Antimicrobial Therapy
1. Penicillins
Ampicllin/amoxycillin – for haemophillus and other gram-negative organisms
2. Cephalosporins
1st generation e.g. cephalexin – very active against gram-positive cocci
2nd generation e.g. cefuroxime – additional activity against H. influenza, M. catarrhalis, N. menigitidis and Gonorrhoea.
3rd generation – active against gram-negative bacilli. Some e.g. ceftazadime are active against pseudomonads as well.
3. Imipenam
(another B lactam antibiotic) – active against a wide range of bacteria
Its is most useful against ESBL organisms
4. Aminoglycosides
Streptomycin, gentamycin, kanamycin, amikacin
Used against gram-negative bacilli including pseudomonads
5. Rifamycins
6. Metronidazole
Used against anaerobes and certain parasitic infections
7. Erthromycin and other macrolides
Used mainly as a second line drug for penicillin. Used first line for legionella and sometimes for chlamydial and mycoplasmal infections
Clindamycin is mainly used in the treatment of anaerobic infections.
8. Vancomycin
For MRSA infections
9. Tetracyclines
Tetracycline and doxyclyine are used for a wide variety of bacterial, chlamydial, and rickettsial infections
10. Sulphonamides
Sulphonamides are often used in conjunction with trimethroprim. It is used for treating UTI and respiratory infections
11. Quinolones
Ciprofloxacin and Ofloxacin are active against a large umber of gram-negative bacilli including P. aeruginosa.