Antibiotic Treatments

Question 1

Sepsis

Answer 1

IV Amoxicillin + Gentamicin + Metronidazole

Question 2

4Cs to avoid

Answer 2

Ciprofloxacin (quinolones), Co-amoxiclav, Clindamycin, Cephalosporins

Question 3

C. difficile (mild)

Answer 3

Oral Metronidazole

Question 4

C. difficile (severe)

Answer 4

Oral Vancomycin +/- IV Metronidazole

Question 5

Acute Traveller’s Diarrhoea

Answer 5

Ciprofloxacin or Azithromycin

Question 6

Pseudomembranous Colitis (antibiotic induced)

Answer 6

Vancomycin

Question 7

H.pylori eradication

Answer 7

Amoxycillin/Metronidazole + Clarithromycin (+PPI)

Question 8

Severe HAP

Answer 8

IV Amoxicillin + Metronidazole + Gentamicin

Question 9

Severe HAP + penicillin allergy

Answer 9

IV Co-trimoxazole + Metronidazole + Gentamicin

Question 10

Non-severe HAP

Answer 10

Oral Amoxicillin + Metronidazole

Question 11

Non-severe HAP + penicillin allergy

Answer 11

Oral Co-trimoxazole + Metronidazole

Question 12

Mild CAP

Answer 12

Amoxicillin

Question 13

Mild CAP + penicillin allergy

Answer 13

Doxycycline

Question 14

Severe CAP

Answer 14

IV Co-amoxiclav + PO Doxycycline

Question 15

Severe CAP + penicillin allergy

Answer 15

IV Levofloxacin

Question 16

Acute Epiglottitis

Answer 16

IV Ceftriaxone

Question 17

COPD acute exacerbation

Answer 17

Amoxicillin (1st line)

Doxycycline (2nd line)

Question 18

Spontaneous bacterial peritonitis

Answer 18

PO Co-trimoxazole

Question 19

Peritonitis/ biliary tract infection

Answer 19

IV Amoxicillin + Metronidazole + Gentamicin

Question 20

Peritonitis/ biliary tract infection + penicillin allergy

Answer 20

IV Vancomycin + Metronidazole + Gentamicin

Question 21

Coliforms

Answer 21

Gentamicin

Question 22

Anaerobes

Answer 22

Metronidazole

Question 23

Enterococcus

Answer 23

Amoxicillin

Question 24

Staphylococcus

Answer 24

Flucloxacillin

Question 25

Streptococcus

Answer 25

Flucloxacillin

Question 26

Endocarditis- Staph Aureus

Answer 26

Flucloxacillin

Question 27

Endocarditis- Enterococcus

Answer 27

All Germs ENTER the body- Amoxicillin + Gentamicin

Question 28

Endocarditis- Staph Epidermitis (associated with prosthetic valves)

Answer 28

Give these for Very Good Reasons | Vancomycin + Gentamicin + Rifampicin

Question 29

Endocarditis- Strep Viridans

Answer 29

Benzylpenicillin + Gentamicin

Question 30

Endocarditis- Native Valve

Answer 30

NAG | Amoxicillin + Gentamicin

Question 31

Acute Gastroenteritis

Answer 31

None required- supportive treatment

Question 32

Cellulitis

Answer 32

IV or oral flucloxacillin 1g qds

Question 33

Acute septic arthritis or Oesteomyelitis

Answer 33

IV flucloxacillin 2g qds

Question 34

Diabetic foot infection

Answer 34

Flucloxacillin 1g qds (or Doxycycline 100mg bd if allergic)--> may add 400mg metronidazole if severe

Question 35

UNKNOWN SOURCE

Answer 35

IV Amoxacillin + Gentamicin + Metronidazole

Question 36

Uncomplicated female or male UTI

Answer 36

Nitrofurantoin 50mg qds OR 100mg MR bd OR Trimethoprim 200mg bd 3 day course in females, 7 day course in males

Question 37

Complicated UTI/Catheterised patient

Answer 37

IV Amoxicillin + Gentamicin

Question 38

Complicated UTI/Catheterised patient (with penicillin allergy)

Answer 38

IV Co-trimoxazole + Gentamicin