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Antibiotic Prescribing on the ICU



Dr Brendan McGrath MB ChB MRCP FRCA
SpR Anaesthetics and Intensive Care Medicine, North West Region

Below are a selection of articles that aim to give a basic introduction to the use of antibiotics on a modern ICU. When accessing this information it is important to remember that:

  • These articles are not a substitute for local guidelines or expert microbiological advice

  • These articles are aimed at junior doctors who may have limited ICU experience

  • These articles are only intended to guide initial antibiotic treatment of critically ill patients
  • These articles are designed for the ICU patient, but are appropriate for all acutely unwell admissions


Commonly used Antibiotics

Classification of Antibiotics
Aminoglycosides
B-LACTAMS – Penicillins
B-LACTAMS - Carbapenems
B- LACTAMS - Cephalosporins
Fluoroquinolones
Glycopeptides
Macrolides
Metronidazole
Oxazolidinones - Linezolid
Tetracyclines

Prescribing Antibiotics - Cardiac

Endocarditis
Infected Prothesis
Myocarditis

Prescribing Antibiotics - ENT

Dental
Epiglottitis
Sinusitis

Prescribing Antibiotics - Gastrointestinal

Cholecystitis and Cholangitis
Diverticulitis
Peritonitis

Prescribing Antibiotics - Genitourinary

Pyelonephritis

Prescribing Antibiotics - Neurological

Brain Abscess
Infected shunts
Encephalitis
Meningitis

Prescribing Antibiotics - Orthopaedic

Osteomyelitis
Septic Arthritis & Infected Prosthesis

Prescribing Antibiotics - Miscellaneous

Cellulitis
HIV & AIDS - PUO
Necrotising Fasciitis
Neutropenic Sepsis
Sepsis of unknown cause

Prescribing Antibiotics - Respiratory

Aspiration Pneumonia
Bronciectasis
Community Acquired Pneumonia
COPD Exacerbations
Empyema
Hospital Acquired Pneumonia
Tuberculosis

Bacteria

Classification of Bacteria

 






 
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