Tayside Antibiotics Hospital Guidelines

Question 1

Meningitis

Answer 1

Ceftriaxone
Dexamethasone

Amoxicillin if >60 or immunocompromised

Question 2

Epiglottitis/supraglottitis

Answer 2

Ceftriaxone IV

Question 3

Mild/mod CAP (curb 0-2)

Answer 3

Amoxicillin 1g tds 5 days

Question 4

Severe cap (curb 3-5)

Answer 4

IV co-amox
Oral doxy (or IV clarithromycin if nil by mouth)

Step down is oral doxy

Question 5

Pen allergic severe HAP

Answer 5

IV co-trimoxazole and gent

Question 5

Pen allergic severe CAP

Answer 5

IV levofloxacin monotherapy

Question 6

Pen allergic mild/mod CAP

Answer 6

Doxycycline

Question 6

Non-severe HAP

Answer 6

Oral amoxicillin

Question 6

Severe HAP

Answer 6

IV amox and gent

Question 7

Pen allergic non severe HAP

Answer 7

Doxycycline

Question 8

Step down severe HAP treatment

Answer 8

Co-trimoxazole

Question 9

Non severe aspiration pneumonia

Answer 9

Amoxicillin and metronidazole

Question 10

Severe aspiration pneumonia

Answer 10

IV amox met and gent (doxy if pen allergic)

Question 11

Severe aspiration pneumonia step down

Answer 11

Oral amox and met

Question 12

IECOPD 1st and 2nd line

Answer 12

1st line amoxicillin
2nd line doxycycline

Question 13

Native valve subacute endocarditis

Answer 13

Amox and gent

Question 14

Native valve acute endocarditis

Answer 14

Flucloxacillin

Question 15

Prosthetic valve/suspected MRSA endocarditis

Answer 15

Vancomycin and gent
(add rifampicin when therapeutic vancocmycin levels reached)

Question 16

Intra-abdominal sepsis

Answer 16

IV amox met and gent (vanc if pen allergic)

Question 17

Intra-abdominal sepsis step down

Answer 17

Co-trim and met

Question 18

Spontaneous bacterial peritonitis (incidental diagnosis on tap)

Answer 18

Oral co-trim

Question 19

Severe spontaneous bacterial peritonitis

Answer 19

Piperacillin/tazobactam IV
Co-trim PO

Question 20

Complicated UTI (incl catheterised)/pyelonephritis/urosepsis

Answer 20

IV amox and gent
Co-trim step down

Question 21

Pen allergic complicated UTI/pyelonephritis/urosepsis

Answer 21

IV co-trim and gent

Question 22

Uncomplicated female lower UTI

Answer 22

Nitrofurantoin or trimethoprim (3 days)

Question 23

Uncatheterised male UTI

Answer 23

Nitrofurantoin or trimethoprim 7 days

Question 24

Cellulitis

Answer 24

Flucloxacillin

Question 25

Cellulitis pen allergic

Answer 25

doxycycline

Question 26

Open fracture prophylaxis

Answer 26

Cefuroxime

Question 27

Mild Diabetic foot infection

Answer 27

Fluclox or doxy

Question 28

Moderate diabetic foot infection

Answer 28

Flucox and met
OR
Doxy and met

Question 29

Acute septic arthritis/osteomyelitis

Answer 29

IV fluclox

Question 30

Sepsis source unknown

Answer 30

IV amox met and gent (add fluclox if PWID)
Vanc if pen allergic