Infection - DOC Flashcards

To learn the DOC for different microbial infections.

1
Q

Staphylococcus aureus (MSSA)

A

Penicillinase-resistant penicillins (aka antistaphylococcal penicillin)

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2
Q

Staphylococcus aureus (MRSA)

A

Vancomycin

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3
Q

Staphylococcus epidermidis

A

Vancomycin (more than 80% are resistant to methicillin)

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4
Q

Streptococcus pyogenes (GAS)

A

Penicillins

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5
Q

Streptococcus agalactiae (GBS)

A

Penicillins

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6
Q

Streptococcus pneumoniae

A

3rd Generation Cephalosporins (~35% are resistant to penicillins)

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7
Q

Viridans group streptococci

A

Penicillins

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8
Q

Streptococcus bovis (GDS)

A

Penicillins

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9
Q

Enterococcus faecalis

A

AMP/Gentamicin

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10
Q

Enteroccous faecium

A

Vancomycin

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11
Q

Peptostreptococcus spp.

A

Most Beta-Lactams

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12
Q

Mycobacterium tuberculosis

A

Anti-tuberculosis combinations

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13
Q

Nontuberculosis mycobacterium

A

Variable

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14
Q

Nocardia spp.

A

TMP-SMX, 3rd generation cephs, AGs, Linezolid

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15
Q

Bacillus spp.

A

Varies depending on susceptibility

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16
Q

Corynebacterium spp.

A

Penicillin

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17
Q

Listeria monocytogenes

A

AMP or TMP-SMX

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18
Q

Clostridium botulinum

A

Antitoxin + Penicillin

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19
Q

Clostridium tetani

A

Metronidazole

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20
Q

Clostridium difficile

A

PO Metronidazole or PO Vancomycin

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21
Q

Clostridium perfringens

A

Penicillin

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22
Q

Propionibacterium acnes

A

Penicillin G

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23
Q

Acinetobacter spp.

A

Can be MDR, Amp-Sulbactam/Penem

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24
Q

Moraxella catarrhalis (formerly branhamella)

A

AMX-CLV or 2nd generation ceph

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25
Q

Neisseria meningitidis

A

3rd/4th generation ceph

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26
Q

Neisseria gonorrhoeae

A

Ceftriaxone + Azithromycin OR Doxy

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27
Q

Eikenella corrodens

A

AMX-CLV

28
Q

Escherichia coli

A

Can produce extended spectrum B-lactamases, use Pip-Tazo or Cefepime in most cases empirically unless history of resistance

29
Q

Klebsiella pneumoniae

A

Can produce extended spectrum B-lactamases, use Pip-Tazo or Cefepime in most cases empirically unless history of resistance

30
Q

Enterobacter cloacae

A

Can produce extended spectrum B-lactamases, use Pip-Tazo or Cefepime in most cases empirically unless history of resistance

31
Q

Citrobacter freundii

A

Can produce extended spectrum B-lactamases, use Pip-Tazo or Cefepime in most cases empirically unless history of resistance

32
Q

Morganella morganii

A

Can produce extended spectrum B-lactamases, use Pip-Tazo or Cefepime in most cases empirically unless history of resistance

33
Q

Proteus spp.

A

Can produce extended spectrum B-lactamases, use Pip-Tazo or Cefepime in most cases empirically unless history of resistance

34
Q

Providencia stuartii

A

Can produce extended spectrum B-lactamases, use Pip-Tazo or Cefepime in most cases empirically unless history of resistance

35
Q

Serratia marcescens

A

Can produce extended spectrum B-lactamases, use Pip-Tazo or Cefepime in most cases empirically unless history of resistance

36
Q

Salmonella spp.

A

Ceftriaxone or FQ

37
Q

Yersinia enterolitica

A

3rd generation ceph or FQ

38
Q

Yersinia pestis

A

Gent or FQ

39
Q

Pseudomonas aeruginosa

A

Pseudomonal drugs (Pip-Tazo, cefepime, penems, AGs, etc.)

40
Q

Burkholderia cepacia

A

Ceftazidime, Imipenem/Mero

41
Q

Stenotrophomonas maltophilia

A

TMP-SMX is first line, Ticarcillin-clav has some activity or Moxifloxacin

42
Q

Campylobacter jejuni

A

Macrolide or Cipro

43
Q

H. pylori

A

AMX + CLAR + PPI

44
Q

Gardnerella vaginalis

A

Metronidazole or Clindamycin

45
Q

Haemophilus ducreyi

A

3rd generation ceph

46
Q

Haemophilus influenzae

A

AMX-CLV or 2nd/3rd generation ceph

47
Q

Brucella melitensis

A

Doxy + Gent

48
Q

Bordetella pertussis

A

Azithromycin or TMP-SMX

49
Q

Francisella tularensis

A

Streptomycin or FQ or Doxy

50
Q

Pasturella multocida

A

AMX-CLV

51
Q

Legionella pneumophilia

A

Macrolide OR FQ

52
Q

Vibrio spp.

A

Doxycycline OR FQ

53
Q

Bacteroides spp.

A

Pip-tazo; AMP-Sulbactam; Penem

54
Q

Prevotella spp.

A

Anaerobic drugs

55
Q

Fusobacterium nucleatum

A

Penicillin OR Metronidazole

56
Q

Actinomyces isaelii

A

Penicillin G

57
Q

Chlamydia pneumoniae

A

Doxy/Macrolide

58
Q

Chlamydia trachomatis (STD)

A

Azithromycin or Doxy

59
Q

Mycoplasma pneumoniae

A

FQ or Macrolide

60
Q

Ureaplasma urealyticum

A

Erythromycin/Tetracycline

61
Q

Rickettsia rickettsii

A

Doxycycline

62
Q

Bartonella henselae

A

Macrolides

63
Q

Coxiella burnetti

A

FQs/Tetracyclines

64
Q

Ehrlichia chaffeensis

A

Doxycycline

65
Q

Borrelia burgdorferi

A

Doxy or AMX or Cefuroxime

66
Q

Treponema pallidum

A

Penicillin G or benzathine penicillin