weeks oral)

Question 41

Management of acute osteomyelitis (penicillin allergic)

Answer 41

IV Vancomycin

Question 42

Management of chronic osteomyelitis

Answer 42

PO doxycycline or co-trimoxazole

Question 43

Management of osteomyelitis in diabetes

Answer 43

IV Flucloxacillin | Add in Metronidazole if severe infection