Remind yourself of treatment regimens for common bacterial infections in adults, using the MIMS table of recommended antibiotics and doses.
The table is organised according to organ system and further divided into types of infections:
- Central nervous system: Meningococcal disease
- Ear, nose and throat (ENT): Acute diffuse otitis externa, acute sinusitis, dental abscess (including severe or spreading infection), sore throat (pharyngitis, tonsillitis)
- Eye: Acute infective conjunctivitis
- Gastrointestinal (GI) tract: Acute diverticulitis (mild, uncomplicated), gastroenteritis, H. pylori
- Genital tract: Acute pelvic inflammatory disease (PID) with low or high risk of gonococcal infection, acute uncomplicated gonorrhoea, bacterial vaginosis, uncomplicated chlamydia (including in pregnancy and lactation)
- Respiratory tract: Acute bronchitis, acute cough, acute exacerbation of bronchiectasis (non-cystic fibrosis), community-acquired pneumonia including severe infection, and exacerbation of COPD including in patients with risk factors for antibiotic resistance
- Skin and soft tissue: Cellulitis or erysipelas, animal and human bites, diabetic foot infection, impetigo (localised non-bullous infection and extensive, severe or bullous infection or if impractical to use topical therapy) and leg ulcer infection
- Urinary tract: Acute bacterial prostatitis, acute pyelonephritis (including in pregnancy), uncomplicated lower UTI (including in pregnancy) and recurrent UTI
For each infection, the antibiotic of choice, the dosage and frequency, the duration of treatment and formulation (oral, im injection, intraocular, intravaginal) are given. The ENT, GI, respiratory, skin and soft tissue sections also give alternative antibiotic options in the case of penicillin allergy. Antibiotic names link through to full MIMS entries for more detailed prescribing information on each product.
A notes section provides useful additional advice, such as in which cases of infection antibiotics are not actually recommended or prescribing should be delayed.
Treatment options and adult dosages are derived from NICE CKS, HPA Management of Infection Guidance for Primary Care for Consultation and Local Adaptation 2013 and product SPCs.