Hospital Flashcards
(35 cards)
What is the first-line treatment for someone with Community Acquired Pneumonia and a CURB65 score of 0-2? For how long?
IV/PO Amoxicillin 1g tds
For 5 days
What is the treatment for a Community Acquired Pneumonia with a CURB 65 score of 0-2 in someone who is penicillin allergic?
PO Doxycycline 200mg on day 1 and then 100mg for the following 6 days.
What is the treatment for a Community Acquired Pneumonia with a CURB 65 score of 0-2 in someone who is penicillin allergic AND nil-by-mouth?
IV Clarithomycin 500mg bd for 7 days
What is the first-line treatment for someone with Community Acquired Pneumonia and a CURB65 score of 3-5? For how long?
IV Co-amoxiclav 1.2g tds AND PO Doxyclycline 100mg bd
For 7 days
What is the treatment for someone with Community Acquired Pneumonia and a CURB65 score of 3-5 but is penicillin allergic?
IV Levothyroxin 500mg bd for 7 days
What is the first line treatment for Hospital Acquired Pneumonia when it is non-severe? And for how long?
PO Amoxicillin 1g tds
for 5 days
What is the treatment for Hospital Acquired Pneumonia when it is non-severe but the patient is penicillin allergic? And for how long?
PO Doxycycline 100mg bd
for 5 days
What is the first line treatment for Hospital Acquired Pneumonia when it is severe?
IV Amoxicillin 1g tds AND calculated gentamicin dose
for 7 days
What is the first line treatment for Hospital Acquired Pneumonia when it is severe and the patient is penicillin allergic?
IV Co-trimoxazole AND calculated genatmicin dose
for 7 days
What is the treatment for non-severe aspiration pneumonia?
PO amoxicillin 1g tds and metronidazole 400mg tds
(or doxycycline 100mg bd and metronidazole 400mg tds)
for 7 days
What is the treatment for severe aspiration pneumonia?
TRIPLE THERAPY
IV Amoxicillin 1g tds, IV metronidazole 500mg tds and calculated gentamicin dose
(If penicillin allergic, use PO doxycyline 100mg bd or IV clarithromycin 500mg bd)
cut out gentamicin for step-down treatment as patient improves
for 7 days
What is the antibiotic first-line management of an acute exacerbation of COPD?
PO Amoxicillin 1g tds for 5 days
doxycycline 200mg bd on day one and then 100mg bd if penicillin allergic
What is the empirical treatment for meningitis?
IV Ceftriaxone 2g bd + IV Dexamethasone 10mg qds
What can use use for suspected encephalitis?
IV Aciclovir 10mg/kg tds
In patients with meningitis/encephalitis who are over 60 or immunocompromised, what should be added?
IV Amoxicillin 2g 4hrly
What is the treatment for epiglottitis/supraglottitis?
IV Ceftriaxone 2g od
What action should you take for most ENT infections?
refer to ENT guidance
How should you proceed in suspected endocarditis?
- take blood cultures
- star empirical therapy and refer to ID/microbiology
- check endocarditis guidance for gentamicin/vancomycin
In subacute (indolent native valve) endocarditis, what treatment would you prescribe?
IV Amoxicillin 2g 4 hourly + 1mg/kg gentamycin bd
How would you treat acute (native valve severe sepsis) endocarditis?
IV Flucloxacillin 2g 6hrly (or 4hrlt if >85kg)
How would you treat endocarditis in a patient with a prosthetic valve or suspected MRSA?
IV Vancomycin + IV gentamycin 1mg/kg bd
once theraputic vancomycin levels reached, add rifampicin PO 600mg bd
What inflammatory GI conditions do not require antibiotics?
acute gastritis and acute pancreatitis
What antibiotic would you use for non-severe C Diff infection?
PO metronidazole 400mg tds for 10 days
What antibiotic would you use for severe C Diff infection?
PO/NG Vancomycin 125mg qds +/- IV metronidazole for 10 days
