Antimicrobial study guid Flashcards
what medications provide focused gram neg. coverage?
3rd generation cephalosporins
aminogycosides
aztreonam
quinolones
What medications give you focused gram pos. coverage
1st generation cephalosporins
anti staphylococcal penicillins
clindamycin
vancomycin
What medications give excellent Anaerobic Coverage?
2nd generation cephalosporins B-lactamase inhibitor combos carbapenems clindamycin metronidazole tigecycline
What antimicrobials provide broad spectrum therapy?
B-lactamase inhibitor combos
carbapenems
tigecycline
cefipime
Atypical Patogens
Macrolides
quinolones
tetracyclines
Pseudomonal coverage
aminoglyosides antipseudomonal penicillins aztreonam cefipime ceftazidime {fortaz} ciprofloxacin
MRSA inpatient therapy
Vancomycin
linezolid { Zyvox}
MRSA community aquired
Bactrim clindamycin minocycline or doxycycline linezolid rifampin
Treat Clostridium difficile diarrhea
Metronidazole ( mild to moderate) Oral Vancomycin (severe or resistant)
Genital Herpes
Acyclovir
valacyclovir
famciclovir
systemic fungal infection
amphoteracin B & others
Fluconazole & other “azoles”
Urinary Tract infections
bactrim
quinolones
nitrofurantoin
prostate infections
bactrim
quinolones
chlamydia trachomatis STI
Doxycycline x 7 days
azithromycin x 1 dose
pelvic inflammatory disease
cefotetan or cefoxitin + doxycycline
clindamycin + gentamicine + doxycycline
ceftriaxone + doxycycline + - metronidazole
bacterial vaginosis
metronidazole
clindamycine
Gonorrhea
Ceftriazone (rocephin) IM x1
azithromyicn if severe cephalosporin allergy
plus chlamydial coverage
Acne
tetraclines
topical clindamycine
topical macrolides
Group A strep Throat
benzathine PCN G IM x1 or oral PCN x 10 days
amoxicillin
macrolides if allergic to PCN
Acute Sinusitis
Amoxicillin x 10-14 days bactrim 2nd gen cephalosporins ( cefuroxime, cefaclor) 3rd gen cephalosporins ( cefpodoxime, cefixime) doxycycline macrolides moxifloxacin levofloxacin
otitis media
Amoxicillian x 10 days
erythromycin/ sulfisoxazole
macrolids
2nd gen cephalosporins (cefuroxime, cefaclor)
2rd gen cephalosporins (cefpodoxime, cefixime)
community acquired Pneumonia Out patient
doxycycline
macrolides
quinolones (levofloxacin, moxifloxacin)