Flashcards
Infection - treatment
Cards in this deck (24)
- 1CA-pneumoniaPneumococcus - amoxicillin
Hib - co-amoxicav
Mycoplasma - clarithromycin
Gram -ve (psuedo, Klebsiella)- metronidazole - 2PCPCo-trimoxazole
2nd:pentamidine
<200 CD4 give prophylaxis in HIV - 3PID-Doxycycline 200mg BD
-Ofloxacin 400mg BD
-Metronidazole 400mg BD
(all for 2 weeks) - 4Chlamydia TrachomatisDoxycycline 300mg BD for 3weeks
- 5Urethritis-Doxycycline 200mg BD
-Ofloxacin 400mg BD
-Metronidazole 400mg BD
(all for 2 weeks) - 6Epididymitis-Doxycycline 200mg BD
-Ofloxacin/Ciprofloxacin 200mg BD (give if unsure whether UTI or NSU)
-Metronidazole 400mg BD (anaerobes)
(all for 4-6 weeks) - 7Candida Vulvo-vaginitisFluconazole PO STAT 150mg
-clotrimazole pessary
-canistan/cotrimazol topical cream - 8BalanoposthitisFluconazole PO STAT 150mg
-clotrimazole pessary
-canistan/cotrimazol topical cream - 9TB-ethambutol
-isoniazid
-rifampicin
-pyridoxine
(2months initiation - remove ethambutol if can)
-isoniazid
-rifampicin
(4months continuation) - 10C.difMetronidazole
- 11GIMost give nothing
-salmonella:cipro or cefotaxime (severe/invasive)
-shigellosis: cipro or azithromycin
-typhoid fever: cefotaxime - 12Endocarditis (staph)Flucloxacillin +rifampicin forat least 2 weeks if prosthetic valves
(MRSA: vanc +rifampicin) - 13Endocarditis (strep)NATIVE VALVE
-sensitive: benzlypenicillin
-less sensitive: b +gentamicin
PROSTHETIC VALVE
-b + gentamicin - 14Endocarditis (enterococcus, HACEK_amoxicillin + gentamicin
- 15HA-pneumonia-Early onset: co-amoxiclav or cefuroxime
->5days: anti-pseudo penicillin (tazobactam or piperacillin) or broad-spec cephalosporin (ceftazidime) or a quinolone (cipro)
...suspect MRSA add vancomycin
....severe pseudo inf add an aminoglycoside (gentamicin) - 16MeningitisSTAT dose Benzylpenicillin pre transfer to hospital (cefotaxime or chloramphenicol if allergy)
IN HOSPITAL
-<50years: cefotaxime - +vanc if multiple abx in last 3mo
->50years: cefotaxime + amoxicillin
(all 10 days)
....give steroid with or pre (not >12hours post) abx - not if in shock, septic, immunoC, post surgery - 17UTI-trimethoprim or nitrofuratoin - 7days or often 3 day course enough in women
(amoxicillin or oral cephalosporin alternative) - 18Gonorrhoea-azithromycin + im ceftriaxone
- 19Syphillisbenzathine benzlypenicillin
(doxy or ertythro
-early: 14 days
-late latent : 14days or alt doxycyline for 28days
(assym contacts: doxycycline 14days) - 20Acute pyelonephritisbroad spectrum cephalosporin (cefotaxime) or quinolone (cipro)
- 21Impetigosmall area: topical fusidic acid or if MRSA use mupirocin
widespead: oral flucloxacillin, if severe and suspect strep add phenoxymethylpenicillin
(7days both) - 22Cellulitishigh dose flucloxacillin
-if strep confirmed switch to phenoxymethylpenicillin
-if gram -ve or anareobes use broader spectrum abx
(vanc, clindamycin, clarithromycin in allergy) - 23Osteomyelitisflucloxacillin +rifampicin/fusidic acid for 1st 2 weeks
(6 weeks)
-allergy: clindamycin
-MRSA: vanc - 24Septic arthritisFlucloxacillin - 4-6weeks
-clindamycin if allergy
-vanc if MRSA
-cefotaxime if gonococcal or gram -ve
(all 4-6 weeks, except gonococcal = 2weeks)
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- Flashcards on Infection - treatment, created by emma.bailey101 on 07/02/2014.
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- emma.bailey101
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