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Infections
Antibiotics
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5. In urgent situations (e.g., cases of meningitis, septic shock, febrile neutropenia), do
not delay administration of antibiotic therapy (i.e., do not wait for confirmation of the
diagnosis)
Resp/ENT
Acute Otitis Media
Otitis externa
Strep Pharyngitis
Acute Rhinosinusitis
STI
Bacterial Vaginosis
Gonorrhea/Chlamydia
GI
Moderate-Severe Gastroenteritis (>3BM/d, blood, fever)
C-difficile Colitis
PPI PO BID + Amoxicillin 1g PO BID + Clarithromycin 500mg PO BID x14d (eg. HP-
PAC)
Second-line or if high resistance, add Metronidazole 500mg PO BID (CLAMET)
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Antibiotic Rash
Stop antibiotic, and avoid further antibiotics until cleared
Unlikely true IgE-mediated allergy
IgE-independent reaction (eg. Red Man Syndrome with vancomycin)
Delayed T-cell reaction (usually concomitant viral infection, eg EBV)
Rule out
Serum Sickness (Type 3) - vasculitic rash, arthralgias, flu-like symptoms,
fever
DRESS (fever, rash, lymphadenopathy, blood count abnormality
[eosinophilia, thrombocytopenia])
SJS/TEN (desquamation, positive Nikolsky's sign, mucosal-involvement)
Referral to Allergy for challenge testing
References:
INESSS. http://www.inesss.qc.ca/publications/clinical-guides-in-antibiotic-
treatment-1st-series.html
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