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Empirical Antibiotics and Specific Organism Cover

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bmo1987's version from 2016-06-16 07:57

Section 1

Question Answer
Aspiration pneumoniaCAP/HAP + Metronidazole 500mg IV
Mild CAPAmoxicillin 1g Oral 7/7
Moderate CAPBenzylpenicillin 1.2g IV
Severe CAPCeftriaxone 1g IV
Mild HAP/VAPAugmenting Duo 875:125mg (Amoxicillin + Clavulonic Acid)
Moderate HAP/VAPCeftriaxone 1g IV
Severe HAP/VAPMetronidazole or Tazocin IV (Piperacilin + Tazobactam)
infective exacerbation of COPDAmoxicillin 500mg oral
Febrile NeutropeniaTazocin IV (Piperacilin + Tazobactam)
MRSAVancomycin
PseudomonasGentamicin or Ceftazidime
Atypicals (Legionella/Klebsiella/Mycoplasma)Ciprofloxacin or Clarithromycin/Erythromycin
EpiglottisCeftriaxone 1g IV
PertussisAzithromycin 500mg
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Section 2

Question Answer
GastroenteritisCeftriaxone 2g IV or ciprofloxacin 500mg IV
C.diffMetronidazole 400mg
OsteomyelitisFlucloxacillin 2g IV
Open fractureCephazolin 2g IV
General surgical prophylaxisCephazolin 2g IV
Gen surg with high risk anaerobes?Cephazolin + Metronidazole
Urological surgeryCephazolin + Gentamycin 3mg/kg single dose
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Section 3

Question Answer
ChlamydiaAzithromycin 1g oral STAT
GonorrhoeaCeftriaxone 500mcg + Azithromycin 1g oral STAT
BVMetronidazole 400mg
TrichomonasMetronidazole 2g stat
CandidaFluconazole
PIDCeftriaxone 500mcg + Azithromycin 1g + Doxycycline 100mg + Metronidazole 400mg
HPVImiquimod 5% topical
HSVaciclivir 400mg
Chancroid/Donavanosis/LGVAzithromycin 1g
Syphilis (early)Benzathine Penicillin 1.8g
Syphilis (tertiary)Benzylpenicillin
ProctitisCeftriaxone 500mcg IM + Doxycyline 100mg oral
Epididymo-orchitisCeftriaxone 500mcg IM + Azithromycin 1g oral + Doxycycline 100mg oral
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Section 4

Question Answer
Otitis ExternaOtodex ear drops (Dexamethasone + Framycetin + Gramicidin)
AcneTopical Salicylic acids --> Topical retinoids --> topical benzyl peroxide --> COCP
Cellulitis/Impetigo/mastitisFlucloxacillin 500mg
Necrolizing fasciatisMeropenum 1g + Vancomycin + Clindamycin 600mg
Bite/Clenched fist injuryAugmentin (Amoxicillin + Clavulanic Acid)
Aeromonas speciesCiprofloxacin
Vibrio speciesDoxycycline
ScabiesPermethrin cream 5%
FungalFluclonazole
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Section 5

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