Antibiotics guidlines

Question 1

What is the treatment for exacerbations of chronic bronchitis?

Answer 1

Amoxicillin or tetracycline or clarithromycin

Question 2

What is the treatment for uncomplicated community-acquired pneumonia?

Answer 2

Amoxicillin (Doxycycline or clarithromycin on penicillin allergic, add flucloxacillin if staphylococci suspected)

Question 3

What is the treatment for Pneumonia possibly caused by atypical pathogens?

Answer 3

Clarithromycin

Question 4

What is the treatment for Hospital-acquired pneumonia?

Answer 4

Within 5 days of admission: co-amoxiclav or cefuroxime
More than 5 days after admission: piperacillin with tazobactam OR a broad-spectrum cephalosporin (e.g ceftazidme) OR a quinolone (e.g ciprofloxacin)

Question 5

What is the treatment for Lower urinary tract infection?

Answer 5

Trimethoprim or nitrofurantoin Alternative amoxicillin or cephalosporin

Question 6

What is the treatment for Acute pyelonephritis?

Answer 6

Broad-spectrum cephalosporin or quinolone

Question 7

What is the treatment for Acute prostatitis?

Answer 7

Quinolone or trimethoprim

Question 8

What is the treatment for Impetigo?

Answer 8

Topical hydrogen peroxide, oral flucloxacillin or erythromycin if widespread

Question 9

What is the treatment for Cellulitis?

Answer 9

Flucloxacillin ( clarithromycin, erythromycin or doxycycline if penicillin-allergic)

Question 10

What is the treatment for Cellulitis (near the eyes or nose)?

Answer 10

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

Question 11

What is the treatment for Erysipelas?

Answer 11

Flucloxacillin ( clarithromycin, erythromycin or doxycycline if penicillin-allergic)

Question 12

What is the treatment for Animal or human bite?

Answer 12

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

Question 13

What is the treatment for Mastitis during breast-feeding?

Answer 13

Flucloxacillin

Question 14

What is the treatment for Throat infections?

Answer 14

Phenoxymethylpenicillin (erythromycin alone if penicillin-allergic)

Question 15

What is the treatment for Sinusitis?

Answer 15

Phenoxymethylpenicillin

Question 16

What is the treatment for Otitis media?

Answer 16

Amoxicillin (erythromycin if penicillin-allergic)

Question 17

What is the treatment for Otitis externa?

Answer 17

Flucloxacillin (erythromycin if penicillin-allergic)
a combined topical antibiotic and corticosteroid is generally used for mild/moderate cases of otitis externa

Question 18

What is the treatment for Periapical or periodontal abscess?

Answer 18

Amoxicillin

Question 19

What is the treatment for Gingivitis: acute necrotising ulcerative?

Answer 19

Metronidazole

Question 20

What is the treatment for Gonorrhoea?

Answer 20

Intramuscular ceftriaxone

Question 21

What is the treatment for Chlamydia?

Answer 21

Doxycycline or azithromycin

Question 22

What is the treatment for Pelvic inflammatory disease?

Answer 22

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

Question 23

What is the treatment for Syphilis?

Answer 23

Benzathine benzylpenicillin or doxycycline or erythromycin

Question 24

What is the treatment for Bacterial vaginosis?

Answer 24

Oral or topical metronidazole or topical clindamycin

Question 25

What is the treatment for Clostridioides difficile?

Answer 25

First episode: oral vancomycin Second or subsequent episode of infection: oral fidaxomicin

Question 26

What is the treatment for Campylobacter enteritis?

Answer 26

Clarithromycin

Question 27

What is the treatment for Salmonella (non-typhoid)?

Answer 27

Ciprofloxacin

Question 28

What is the treatment for Shigellosis?

Answer 28

Ciprofloxacin

Question 29

What is the prophylactic guide for ascites?

Answer 29

Offer oral ciprofloxacin or norfloxacin with cirrhosis and ascites with an ascitic protein of 15g/litre or less until ascites resolved

Question 30

Meningitis over 3 months treatment age

Answer 30

IV ceftriaxone IV dexamethasone ( certain times)