ANTIBIOTIC MAN

Question 1

What is the treatment for epiglottitis/supraglottitis

Answer 1

ceftriaxone IV

Question 2

what is considered mild CAP

Answer 2

CURB 65 0-2

Question 3

what is considered severe CAP

Answer 3

CURB 65 3-5

Question 4

What is CURB 65

Answer 4

C - new onset confusion
U - Urea > 7
R - RR > 30
B - BP < 90 systolic or <60 diastolic
65 - 65+ age

Question 5

What is the treatment for mild CAP

Answer 5

Amoxicillin PO/IV 5 days
Doxycycline PO (if penicillin allergic)
IV clarithromycin (NBM)

Question 6

What is the treatment for severe CAP

Answer 6

Co-amoxiclav IV + doxycycline
IV Levofloxacin (if penicillin allergic)
Co-amoxiclav IV + clarithromycin IV (NBM)

Question 7

What do you step down to in severe CAP?

Answer 7

doxycycline PO

Question 8

what is the total number of days severe CAP and HAP are treated IV/PO

Answer 8

7

Question 9

What is the treatment for non-severe HAP

Answer 9

Amoxicillin PO + metronidazole (5 days)

Cotrimoxazole PO + metronidazole (if penicillin allergic)

Question 10

What is the treatment for severe HAP

Answer 10

Amoxicillin IV + Gentamicin IV + Metronidazole IV
(A Good Mix)
Co-trimoxazole IV + Gentamicin IV + metronidazole IV (if penicillin allergic)

Question 11

What do you step down to in severe HAP

Answer 11

Co-trimoxazole PO + metronidazole

Question 12

What is the 1st line treatment for COPD

Answer 12

Amoxicillin

Question 13

What is the 2nd line treatment for COPD

Answer 13

Doxycycline

Question 14

What is the treatment for non-severe C. Diff infection

Answer 14

metronidazole PO

Question 15

what is the treatment for severe C. Diff infection

Answer 15

Vancomycin PO/NG +/- Metronidazole IV

Question 16

What is the treatment for peritonitis/biliary tract/intra-abdominal infection?
What do you step down to?
How long is the treatment for?

Answer 16

IV amoxicillin + gentamicin + metronidazole
IV vancomycin + gentamicin +metronidazole (if penicillin allergic)

Step down: co-trimoxazole PO + metronidazole

7-10 days

Question 17

what is the treatment for mild SBP

Answer 17

co-trimoxazole PO

Question 18

what is the treatment for severe SBP

Answer 18

Piperacillin/Tazobactam IV

Question 19

What is the step down treatment in severe SBP

Answer 19

co-trimoxazole PO

Question 20

how long is the treatment of SBP

Answer 20

5-7 days

Question 21

What is the treatment of an unknown source

Answer 21

IV amoxicillin + metronidazole + gentamicin
IV vancomycin + metronidazole + gentamicin (if penicillin allergic)
+ flucloxacillin/vancomycin if staphylococci

Question 22

what are the rules for treating endocarditis

Answer 22

high doses - IV
long time - 4-6 weeks
drugs must be bactericidal
staph aureus bacteraemia is treated for 2 weeks to prevent native valve endocarditis

Question 23

what is the treatment of native valve indolent endocarditis (subacute)

Answer 23

A Native American Gentleman

Native valve - Amoxicillin + Gentamicin

Question 24

What is the treatment of native valve severe sepsis (acute)

Answer 24

flucloxacillin

Question 25

What is the treatment for prosthetic valve endocarditis/suspected MRSA

Answer 25

Vancomycin + Gentamicin + Rifampicin

Very Good Replacement

Question 26

What is the treatment for endocarditis caused by Viridans Strep

Answer 26

Benzopenicillin + Gentamicin

Question 27

What is the treatment for endocarditis in IVDUs

Answer 27

flucloxacillin

Question 28

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

Answer 28

vancomycin + meropenem