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Infection Qs 2 Flashcards

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1
Q

Bites treatment

A
  1. Co-amoxiclav
  2. Doxycycline + metronidazole

5 days

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2
Q

Lyme disease treatment

A
  1. Doxycycline (100mg BD)
  2. Amoxicillin
  3. Azithromycin
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3
Q

Mastitis treatment

A
  1. Flucloxacillin
  2. Erythromycin

10-14 days

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4
Q

When do you treat mastitis with Abx?

A
  • Severe
  • Systemically unwell
  • Nipple fissure
  • Symptoms do not improve after 12-24h of effective milk removal
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5
Q

Can you continue breastfeeding during treatment for mastitis?

A

Yes

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6
Q

Human/ animal scratches treatment

A

Flucloxacillin

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7
Q

Cellulitis treatment

A
  1. Flucloxacillin 0.5-1g QDS
  2. Clarithromycin/ erythromycin
  3. Doxycyline

5-7 days

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8
Q

Cellulitis near eyes/ nose treatment

A
  1. Co-Amoxiclav 625mg TDS for 7 days
  2. Clarithromycin 500mg BD + Metronidazole 400mg TDS for 7 days
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9
Q

CAP treatment:
Low severity (0)

A
  1. Amoxicillin
  2. Clarithromycin
  3. Doxycyline

5 days

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10
Q

CAP treatment:
Mod severity (1-2)

A
  1. Amoxicillin + clarithromycin/ erythromycin
  2. Clarithromycin
  3. Doxycycline

5 days

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11
Q

CAP treatment:
High severity (3+)

A
  1. Co-amoxiclav + clarithromycin/ erythromycin
  2. Levofloxacin

5 days

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12
Q

Diabetic foot infection treatment
Mild infection

A
  1. Flucloxacillin 500mg-1g QDS
  2. Clarithromycin / Erythromycin (pregnancy) / Doxycycline

7 days

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13
Q

Diabetic foot infection treatment
Moderate/severe infection

A
  1. Flucloxacillin +/ - IV Gentamicin and/or metronidazole
    or
    Co-trimoxazole +/ - IV Gentamicin and/or metronidazole
  2. Co-amoxiclav +/- IV gentamicin
  3. IV ceftriaxone with metronidazole
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14
Q

Diabetic foot infection treatment
Moderate/severe infection
Pseudomonas aeruginosa suspected or confirmed

A
  1. IV piperacillin with tazobactam
  2. Clindamycin with ciprofloxacin and/or IV gentamicin
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15
Q

Diabetic foot infection treatment
Moderate/severe infection
MRSA suspected or confirmed

A
  • IV vancomycin
  • IV teicoplanin
  • linezolid
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16
Q

1st episode of C.diff

A
  1. Vancomycin 125 mg QDS
  2. Fidoxamicin 200 mg BD

10 days

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17
Q

C.diff treatment
Further episode within 12 weeks (relapse)

A

Fidoxamicin

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18
Q

C.diff treatment
Further episode after 12 weeks (recurrence)

A

Vancomycin or fidoxamicin

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19
Q

Life-threatening C.diff treatment

A

Vancomycin 500 mg QDS AND Metronidazole 500 mg IV TDS

10 days

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20
Q

Otitis media treatment: non abx

A
  1. Paracetamol/ ibuprofen
  2. Otigo
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21
Q

Otitis media treatment: abx

Study These Flashcards
A
  1. Amoxicillin
  2. No improvement = co-Amoxiclav
  3. Clarithromycin (Erythromycin in pregnancy)

5-7 days

22
Q

Otitis externa treatment

Study These Flashcards
A
  1. Topical Acetic Acid 2%
  2. Topical Neomycin Sulphate with Corticosteroid
  3. If systemic treatment needed: Flucloxacillin
23
Q

HAP treatment

Study These Flashcards
A
  1. Co-Amoxiclav
  2. Doxycycline/ Cefalexin/ Co-trimoxazole [unlicensed]/ Levofloxacin [unlicensed]
    SECOND (children): Clarithromycin
24
Q

HAP severe treatment

Study These Flashcards
A

IV FIRST LINE:
Piperacillin with tazobactam
ceftazidime
ceftazidime with avibactam, - ceftriaxone
cefuroxime
levofloxacin [unlicensed]
or meropenem.

25
Impetigo Treatment for Localised non-bullous
1. Hydrogen peroxide 1% cream 2-3 times a day for 5-7 days 2. Fusidic Acid for 5 days 3. Mupirocin 2%
26
Impetigo Widespread non-bullous: treatment
1. Fusidic acid 2. Mupirocin
27
Impetigo Bullous or systemically unwell
1. Flucloxacillin 500mg QDS 2. Clarithromycin **250mg** BD/ Erythromycin 250-500mg QDS | 5 days
28
UTI treatment non-pregnant woman
1. Nitrofurantoin or trimethoprim 2. Pivmecillinam/ fosfomycin/ amoxicillin | 3 days
29
UTI treatment Pregnant woman
1. Nitrofurantoin 2. Cefalexin/ amoxicillin | 7 days
30
UTI prophylaxis dose
50-100 mg nocte 100mg trigger exposure
31
UTI treatment men
1. Nitro/trim 2. No improvement in 48hrs = consider pyelo/ prostatitis
32
Meningitis treatment: during transfer to hospital
1. Benzylpenicillin 2. Chloramphenicol
33
Meningitis treatment: in hospital
1. Ceftriaxone/cefotaxime
34
Meningitis treatment: in hospital aetiology unknown: adult 60 +
1. cefotaxime (or ceftriaxone) + amoxicillin (or ampicillin) 2. consider vancomycin | 10 days
35
Billiary-tract infection treatment
Ciprofloxacin OR Gentamicin OR Cephalosporin
36
Peritonitis treatment
Cephalosporin + Metronidazole OR Gentamicin + Metronidazole OR Gentamicin + Clindamycin OR Pip w taz
37
Typhoid fever treatment
1. Cefotaxime (or Ceftriaxone) 2. Azithromycin or Ciprofloxacin
38
Shigellosis treatment
1. Ciprofloxacin OR Azithromycin 2. Alternative if micro-organism sensitive: Amoxicillin OR Trimethoprim
39
Salmonella treatment
1. Cipro 2. Cefotaxime
40
Campylobacter enteritis treatment | Food poisoning
1. Clarithromycin (or Azithro or Erythro) 2. Ciprofloxacin
41
CA septicaemia treatment
broad spectrum anti-psuedomonal penicillin e.g. piperacillin with tazobactam e.g. ticaricillin with clavulanic acid
42
HA septicaemia treatment
Broad spectrum anti psuedomonal beta lactic abx - piperacillin with tazobactam, - ticarcillin with clauvulanic acid - ceftazidime - imipenem with cilastatin - meropenem
43
Blind therapy endocarditis Native heart valve
1. Amoxicillin (or ampicillin) - May consider adding low-dose gentamicin 2.**penicillin allergy/MRSA** = vancomycin + low dose gentamicin 3.**Staphlococci** = flucloxacillin for 4 weeks, **if penicillin allergy/ MRSA**= vancomycin + rifampicin for 4 weeks
44
Blind therapy endocarditis Prosthetic heart valve
1.Vancomycin + rifampacin + low-dose Gentamicin 2.**Staphlococci** = flucloxacillin + rifampicin + low dose gentamicin (at least 6 weeks, review gentamicin after 2) 3.**Penicillin allergy/MRSA**= Vancomycin + Rifampacin + Low-dose Gentamicin
45
How long is the treatment for native or prosthetic heart valve endocarditis?
4 weeks for native 6 weeks for prosthetic
46
Sepsis 6
Treatment (3) 1. Abx - broad at max dose within 1 hour of diagnosis. Narrow once blood culture tests are done 2. IV fluids (for fluid resuscitation) 3. Oxygen (give oxygen) Tests (3) 4. Blood culture 5. Blood tests (including lactate) 6. Monitor urine output
47
Epiglottis treatment
1. Cefotaxime (or Ceftriaxone) 2. Chloramphenicol
48
Acute exacerbations of chronic bronchitis treatment
1. Amoxicillin (or Ampicillin) OR 2. Tetracycline | Both for 5 days (longer if serious illness)
49
50
Treatment of recurrent aphthous ulceration
Doxy 100mg dispersible tablets qds for 3 days to be used as mouthwash and not swallowed

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