Hospital Antibiotic Man

Question 1

Meningitis In adult treatment

Answer 1

IV Ceftriaxone + IV dexametnasone

Question 2

Meningitis + encephalitis suspected treatment

Answer 2

IV ceftriaxone + dexmethasone + IV aciclovir

Question 3

Meningitis + >60/immunocompromised

Answer 3

Ceftriaxone + dexamethasone + amoxicillin

Question 4

Epiglottitis/supraglottitis

Answer 4

IV Ceftriaxone

Question 5

Curb 65 stands for…

Answer 5

Confusion
Urea > 7
Reps rate increased
BP dropped
> 65

Question 6

Community acquired pneumonia mild-moderate (CURB65 0-2)

Answer 6

Amoxicillin TDS IV/P.O.

Pen allergic - doxycycline

Question 7

Community acquired pneumonia severe (CURB65 3-5)

Answer 7

IV co-amoxiclav + P.O. doxycycline

Pen allergic - levofloxacin

Question 8

Community acquired pneumonia severe (CURB65 3-5) ICU/HDU

Answer 8

IV co-amoxiclav + clarithromycin

Pen allergic - levofloxacin

Question 9

Total time IV/P.O. treatment hospital acquired pneumonia

Answer 9

7 days

Question 10

Non-severe hospital acquired pneumonia

Answer 10

PO Amoxicillin
Pen allergic - doxycline
5 days

Question 11

Severe hospital acquired pneumonia

Answer 11

IV amoxicillin + gentamicin

Pen allergic - IV co-trimoxazole + gentamicin

Question 12

Step down hospital acquired pneumonia

Answer 12

Co-trimoxazole

Question 13

Non-severe aspiration pneumonia

Answer 13

PO amoxicillin + metronidazole

Pen allergic - doxycycline

Question 14

Severe aspiration pneumonia

Answer 14

IV amoxicillin + metronidazole + gentamicin

One allergic - doxycylcine/clarithromycin

Question 15

Step down severe aspiration pneumonia

Answer 15

PO amoxicillin + metronidazole

Pen allergic - doxycycline

Question 16

When to give antibiotics in acute exacerbation of COPD

Answer 16

Increased sputum or consolidation on CXR

Question 17

1st line treatment exacerbation pneumonia

Answer 17

Amoxicillin

Question 18

2nd line exacerbation COPD

Answer 18

Doxycycline

Question 19

Acute cough/bronchitis when to treat

Answer 19

Abx shown no clinical benefit but may be given in frail/elderly

Question 20

Acute cough/bronchitis treatment 1st line

Answer 20

Amoxicillin

Question 21

Acute cough/bronchitis 2nd line treatment

Answer 21

Doxycycline

Question 22

Subacute native valve endocarditis

Answer 22

IV amoxicillin + IV gentamicin

Question 23

Acute native valve indolent endocarditis

Answer 23

IV flucloxacillin

Question 24

Prosthetic valve endocarditis or MRSA suspected

Answer 24

IV vancomycin + IV gentamicin

once therapeutic levels of vancomycin reached change to rifampicin

Question 25

Non-severe c diff

Answer 25

Metronidazole

Question 26

Severe c diff

Answer 26

Vancomycin P.O./NG +/- IV metronidazole

Question 27

Peritonitis/biliary tract/infra-abdominal

Answer 27

IV amoxicillin + gentamicin + metronidazole | Pen allergic - IV vancomycin + gentamicin + metronidazole

Question 28

Peritonitis/biliary tract/infra-abdominal step down

Answer 28

Co-trimoxazole + metronidazole | Pen allergic -

Question 29

Acute gastroenteritis

Answer 29

None | Seek advice

Question 30

Acute pancreatitis

Answer 30

Antibiotics unlikely to affect outcome, seek advice.

Question 31

Proven spontaneous bacterial peritonitis mild disease

Answer 31

Co-trimoxazole PO

Question 32

Proven spontaneous bacterial peritonitis severe disease

Answer 32

Piperacillin/tazobactam | Step down - co-trimoxazold

Question 33

UTI catheterised patient

Answer 33

No treatment unless symptomatic, if symptomatic treat as complicated

Question 34

UTI in older adults

Answer 34

Do not treat unless symptomatic

Question 35

Pyelonephritis/complicated UTI/urosepsis

Answer 35

IV amoxicillin + gentamicin | Pen allergic - co-trimoxazole + gentamicin

Question 36

Pyelonephritis/complicated UTI/urosepsis step down

Answer 36

P.O. co-trimoxazole

Question 37

Uncomplicated female lower UTI

Answer 37

Nitrofurantoin or trimethoprim 3 days

Question 38

Uncatheterised male UTI

Answer 38

Nitrofurantoin or trimethoprim 7 days

Question 39

Cellulitis

Answer 39

Flucloxacillin | Pen allergic - doxycycline

Question 40

Open fracture prophylaxis

Answer 40

IV co-amoxiclav Or IV co-trimoxazole + metronidazole Start within 3 hours for max 72 hours

Question 41

Mild diabetic foot infection

Answer 41

Flucloxacillin or doxycycline | 7 days

Question 42

Moderate diabetic foot infection

Answer 42

Flucloxacillin + metronidazole Or doxycycline + metronidazole 7 days

Question 43

Acute septic arthritis/osteomyelitis

Answer 43

Seek advice | IV flucloxacillin

Question 44

SEPSIS of unknown source

Answer 44

IV amoxicillin + metronidazole + gentamicin | Pen allergic - IV vancomycin + metronidazole + gentamicin

Question 45

SEPSIS unknown cause + IVDU

Answer 45

IV amoxicillin + metronidazole + gentamicin + flucloxacillin