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Medicine Notes Medical Finals & OSCEs Notes

Infections And Antibiotics Notes

Updated Infections And Antibiotics Notes

Medical Finals & OSCEs Notes

Medical Finals & OSCEs Notes

Approximately 119 pages

This is my collection of typed notes and diagrams made for my Finals in Medicine, both the written exams and the Objective Structured Clinical Examinations, OSCEs, which we all dread. I found that making not only academic notes, but also notes of practical use for the OSCEs was very valuable.

This pack includes OSCE notes of clinical examination walkthroughs and clinical signs, examination interpretation, presentation and summaries for various OSCE subjects, as well as chest x-ray Interpretati...

Available here

The following is a more accessible plain text extract of the PDF sample above, taken from our Medical Finals & OSCEs Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:

Infections and Antibiotics

Infection Microorganism Antibiotic first-line If allergic If severe
Cellulitis Strep pyogenes, staph aureus Flucloxacillin

Ceftriaxone

Clarithromycin

 Ceftriazone, clarithromycin
Scalded skin syndrome Staph aureus toxins Erythromycin cephalosporin
Herpes simplex Topical acyclovir
Herpes zoster Oral acyclovir
Wart HPV Imiquimod cream
Tinea Imidazole
Thrush Candida

Nystatin in mouth

Imidazole in vagina
Scabies Sarcoptes mite Permethrin
COPD Exacerbation Coamoxiclav doxycycline Coamoxiclav + ceftriaxone or moxifloxacin
Pneumonia Amoxicillin Doxycycline or clarithromycin Coamoxiclav + clarithromycin
Septic shock, not neutropaenic IV coamoxiclav + gentamicin Ceftriaxone or ciproflaxin + gentamicin
Septic shock, neutropaenic IV tazocin + gentamicin IV tazocin + gentamicin Meropenem Amphotericin and ganciclovir

Meningitis

(Meningococcus, pneumococcus, haemophilus influenza B, Listeria, TB, Lyme disease, syphilis, viral (mups, EBV, HIV), Cryptococcus)

IV ceftriaxone
Add amoxicillin if Listeria.

Give dexamethasone with the first dose of antibiotics
Meningitis suspected IM/IV benzypenicillin one-off
Sickle cell crisis Infection suspected Cephalosporins + macrolides until cultures known
Plain UTI Nitrofurantoin
Pyelonephritis Co-amoxiclav Gentamicin
In pregnancy Nitrofurantoin in first trimester Trimethoprim in second and third trimesters
Open fractures/dirty wounds Co-amoxiclav
Osteomyelitis or septic arthritis Co-amoxiclav
Necrotising fasciitis Coamoxiclav + clindamycin + debridement Ciprofloxacin + clindamycin
If high risk of MRSA carriage in many different infections Add vancomycin IV
Diabetic foot infection Coamoxiclav + metronidazole
Sepsis Unknown organism Co-amoxiclav Ciprofloxacin + vancomycin ceftriaxone
Severe sepsis or septic shock Unknown organism Add gentamicin in addition to those above
Surgery wounds – clean flucloxacillin
Surgery wounds – dirty Metronidazole + coamoxiclav
H pylori Omeprazole 20mg po bd + amoxicillin 1g po bd + clarithromycin 500mg po bd Clarithromycin + metronidazole
Cholecystitis and ascending cholangitis Ceftriaxone + metronidazole
Acute severe pancreatitis No evidence of infection No antibiotics
Spontaneous bacterial peritonitis Ceftriaxone Ciprofloxacin
Intra-abdo sepsis High risk e.g. diverticulitis Coamoxiclav + metronidazole Ciprofloxacin
Intra-abdo sepsis High risk e.g. post-op Tazocin (piperacillin + tazobactam) + metronidazole
Any infection Risk of gut Gram negatives Metronidazole
CAP Amoxicillin Doxycycline or clarithromycin
CAP severe Amoxicillin + clarithromycin
HAP Coamoxiclav Moxifloxacin
Typhoid Ciprofloxacin
Malaria prophylaxis Doxycycline Consider proguanil + chloroquine
Malaria uncomplicated Falciparum Po co-artemether
Malaria uncomplicated Vivax/ovale PO quinine + doxycycline
Severe malaria IV artesunate Exchange transfusion

Infective endocarditis, initial blind treatment

(Strep viridians, strep bovis. Staph aureus. HACEK organisms. Enterococci.)

 Flucloxacillin + gentamicin Vancomycin + rifampicin
Staph endocarditis ...

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