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Flashcards in Resp, cardio, GI Deck (24)
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1

Community acquired pneumonia - 0-2 CURB65

IV/PO amoxicillin 5 days
Doxycycline if penicillin allergic

2

Community acquired pneumonia - 3-5 CURB65

IV co-amoxiclav + IV clarithromycin/ PO doxycycline
Levofloxacin if penicillin allergic
Step down to doxycycline for an IV/PO total of 7 days

3

Hospital acquired/aspiration pneumonia - Severe

IV metronidazole + amoxicillin + gentamicin
Step down to PO metronidazole + co-trimoxazole for an IV/PO total of 7 days
Replace amoxicillin w/ co-trimoxazole if allergic

4

Hospital acquired/aspiration pneumonia - Non-severe

PO metronidazole + amoxicillin 5 days
Replace amoxicillin w/ co-trimoxazole if allergic

5

Hospital acquired/aspiration pneumonia - previous ICU admission/history of MRSA

Seek advice

6

Acute exacerbation of COPD WITH increased sputum purulence

1st line amoxicillin
2nd line doxycycline

7

Acute exacerbation of COPD WITHOUT increased sputum purulence

No antibiotics unless consolidation on CXR/signs of pneumonia

8

Non-pneumonitic LRTI

Same as COPD

9

Endocarditis - native valve, indolent (subacute)

IV amoxicillin + gentamicin

10

Endocarditis - native valve, severe sepsis (acute)

IV flucloxacillin

11

Endocarditis - prosthetic valve/suspected MRSA

IV vancomycin + gentamicin + PO rifampicin

12

Endocarditis - native valve, severe sepsis + risk factors for resistant pathogens

IV vancomycin + meropenem

13

C. diff - non-severe

PO metronidazole 10 days

14

C. diff - severe

PO/NG vancomycin ± IV metronidazole 10 days

15

Peritonitis

IV metronidazole + amoxicillin + gentamicin
Step down to PO metronidazole + co-trimoxazole for an IV/PO total of 7-10 days
Replace amoxicillin with vancomycin if allergic

16

Biliary tract

IV metronidazole + amoxicillin + gentamicin
Step down to PO metronidazole + co-trimoxazole for an IV/PO total of 7-10 days
Replace amoxicillin with vancomycin if allergic

17

Intra-abdominal

IV metronidazole + amoxicillin + gentamicin
Step down to PO metronidazole + co-trimoxazole for an IV/PO total of 7-10 days
Replace amoxicillin with vancomycin if allergic

18

Acute gastroenteritis

No antibiotic treatment required. Seek advice if severe

19

Acute pancreatitis

Antibiotics unlikely to affect outcome. Seek advice

20

Spontaneous bacterial peritonitis - severe

IV piperacillin/tazobactam
Step down to PO co-trimoxazole for an IV/PO total of 5-7 days

21

Spontaneous bacterial peritonitis - non-severe

PO co-trimoxazole

22

Legionella pneumophila

Erythromycin, clarithromycin

23

Amoeba infections

Metronidazole

24

Giardia infections

Metronidazole