Common Pathogen(s)
Usually viruses; Chlamydia
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Antibiotic – 1st line Chlamydia: Doxycycline 100mg q12h PO for 7- 10 days. |
Comment
Viral, Chlamydia, and bacterial swabs are required
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Antibiotic – 1st line MRSA colonised, add in Vancomycin IV (dosed as per trust vancomycin guideline) |
Comment
Orbital cellulitis is a medical emergency requiring Ophtho/ Micro input immediately.
Common Pathogen(s)
Strep pneumoniae;
H influenzae.
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Antibiotic – 1st line |
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2nd Line |
Comment
If mastoiditis, discuss with Microbiologist/ ENT during work hours.
Common Pathogen(s)
Polymicrobial colonisation.
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Antibiotic – 1st line |
Comment
If malignant otitis externa suspected, discuss with ENT consultant.
Common Pathogen(s)
Strep. Pyogenes.
| Antibiotic – 1st line Phenoxymethyl penicillin 500mg q6h PO and metronidazole 400mg PO q8h or Benzylpenicillin 1.2g IV 6 hourly if NBM and metronidazole 500mg IV q8h if severe, replace metronidazole with add Clindamycin 600mg q6h IV. |
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Penicillin allergy |
Comment
If Fusobacterium necroforum (Lemierre’s disease) or oesophageal perforation suspected, discuss with microbiologist
Duration 7 days
Common Pathogen(s)
Commonly – Rhinovirus and other viruses
S. pneumoniae ; Haemophilus influenzae
Less common pathogens include: M. catarrhalis, S. aureus and anaerobes; fungi are rare pathogens for acute infection.
| Antibiotic – 1st line Amoxicillin 500mg q8h PO |
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Antibiotic – 2nd line |
Comment
Antibacterial should usually be used only for persistent symptoms and purulent discharge lasting at least 7 days or if severe symptoms. Also, consider antibacterial for those at high risk of serious complications (e.g. in immunosuppression, cystic fibrosis).
Duration 5 days
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Antibiotic – 1st line |
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Antibiotic – 2nd line |
Antibacterial required only in severe disease with cellulitis or if systemic features of infection