Antibiotics need to know - 1st year Flashcards

(32 cards)

1
Q

CAP 0-2 on CURB-65

A

Amoxicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

CAP 0-2 CURB-65 allergic to penicillin

A

Doxycycline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

CAP 3-5 CURB-65

A

Co-amoxiclav and clarithromycin both IV or Co-amoxiclav IV and doxycline PO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CAP 3-5 CURB-65 allergic to penicillin

A

IV Levofloxacin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Non-severe HAP

A

PO amoxicillin and metrondiazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Severe HAP

A

IV amoxicillin, metrondiazole and gentamicin –> step down to PO co-trimoxazole and metronidazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Allergic to penicillin for non-severe and severe HAP

A

IV co-trimoxazole, metronidazole +/- gentamicin –> step down to PO co-trimoxazole and metronidazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Acute exacerbation of COPD

A

Amoxicillin (2nd line doxycycline) - if no sputum purulence, no antibiotics unless consolidation on CXR or signs of pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Native valve indolent (subacute) endocarditis

A

amoxicillin IV and gentamicin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Native valve severe sepsis endocarditis

A

Flucloxacillin - this form is common with IVDU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Prosthetic valve or suspected MRSA endocarditis

A

Vancomycin IV, rifampicin PO and gentamicin IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Native valve severe sepsis and risk factors for resistant pathogens

A

Vancomycin IV and meropenem IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

C Diff. non-severe

A

metronidazole PO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

C Diff. severe

A

Vancomycin PO/NG +/- metronidazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Peritonitis/ biliary tract/ intra-abdominal

A

IV amoxicillin, metronidazole and gentamicin –> step down to PO co-trimoxazole and metronidazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Peritonitis/ biliary tract/ intra-abdominal if penicillin allergic

A

IV vancomycin, metronidazole and gentamicin –> step down to PO co-trimoxazole and metronidazole

17
Q

Proven spontaneous bacterial peritonitis – non-severe

A

co-trimoxazole PO

18
Q

Proven spontaneous bacterial peritonitis – severe

A

pipercillin/tazobactam IV then step down to co-trimoxazole PO

19
Q

Acute gastroenteritis and pancreatitis

A

Do not require antibiotics

20
Q

Campylobacteur infection

A

erythromycin or ciprofloxacin if patient develops systemic illness

21
Q

Salmonella

A

Ciprofloxacin if patient is patient is at risk or develops a systemic illness

22
Q

Shigella

A

Strains acquired from abroad require treatment with ciprofloxacin

23
Q

E-coli

A

Do not give as it may cause verotoxin (VTEC) to be released

24
Q

Typhoid/ paratyphoid fever

A

Ciprofloxacin although resistance is becoming more common - associated with salmonella

25
Cholera
Don't use antibiotics
26
Enterobius vermicularis (threadworms)
Oral mebendazole
27
Staph. Aureus
Flucloxacillin
28
MRSA
vancomycin or teicoplarin
29
Amoebiasis and giardiasis
Metronidazole
30
Legionaire's disease
erythromycin or clarithromycin
31
Epiglottitis
ceftriaxone
32
TB
Rifampicin, pyraziriamide, ethambutol, isoniazid (2 months) | Rifampicin and isoniazid fro a further 4 months