Hospital Antibiotics

Question 1

Meningitis

Answer 1

Ceftriaxone IV + Dexamethasone IV

Question 2

Epiglottitis/supraglottitis

Answer 2

Ceftriaxone IV

Question 3

Mild-moderate community acquired pneumonia (CURB65 0-2)

Answer 3

Amoxicillin IV/PO

Question 4

Mild-moderate community acquired pneumonia (CURB65 0-2) when penicillin allergic

Answer 4

Doxycycline PO OR clarithromycin IV if NBM

Question 5

Severe community acquired pneumonia (CURB65 3-5)

Answer 5

Co-amoxiclav IV + Doxycycline

Question 6

Severe community acquired pneumonia (CURB65 3-5) when penicillin allergic

Answer 6

IV Levofloxacin

Question 7

Non-severe aspiration pneumonia

Answer 7

PO Amoxicillin + Metronidazole

Question 8

Severe aspiration pneumonia

Answer 8

IV Amoxicillin + Metronidazole + Gentamicin

Question 9

Non-severe aspiration pneumonia with penicillin allergy

Answer 9

PO Doxycycline + Metronidazole

Question 10

Severe aspiration pneumonia with penicillin allergy

Answer 10

PO Doxycycline OR IV clarithromycin + metronidazole + gentamicin

Question 11

Acute exacerbation of COPD / acute cough / acute bronchitis

Answer 11

Amoxicillin

Question 12

Acute exacerbation of COPD with penicillin allergy / acute cough / acute bronchitis

Answer 12

Doxycycline

Question 13

Subacute endocarditis with native valve

Answer 13

Amoxicillin IV + Gentamicin

Question 14

Endocarditis with prosthetic valve or suspected MRSA

Answer 14

Vancomycin IV + Gentamicin IV + Rifampicin PO

Question 15

Septic endocarditis with native valve

Answer 15

Flucloxacillin IV

Question 16

Non-severe C.diff

Answer 16

Metronidazole PO

Question 17

Severe C.diff

Answer 17

Vancomycin PO/IV

Question 18

Peritonitis / biliary tract / intra-abdominal

Answer 18

IV Amoxicillin + Metronidazole + Gentamicin

Question 19

Peritonitis / biliary tract / intra-abdominal with penicillin allergy

Answer 19

IV Vancomycin + Metronidazole + Gentamicin

Question 20

Non-severe hospital acquired pneumonia

Answer 20

PO Amoxicillin

Question 21

Severe hospital acquired pneumonia

Answer 21

IV Amoxicillin + Gentamicin

Question 22

Non-severe hospital acquired pneumonia with penicillin allergy

Answer 22

Doxycycline

Question 23

Severe hospital acquired pneumonia with penicillin allergy

Answer 23

IV Co-trimoxazole + Gentamicin

Question 24

Complicated UTI / pylonephritis / urosepsis

Answer 24

IV Amoxicillin + Gentamicin

Question 25

Complicated UTI / pylonephritis / urosepsis with penicillin allergy

Answer 25

IV Co-trimoxazole + Gentamicin

Question 26

Uncomplicated female UTI

Answer 26

Nitrofurantoin or Trimethoprim

Question 27

Uncatheratised male UTI

Answer 27

Nitrofurantoin or Trimethoprim

Question 28

Cellulitis

Answer 28

Flucloxacillin

Question 29

Cellulitis with penicillin allergy

Answer 29

Doxycycline

Question 30

Open fracture prophylaxis

Answer 30

Co-amoxiclav OR co-trimoxazole + metronidazole

Question 31

Acute septic arthritis / oestomyelitis

Answer 31

IV Flucloxacillin

Question 32

Severe systemic infection

Answer 32

IV Amoxicillin + Metronidazole + Gentamicin

Question 33

Severe systemic infection with penicillin allergy

Answer 33

IV Vancomycin + Metronidazole + Gentamicin

Question 34

Step-down for severe CAP

Answer 34

Doxycycline 100mg bd

Question 35

Total IV/PO length of treatment for mild/moderate CAP

Answer 35

5 days

Question 36

Total IV/PO length of treatment for severe CAP

Answer 36

7 days

Question 37

Step-down for severe HAP

Answer 37

PO Co-trimoxazole

Question 38

Total IV/PO length of treatment for severe HAP

Answer 38

7 days

Question 39

Total IV/PO length of treatment for non-severe HAP

Answer 39

5 days

Question 40

Length of treatment for both non-severe and severe c.diff

Answer 40

10 days

Question 41

Step-down for peritonitis/biliary tract/intra-abdominal

Answer 41

PO Co-trimoxazole + Metronidazole

Question 42

Step-down for complicated UTI/pylonephritis/urosepsis

Answer 42

PO Co-trimoxazole

Question 43

Total IV/PO length of treatment for complicated UTI/pylonephritis/urosepsis

Answer 43

7 days