Empirical Antibiotic Treatments Flashcards
(38 cards)
CURB 65
confusion urea > 7 resp. rate > 30 blood pressure <90 / < 61 65 yo +
CURB 65 for mild/moderate community acquired pneumonia
0-2
CURB 65 for severe community acquired pneumonia
3 -5
treatment of mild/moderate community acquired pneumonia
oral amoxicillin
treatment of mild/moderate community acquired pneumonia if penicillin injury
oral doxycycline
treatment of severe CAP
oral co-amoxiclav + doxycycline
treatment of severe CAP if penicillin allergic
IV levofloxacin
risk of c. diffe - one of 4C’s ciprofloxacin
treatment of CAP if in ICU/HDU
Iv co-amoxiclav + clarithromycin
if pen allergic IV levofloxacin
treatment of severe HAP
IV amoxicillin, metronidazole, gentamycin
step down to oral co-trimazole + metronidazole
treatment of sever HAP if pen allergic
IV co-trimoaxazole + metronidazole
step down to oral co-trimazole + metronidazole
treatment of non-severe HAP
oral amoxicillin + metronidazole
treatment of non-severe HAP if penicillin allergic
oral co-trimoxazole + metronidazole
treatment of acute exacerbation of COPD
1st line amoxicillin
2nd line doxycycline
treatment of epiglottis
ceftriazone
amoxicillin + gentamicin given together have what affect?
synergystic
investigations of acute native valve endocarditis
2 blood cultures within the hour
investigations of subacute native valve endocarditid
3 blood cultures each 6 hours apart
treatment of acute native valve endocarditis
IV flucloxacillin
treatment of subacute native valve endocarditis
IV amoxicillin + gentamicin
treatment of prosthetic valve endocarditis
IV vancomycin + rifampicin + gentamicin
treatment of native valve severe sepsis
IV vancomycin + metoropenem
treatment of mild/moderate c. diffe
oral metronidazole
treatment of severe c. diffe
oral vancomycin
treatment of peritonitis / biliary tract / intra-abdominal infection
IV amoxicillin + metronidazole + gentamicin
step down to oral metronidazole + co-trimoxazole
