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Empirical Antimicrobial Therapy > Lower Respiratory Tract > Flashcards

Lower Respiratory Tract Flashcards

1
Q

What is the CURB 65 score for low severity Community Acquired Pneumonia

A

0-1

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2
Q

First-line treatment for low severity Community Acquired Pneumonia

A

Oral Amoxicillin 1g 8 hourly

Oral Doxycycline 200mg STAT 100mg daily

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3
Q

What period should antibiotics be prescribed for low severity Community Acquired Pneumonia

A

5 days

Extend if symptoms do not improve in 3 days

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4
Q

What is the CURB 65 score for Moderate Severity Community Acquired Pneumonia

A

2

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5
Q

What is the first line treatment for Moderate Severity Community Acquired Pneumonia

A

IV/Oral Amoxicillin 1g 8 hourly + Oral Clarithromycin 500mg 12 hourly

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6
Q

What is the first line treatment for Moderate Severity Community Acquired Pneumonia if the patient has a penicillin allergy

A

Oral Doxycycline 100mg 12 hourly

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7
Q

What period should antibiotics be prescribed for Moderate Severity Community Acquired Pneumonia

A

5-7 days

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8
Q

What is the CURB 65 score for High Severity Community Acquired Pneumonia

A

> /= 3

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9
Q

What is the first line treatment for High Severity Community Acquired Pneumonia

A

IV Amoxicillin 1g 8 hourly + oral clarithromycin 500mg 12 hourly

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10
Q

What oral antibiotic do you switch to for treatment of High Severity Community Acquired Pneumonia

A

Oral Doxycycline 100mg 12 hourly

Oral Amoxicillin 1g 8 hourly

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11
Q

If the patient has a had previous antibiotics what do you prescribe for High Severity Community Acquired Pneumonia

A

Co-amoxiclav 1.2g 8 hourly IV + clarithromycin 500mg 12 hourly -> Oral Doxycycline 100mg 12 hourly

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12
Q

If the patient has a had previous antibiotics and a penicillin allergy what do you prescribe for High Severity Community Acquired Pneumonia

A

Co-trimoxazole 960mg 12 hourly IV
Levofloxacin 500mg 12 hourly IV
Oral- Doxyxline 100mg 12 hourly, Co-trimoxazole 960mg 12 hourly

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13
Q

How long should antibiotics be prescribed for in High Severity Community Acquired Pneumonia

A

7-10 days

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14
Q

What is the oral treatment for Aspiration Pneumonia

A

Amoxicillin 1g 8 hourly + Metronidazole 400mg 8 hourly

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15
Q

What is the IV treatment for Aspiration Pneumonia

A

Amoxicillin 1g 8 hourly

Metronidazole 500mg 8 hourly

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16
Q

What is the treatment for Aspiration Pneumonia for patients with penicillin allergy

A

Metronidazole Oral 400mg/ IV 500mg 8 hourly

Clarithromycin Oral 500mg 12 hourly

17
Q

What is the first-line treatment of a mild-moderate exacerbation of COPD

A

Oral Amoxicillin 1g 8 hourly

18
Q

What is the first-line treatment of a mild-moderate exacerbation of COPD if the patient has a penicillin allergy

A

Oral Doxycycline 200mg STAT, 100mg daily

19
Q

What is the antibiotic prophylaxis for COPD patients

A

Azithromycin

20
Q

What is the first-line treatment for a severe infective exacerbation of COPD

A

Co-trimoxazole 960mg 12 hourly IV

Doxycycline 200mg STAT 100mg daily`

21
Q

What is the second-line treatment for a severe infective exacerbation of COPD

A

Clarithromycin 500mg 12 hourly IV–> Oral

22
Q

How long should antibiotics be prescribed for severe infective exacerbation of COPD

A

7 days

23
Q

How many days are considered early HAP

A

4 or less days

24
Q

How many days are considered late HAP

A

5 or more days

25
Q

What is the first line treatment for non severe HAP

A

Amoxicillin 1g 8 hourly Oral

26
Q

What is the first line treatment for non severe HAP if the patient has a penicillin allergy

A

Doxycycline 100mg 12 hourly Oral

or Co-trimoxazole 960mg 12 hourly oral

27
Q

How long should antibiotics be prescribed for non severe HAP

A

5 days

28
Q

What is the first line treatment for severe HAP if the patient has a penicillin allergy

A

Levofloxacin 500mg 12 hourly

7-10 days

29
Q

What is the treatment of severe HAP that is MRSA positive

A

IV Vancomycin

30
Q

What is the treatment for severe HAP

A

Co-amoxiclav 1.2g 8 hourly + gentamicin IV –> Co-amoxiclav 625mg hourly

Empirical Antimicrobial Therapy (6 decks)

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