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Flashcards in Antibiotics Deck (24)
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1

Most appropriate first-line treatment for pneumonia possibly caused by atypical pathogens?

Clarithromycin

2

Abx for uncomplicated community-acquired pneumonia?

Amoxicillin (Doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staphylococci suspected e.g. In influenza)

3

Hospital-acquired pneumonia within 5 days of admission:

co-amoxiclav or cefuroxime

4

Hospital-acquired pneumonia more than 5 days after admission:

piperacillin with tazobactam OR
a broad-spectrum cephalosporin (e.g. ceftazidime) OR
a quinolone (e.g. ciprofloxacin)

5

Rx for chronic bronchitis exacerbations

Amoxicillin or tetracycline or clarithromycin

6

Lower urinary tract infection (and alternative Rx?)

Trimethoprim or nitrofurantoin. Alternative: amoxicillin or cephalosporin

7

Abx for acute pyelonephritis?

Broad-spectrum cephalosporin or quinolone

8

Abx for acute prostatitis?

Quinolone or trimethoprim

9

Abx for skin impetigo? (Staph aureus, sometimes Strep. pyogenes)

Topical fusidic acid (can cause jaundice - cholestatic), oral flucloxacillin or erythromycin if widespread

10

Phenoxymethylpenicillin (erythromycin if penicillin-allergic)

Flucloxacillin (clarithromycin or clindomycin if penicillin-allergic)

11

Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)

Phenoxymethylpenicillin (erythromycin if penicillin-allergic)

12

Phenoxymethylpenicillin

Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)

13

Throat infections

Phenoxymethylpenicillin

14

Throat infections if penicillin allergic

(erythromycin alone if penicillin-allergic)

15

Sinusitis Abx

Amoxicillin or doxycycline or erythromycin

16

Otitis media Abx

Amoxicillin (erythromycin if penicillin-allergic)

17

Otitis externa Abx

Flucloxacillin (erythromycin if penicillin-allergic)

18

Gonorrhea

Intramuscular ceftriaxone + oral azithromycin

19

Chlamydia Abx

Doxycycline (photosensitivity, not when pregnant, psych. side effects) or azithromycin

20

Pelvic inflammatory disease

Oral ofloxacin + oral metronidazole
or
intramuscular ceftriaxone + oral doxycycline + oral metronidazole

21

Syphilis

Benzathine benzylpenicillin or doxycycline or erythromycin

22

Which antibiotic to add in CAP if staph suspected (eg. post influenza)?

add flucloxacillin (to amoxicillin)

23

eg of a broad spectrum ceph?

ceftazidime (for severe HA pneumonia)

24

Bacterial vaginosis

Oral or topical metronidazole or topical clindamycin