Primary Care: Antibiotic Management for Various Infections

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

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 (B)</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 (A)</p> Signup and view all the answers

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

<p>Ceftriaxone (D)</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 (B)</p> Signup and view all the answers

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

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

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

<p>Ciprofloxacin (A)</p> Signup and view all the answers

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

<p>Penicillin (B)</p> Signup and view all the answers

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

<p>Amoxicillin (B)</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 (A)</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 (C)</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 (D)</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 (A)</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 (D)</p> Signup and view all the answers

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

<p>Flucloxacillin (D)</p> Signup and view all the answers

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

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

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

<p>Fluconazole (D)</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 (B)</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 (C)</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 (C)</p> Signup and view all the answers

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

<p>Doxycycline (A)</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 (D)</p> Signup and view all the answers

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

<p>Ceftriaxone (A)</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 (C)</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 (B)</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 (A)</p> Signup and view all the answers

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

<p>Penicillin (D)</p> Signup and view all the answers

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

<p>Viral (C)</p> Signup and view all the answers

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

<p>Ciprofloxacin (D)</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 (C)</p> Signup and view all the answers

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

<p>Amoxicillin (A)</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 (D)</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 (A)</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 (B)</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 (C)</p> Signup and view all the answers

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

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

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

<p>Flucloxacillin (C)</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 (B)</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 (B)</p> Signup and view all the answers

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

<p>Amoxicillin (C)</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 (D)</p> Signup and view all the answers

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

<p>Amoxicillin (D)</p> Signup and view all the answers

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

<p>Flucloxacillin (B)</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 (B)</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 (C)</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 (C)</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 (D)</p> Signup and view all the answers

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

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

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

<p>Fluconazole (A)</p> Signup and view all the answers

Flashcards are hidden until you start studying

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

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

More Like This

Use Quizgecko on...
Browser
Open
Browser
Browser