Antimicrobials

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Author:
koqianwen
ID:
94538
Filename:
Antimicrobials
Updated:
2011-07-19 11:36:50
Tags:
revision
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Description:
Empirical treatment of common infections
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  1. Scabies
    Malathion
  2. Oral Candida
    Fluconazole PO
  3. Aspergillus
    Amphotericin + caspofungin
  4. HIV
    • NRTI e.g. lamivudine, tenofovir
    • NNRTI e.g. nervirapine
    • Protease Inhibitor e.g. saquinavir
  5. Hep C
    • PEG α-IFN
    • Ribavirin
  6. Hep B
    • PEG α-IFN
    • Lamivudine
  7. Herpes
    Aciclovir
  8. Broad spectrum antibiotics
    • Co-amoxiclav, Tazosin, Carbapenams
    • 3rd gen cephalosporins
    • Ciprofloxacin
    • Gentamicin
  9. UTI - uncomplicated
    • Trimethoprim (not in preganancy)
    • Nitrofurantoin (not in pregnancy, kidney failure)
    • Amoxicillin (pregnancy)
    • Ciprofloxacin (pregnancy + penallergic)

    all PO
  10. UTI - complicated
    • IV Co-amoxiclav ± gentamicin
    • *ceftriaxone
  11. Abdominal surgery prophylaxis
    • IV Co-amoxiclav + met
    • *ceftriaxone
  12. Gastroenteritis - food poisoning
    Ciprofloxacin PO
  13. Pseudomembranous colitis
    • Metronidazole PO
    • 2nd line vancomycin
  14. Erysipelas
    Benpen (strep)
  15. Cellulitis - mild
    • Flucloxicillin PO
    • *clarithromycin
  16. Cellulitis - severe
    • Flucloxicillin + Benpen IV
    • *clindamycin
  17. Osteomyelitis/septic arthritis
    • Flucloxicillin + fusidic acid
    • *clindamycin
  18. Infective exac COPD (clear CXR)
    • Amoxicillin PO
    • *doxycycline
  19. Pneumonia - CAP <2
    • Amoxicillin PO
    • *clarithromycin
  20. Pneumonia - CAP ≥2
    • Co-amoxiclav + clarithromycin IV
    • *ceftriaxone
  21. HAP
    • Co-amoxiclav
    • *clindamycin or ciprofloxacin
  22. Meningitis - treat
    • Ceftriaxone IV
    • *chloramphenicol
  23. Meningitis - contact prophylaxis
    Rifampicin or ciprofloxacin
  24. MRSA
    Vancomycin
  25. Infective endocarditis - native
    • Benpen + gentamicin IV
    • *vancomycin
  26. Infective endocarditis - prosthetic
    Vanc + gent + rifampicin
  27. TB treatment
    RIPE 2 months + RI 4 months
  28. TB prophylaxis
    I 6 months or RI 3 months
  29. Sepsis
    • Ceftriaxone + gentamicin
    • > anaerobes + met
    • > MRSA + vanc
    • > staph + fluclox
  30. Neutropenic sepsis
    • Tazosin + gent
    • *ciprofloxacin
    • > CVC (MRSA) + vanc
  31. C perfringens
    Penicillin + cephalosporin + clindamycin/met

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