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Antibiotic indications

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hororehi's version from 2017-05-21 13:51

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Question Answer
Exacerbations of chronic bronchitis Amoxicillin or tetracycline or clarithromycin
Uncomplicated community-acquired pneumonia Amoxicillin (Doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staphylococci suspected e.g. In influenza)
Pneumonia possibly caused by atypical pathogens Clarithromycin
Hospital-acquired pneumoniaWithin 5 days of admission: co-amoxiclav or cefuroxime More than 5 days after admission: piperacillin with tazobactam OR a broad-spectrum cephalosporin (e.g. ceftazidime) OR a quinolone (e.g. ciprofloxacin)
Lower urinary tract infectionTrimethoprim or nitrofurantoin. Alternative: amoxicillin or cephalosporin
Acute pyelonephritisBroad-spectrum cephalosporin or quinolone
Acute prostatitisQuinolone or trimethoprim
Throat infectionsPhenoxymethylpenicillin (erythromycin alone if penicillin-allergic)
SinusitisAmoxicillin or doxycycline or erythromycin
Otitis mediaAmoxicillin (erythromycin if penicillin-allergic)
Otitis externa*Flucloxacillin (erythromycin if penicillin-allergic)
Periapical or periodontal abscessAmoxicillin
Gingivitis: acute necrotising ulcerativeMetronidazole
Gastro: Clostridium difficileFirst episode: metronidazole Second or subsequent episode of infection: vancomycin
Gastro: Campylobacter enteritisClarithromycin
Gastro: Salmonella (non-typhoid)Ciprofloxacin
Gastro: ShigellosisCiprofloxacin
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