Primary Care: Antibiotic Management for Various Infections
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Questions and Answers

What is the first line of treatment for a patient with Cellulitis?

  • Ciprofloxacin
  • Cefotaxime
  • Flucloxacillin (correct)
  • Doxycycline

    • What is the antibiotic of choice for a pregnant lady with Sepsis?

  • Amoxicillin, Clindamycin, Trimethoprim
  • Co amoxiclav, Gentamicin, Tazocin (correct)
  • Co amoxiclav, Doxycycline, Gentamicin
  • Ciprofloxacin, Clindamycin, Metronidazole

    • What is the first line of treatment for a patient with Epiglotitis or Supraglottitis?

  • Cefotaxime
  • Ceftriaxone (correct)
  • Co amoxiclav
  • Amoxicillin

    • What is the antibiotic of choice for a patient with Community Acquired Pneumonia in the hospital?

    <p>Amoxicillin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with C difficile infection in the hospital?

    <p>Vancomycin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Meningitis in the hospital?

    <p>Ceftriaxone</p> Signup and view all the answers

    What is the appropriate treatment for a patient with a CURB score of 3-4?

    <p>Urgent hospital admission with Amoxicillin / Benzylpenicillin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Oral Candidiasis?

    <p>Miconazole gel</p> Signup and view all the answers

    What is the first line of treatment for a patient with a UTI in the community?

    <p>Nitrofurantoin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Prostatitis in the community?

    <p>Ciprofloxacin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Tonsillitis / Pharyngitis in the community?

    <p>Penicillin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with COPD in the community?

    <p>Amoxicillin</p> Signup and view all the answers

    What is the next step in the management of a patient with Meningitis and a transfer time of more than 1 hour?

    <p>Transfer to hospital immediately</p> Signup and view all the answers

    What is the threshold for considering hospital referral in a patient with Pneumonia?

    <p>CURB score of 1-2</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Hospital Acquired Pneumonia who is allergic to Amoxicillin?

    <p>Doxycycline</p> Signup and view all the answers

    What is the treatment of choice for a patient with Endocarditis who has a prosthetic valve?

    <p>Vancomycin + Gentamicin</p> Signup and view all the answers

    What is the next step in the management of a patient with a UTI in the community who is pregnant?

    <p>Administer Nitrofurantoin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Cellulitis in the hospital?

    <p>Flucloxacillin</p> Signup and view all the answers

    What is the treatment of choice for a patient with PID?

    <p>All of the above</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Oral Candidiasis in the hospital?

    <p>Fluconazole</p> Signup and view all the answers

    What is the treatment of choice for a patient with Epiglotitis or Supraglottitis in the hospital?

    <p>Ceftriaxone</p> Signup and view all the answers

    What is the threshold for urgent hospital admission in a patient with Pneumonia?

    <p>CURB score of 3-4</p> Signup and view all the answers

    In a patient with a CURB score of 0, what is the appropriate treatment?

    <p>Treatment at home with Amoxicillin or Doxycycline</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Chlamydia in the community?

    <p>Doxycycline</p> Signup and view all the answers

    In a patient with a non-blanching rash and signs of meningism, what is the next step in management?

    <p>Urgent hospital transfer</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Orbital Cellulitis in the hospital?

    <p>Ceftriaxone</p> Signup and view all the answers

    In a patient with a UTI in the community, what is the antibiotic of choice for pregnant women?

    <p>Nitrofurantoin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Acute Exacerbation of COPD in the hospital?

    <p>Amoxicillin</p> Signup and view all the answers

    In a patient with Pneumonia, what is the threshold for considering hospital referral?

    <p>CURB score of 1-2</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Sinusitis in the community?

    <p>Penicillin</p> Signup and view all the answers

    In a patient with Conjunctivitis, what is the likely cause?

    <p>Viral</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Prostatitis in the hospital?

    <p>Ciprofloxacin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with a dental abscess in the community?

    <p>Penicillin</p> Signup and view all the answers

    What is the treatment of choice for a patient with Otitis Media in the community?

    <p>Amoxicillin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Sinusitis in the community who is allergic to Penicillin?

    <p>Doxycycline</p> Signup and view all the answers

    What is the treatment of choice for a patient with a CURB score of 0?

    <p>Treat at home</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with a UTI in the community who is not pregnant?

    <p>Nitrofurantoin</p> Signup and view all the answers

    What is the treatment of choice for a patient with a dental abscess in the hospital?

    <p>Co amoxiclav</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with PID in the hospital?

    <p>Co amoxiclav</p> Signup and view all the answers

    What is the treatment of choice for a patient with Cellulitis in the hospital?

    <p>Flucloxacillin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with C difficile infection in the community?

    <p>Oral Vancomycin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with Meningitis in the community who is allergic to Benzylpenicillin?

    <p>Cefotaxime</p> Signup and view all the answers

    Which antibiotic is recommended for a patient with a CURB score of 0-2?

    <p>Amoxicillin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with community-acquired pneumonia who is over 60 years old?

    <p>Benzylpenicillin</p> Signup and view all the answers

    Which antibiotic is recommended for a patient with acute exacerbation of COPD in the hospital?

    <p>Amoxicillin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with orbital cellulitis in the hospital?

    <p>Flucloxacillin</p> Signup and view all the answers

    Which antibiotic is recommended for a patient with hospital-acquired pneumonia who is not allergic to Amoxicillin?

    <p>Amoxicillin</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with endocarditis who does not have a prosthetic valve?

    <p>Flucloxacillin</p> Signup and view all the answers

    Which antibiotic is recommended for a patient with a UTI in the hospital who is male?

    <p>Ceftriaxone</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with sepsis in pregnancy?

    <p>All of the above</p> Signup and view all the answers

    Which antibiotic is recommended for a patient with PID in the hospital?

    <p>All of the above</p> Signup and view all the answers

    What is the antibiotic of choice for a patient with candidiasis in the hospital?

    <p>Fluconazole</p> Signup and view all the answers

    Study Notes

    Primary Care Antibiotics

    • Meningitis: Urgent hospital transfer, antibiotics given if Benzylpenicillin (Cefotaxime if allergic), transfer time >1hr, non-blanching rash + signs of meningism
    • Orbital Cellulitis: Medical emergency, immediate transfer to hospital
    • Conjunctivitis: Usually viral and self-limiting
    • Dental issues (abscess): #1 Penicillin / Metronidazole
    • Tonsillitis / Pharyngitis: Usually viral and self-limiting, Penicillin (Clarithromycin if allergic)
    • Sinusitis: Usually self-limiting, Penicillin (Doxycycline) 2nd line but not given in kids
    • Oral Candidiasis: Miconazole gel / Nystatin
    • Otitis Media: Usually viral and self-limiting, Amoxicillin, Clarithromycin 2nd line
    • COPD: #1 Amoxicillin #2 Doxycycline
    • Pneumonia: Assess CURB score (Confusion, RR, BP, 65 yrs), Curb score: 0: Treat at home Amoxicillin / Doxycycline, 1-2: Consider hospital referral, 3-4: Urgent hospital admission with Amoxicillin / Benzylpenicillin before transfer
    • C difficile: #1 Oral Vancomycin #2 Metronidazole
    • UTI: #1 Nitrofurantoin #2 Trimethoprim (not in 1st and 2nd trimester of pregnancy)
    • Prostatitis: Ciprofloxacin / Doxycycline
    • Chlamydia: Doxycycline / Azithromycin 2nd line
    • PID / Bac Vag: Metronidazole
    • Candidiasis: Fluconazole / Clotrimazole
    • Cellulitis: #1 Flucloxacillin #2 Doxycycline

    Hospital Antibiotics

    • Meningitis: Ceftriaxone Dexamethasone Aciclovir (encephalitis) Amoxicillin (if >60 years / if immunocompromised)
    • Epiglotitis / Supraglottitis: Ceftriaxone
    • Community Acquired Pneumonia: Amoxicillin
    • Severe: Co amoxiclav + Doxycycline
    • ICU: Co amoxiclav + Clarithromycin (later step down to Doxycycline)
    • Hospital Acquired Pneumonia: Amoxicillin (Doxycycline if allergic) Amoxicillin + Gentamicin (step down to Co trimoxazole)
    • Acute exacerbation of COPD: Amoxicillin Doxycycline
    • Endocarditis: Amoxicillin + Gentamicin (subacute) Flucloxacillin (acute) Vancomycin + Gentamicin (if prosthetic valve)
    • C difficile: Vancomycin
    • Complicated UTI: Males: Amoxicillin + Gentamicin (Step down Cotrimoxazole) Females: Nitrofurantoin / Trimethoprim
    • Cellulitis: Flucloxacillin Doxycycline
    • PID: Co amoxiclav, doxycycline, metronidazole
    • Sepsis in pregnant lady: Co amoxiclav, clindamycin, gentamycin, Tazocin

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    Description

    Test your knowledge on antibiotic management for different infections in primary care, including meningitis, orbital cellulitis, conjunctivitis, and more. Learn when to prescribe antibiotics and when to transfer patients to the hospital. Improve your skills in diagnosing and treating common infections.

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