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Year 2 Sepsis > The antibiotic man > Flashcards

Flashcards in The antibiotic man Deck (34):
1

What antibiotic can be used as an alternative to gentamicin?

Aztreonam

2

What stain of bacteria is gentamicin active against

Gram negative

3

What stain of bacteria is vancomycin active against?

Gram positive

4

What antibiotic is very good for covering anaerobes?

Metronidazole

5

If NEWS is > 5 what should you consider?

SEPSIS

6

How long do you have to complete the sepsis 6 bundle?

1 HOUR

7

What is the treatment for epiglottitis/supraglottitis?

Ceftriazone IV

8

What is the treatment for mild/mod community acquired pneumonia?

Amoxicillin (IV/PO) 5 days

If penicillin allergic:
Doxycycline

9

What is the treatment for severe community acquired pneumonia?

Co-amoxiclav IV + Doxycycline PO

If penicillin allergic - Levofloxacin IV

10

If a patient is in ICU or HDU with community acquired pneumonia, what antibiotics should they be given?

Co-amoxiclav IV
Clarithromycin IV

If penicillin allergic:
Levofloxacin IV

11

What is the step down for severe community acquired pneumonia when the patient is transferred from IV treatment to oral treatment?

Doxycycline

12

What is the treatment for a severe hospital acquired pneumonia or aspiration pneumonia?

IV Amoxicillin, metronidazole and gentamicin

If pencillin allergic:
IV Co-trimoxazole + metronidazole +/- gentamicin

13

What is the step down from IV to oral therapy for a patient who had hospital acquired pneumonia or aspiration pneumonia?

Co-trimoxazole and metronidazole

14

What is the treatment for a non-severe hospital acquired pneumonia or aspiration pneumonia?

PO amoxicillin and metronidazole for 5 days

15

When should antibiotics be given in an exacerbation of COPD?

If high sputum purulence or consolidation on CXR or signs of pneumonia

16

What is the antibiotic treatment for an exacerbation of COPD?

Amoxicillin

If penicillin allergic: doxycycline

17

What is the treatment for native valve subacute endocarditis?

Amoxicillin IV +
Gentamicin IV

18

What is the treatment for native valve severe sepsis endocarditis?

Flucloxacillin IV

19

What is the treatment for prosthetic valve endocarditis or suspected MRSA?

Vancomycin IV
Rifampicin PO
Gentamicin IV

20

What is the treatment for native valve severe sepsis endocarditis + risk factors for resistant pathogens?

Vancomycin IV
Meropenem IV

21

What is the treatment for non severe C.diff?

Metronidazole PO

22

What is the treatment for severe C.diff?

Vancomycin PO +/- IV metronidazole

23

What is the treatment for peritonitis/biliary tract/Intra-abdominal infections?

IV amoxicillin + metronidazole + gentamicin

If penicillin allergic: IV Vancomycin + metronidazole + gentamicin

Step down to PO co-trimoxazole and metronidazole

24

What is the treatment for proven spontaneous bacterial peritonitis (severe)?

Pip-taz IV

Step down to co-trimoxazole

25

What is the treatment for proven spontaneous bacterial peritonitis (mild)?

Co-trimoxazole PO

26

Should you treat a UTI in a patient with a catheter and no clinical signs/symptoms of infection?

No

27

What is the treatment for an uncomplicated female lower UTI?

Nitrofurantoin or trimethoprim

28

What is the treatment for an uncatheterised male UTI?

Nitrofurantoin or trimethoprim

29

Should you treat a UTI in older adults if they are asymptomatic?

No

30

What is the treatment for a complicated UTI/Pylonephritis/Urosepsis?

IV Amoxicilliln and gentamicin

If penicillin allergic: IV co-trimoxazole and gentamicin

Step down to PO co-trimoxazole or as per sensitivities

31

What is the treatment for cellulitis?

Flucloxacillin IV/PO

If penicillin allergic: Doxycycline PO

32

What is the treatment for a mild diabetic foot infection?

Fluclox or doxycycline

33

What is the treatment for a moderate diabetic foot infection?

Fluclox + metronidazole

Or doxycycline + metronidazole

34

What is the treatment for open fracture prophylaxis?

IV co-amoxiclav

(or IV co-trimaxazole and metronidazole)