empirical treatments

Question 1

COPD infection

Answer 1

Amoxicillin then doxycycline

Question 2

Helicobacter pylori infection

Answer 2

(one week of) omeprazole, clarithromycin and amoxicillin/metronidazole

Question 3

Campylobacter-

Answer 3

Ciprofloxacin or erythromycin (if co morbidity)

Question 4

Salmonella –

Answer 4

Ciprofloxacin or cefotaxime (if co-morbidity)

Question 5

Shigellosis-

Answer 5

Ciprofloxacin or azithromycin (unlicensed indication)

Question 6

Typhoid-

Answer 6

Ciprofloxacin or cefotaxime

Question 7

C. diff-

Answer 7

ORAL metronidazole or ORAL vancomycin (if severe) – diagnosed by CDT(C diff toxin) in stool

Question 8

Biliary tract infection-

Answer 8

Ciprofloxacin or gentamicin or a cephalosporin

Question 9

Peritonitis-

Answer 9

Metronidazole + gentamicin

Question 10

Endocarditis (blind therapy)

Answer 10

• Flucloxacillin + gentamicin

Question 11

Community-acquired severe pneumonia-

Answer 11

co-amoxiclav + clarithromycin

Question 12

Pneumocystis carinii (HIV patients getting pneumonia)

Answer 12

Co-trimoxazole

Question 13

Legionnaire’s disease

Answer 13

Erythromycin or clarithromycin