Antibiotic Guidelines by BSMMU

By BSMMU

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PERIODONTAL ABSCESS Periodrullal abscess may occur as a sequele of chronic periodontitis. It is caused by Fusobacterium nucleatum, Prevotella intermedia and Eikpnl"Ua corrodens. tJ oxyciliin 500 mg orally 8 hourly for 5-7 days or Cefradine 500 mg orally 8 hourly for 5-7 days plus Metronidazole 50 200-400 mg orally thrice daily for 5-7 days Drug of choice Benzathine benzylpenic illin or Phenoxyme­ thylpenicillin or Erythromycin or Clarithromycin 600,000 unit as Single intramuscu lar dose «30 kg body weight) 1200,000 unit as single intramuscular dose (>30 kg body weight) 250-500 mg (50 mg/kg/day in children) orally 6 hourly for 10 days 250-500 mg orally 8 hourly for 10 days (in case of penicillin­ allergic patient) 500 mg by mouth 12 hourly for 10 days (in case of hypersensitivity) 51 ANTIBIOT I C GUI DELINE ANT IBIOTIC GUIDELINE Benzathine benzylpenicillin is given by deep intramuscular injection, it forms a depot from which it is slowly released and hydrolyzed to penicillin.

C. Cocci (2) Anaerobic Non-spore-forming rods (2) 2. Streptococcus Spore-forming rods ( 1 ) Aerobic Bacillus (1 ) Nonfilamentous Filamentous G ram-negative a. Cocci b. s:. 1 :c u "tI � C) u; c � ca "S � N C'l _ - - � Q, "0 � C 0 M Z ai Gi .!! iU � c � (j) Ql "5.. '§ "0 Bronchitis 32 a. (ij � trans rectal p rostate 77 Bronchiectasis 3 1 '" � ca "0 Procaine 57, 58 Antiserum 30 Aortic resection 74 � Appendicectomy 76 � Azelaic acid 26 --' = Azithromycin 26, 40, 62 40, 44, 45, 46, 49, 5 1 , 55 Chicken pox 82 Chancroid 33 Chloramphenicol 37 Cholecystitis acute 36 Cholera 36 89 ANTIBIOTIC GUI DELINE Ciprofloxacin 28, 32, 36, 37, ANTIBIOTIC GUIDELINE F 39, 40, 44, 45, 47 , 48, 49, 5 1 , 52, 53, 54, 55, 56, 62, 63 Famciciovir 42, 43 Clarithromycin 50, 5 1 , 52, 53 Fever enteric 40 rheumatic 82 Febrile neutropenia 4 1 Flucloxacillin 2 7 , 3 0 , 3 1 , 34, Cleft lip 79 Clindamycin 53, 54, 64 Clotrimazole 63, 64 Cloxacillin 30, 3 1 Co-amoxiclav 2 9 , 34, 3 5 , 49, 52, 53, 56, 58 Conjunctivitis 37 Co-trimoxazole 3 1 , 32, 33, 39, 40, 55, 62, 63 Cystoscopy 76 o Dexamethasone 4 1 Doxycycline 27, 36, 44, 54, 57 Fluconazole 49, 63 F racture open reduction 75 Fusidic acid 65 breast m i l k 70 amoebic 28 bacillary 39 Joints Omeprazole 49 replacement 75 Oral thrush (candidiasis) 49 Otitis Gatifloxacin 34 Gentamicin 28, 35, 36, 40, 44, 46, 47, 48, 53, 54, 65 Giardiasis 43 Ging ivitis 44 Lansoprazole 50 Levofloxacin 56 M Mastitis 30 Erythromycin 26, 27, 33, 36, Ethambutol 59 Peptic ulcer 49 Pericoronitis 50 Peritonitis 5 1 Mastoiditis 44 Pertussis 82 P-floxacillin 40 H Meningitis 45 Pharyngitis 5 1 Helicobacter pylori 49 Herpes genital 42 Meningococcus contact 81 Phenoxymethylpenicillin 34, 51 Metronidazole 27, 28, 3 1 , 35, Photosensitivity 84 36, 43, 44, 49, 50, 54, 56, 64 Polymyxin B 32 Miconazole 64 Pneumonia 52 Mupirocin 65 P rostate biopsy transrectal 77 Eczema (infected) 40 38, 5 1 , 54, 58 .

Gentamicin about its use as there may be systemic absorption. Fusidic acid Miconazole is an imidazole antifungal agent. Intravaginal preparation may or damage latex contraceptives and additional contraceptive measures are Mupirocin therefore necessary during local administration. or VAG INAL TRICHOMONIASIS Drug of choice Metronidazole or Tinidazole or Secnidazole Apply the cream locally 2-3 times daily or Apply the cream/ointment locally 2-3 times daily Apply the cream/ointment locally 2-3 times daily Combination Apply the cream locally 2-3 times daily Fusidic acid is of Bacitracin a steroid antimicrobial agent which is used almost and Neomycin exclusively against �-lactamase-producing staphylococci.

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