Anti-infectives

Infection
Community Acq.

Hospital Acq.

Hospitalized

Non-Hospitalised PUO UTI URTI Chest Infections GI Infections UncomplicatedMalaria

ICU Septicemia VAP Peritonitis

Non-ICU

Severe/RecurrentPUO Severe ComplicatedUTIs Severe CAP Severe GI Infections Severe Chest Infections Complicated Malaria Ascitis Liver Abscess

HAP Ca-UTI Post-surgical Infections

Fever
PIO PUO Underlying Infection

Typhoid

Simple

Recurrent Severe

GP

CP

GP

CP

With assoc. Symptoms

Without assoc Symptoms Hospitalized Non-Hosp

Gastro

GP

PHY

Oflin
Uncomplicated UTI Typhoid PIO GI Infections

Typhoid with GP
Sign and symptoms :Sustained high fever Profuse sweating and diarrhea Rash, rose colored spots may appear Bradycardia, malaise Bloody nose and abdominal pain

Patient concern
Persistent fever Diarrhea leading to malaise and fatigue Missed school/office days General discomfort disturbing the routine

Therapeutic needs at GP
To control fever and diarrhea To prevent recurrence of fever

Typhoid with CP
Sign and symptoms :Recurrent high grade fever with Diarrhea Bradycardia and malaise Pea soup stool

Patient concern
Recurrent fever with pea soup stool Longer treatment without relief Missed office working days Cost of the treatment

Therapeutic needs
To prevent recurrence of fever To prevent complications like intestinal hemorrhage

Typhoid with Gastro

Sign and symptoms : Recurrent high grade fever with bradycardia and delirium Pea soup stool/ Melena Pain in right abdominal region with Hepatosplenomegaly

Patient concern
Continuous loss of weight Side effects of the multiple drugs Elderly patient with hepatic dysfunction Patient of PUD with bleeding ulcers

Therapeutic needs
Therapeutic needs Faster recovery of the patient. To prevent the complications of Typhoid like intestinal perforation, peritonitis which can further lead to septicemia. To save the life of the patient

PIO with GP
Sign and symptoms :Persistent fever Headache, malaise and fatigue Anorexia Weight loss

Patient concern
Persistent fever Diarrhea leading to malaise and fatigue Missed school/office days General discomfort disturbing the routine

Therapeutic needs
Faster infection clearance Controlling fever and restoring the normal state

PIO with CP
Persistent fever for more than 3 weeks Asthenia Malaise, fatigue Peripheral edema Tenderness and persistent pain throughout the body Fainting at times

Patient concern
Recurrent fever with pea soup stool Longer treatment without relief Missed office working days Cost of the treatment

Therapeutic needs
Therapeutic needs : To control fever and arrest the further progression of infection To prevent the complications like septic shock