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Flashcards in Abx Review Deck (31):
1

Gram positive

-Clindamycin
-Cipro
-Vancomycin, Linezolid, Daptomycin
-Penicillins
-Cephalosporins
-Augmentin, Zosyn (broad)

2

Gram negative

-Ciprofloxacin, Moxifloxacin
-gentamicin, tobramycin
-Cefuroxime, ceftriaxone, ceftazidime, cefepime (small to broad)
-zosyn
-Meropenem, Imipenem

3

Anaerobes

-Metronidazole
-Clindamycin
-Moxifloxacin
-Augmentin
-Zosyn

4

Antifungals

-Diflucan (fluconazole)
-Nystatin
-Voriconizole
-Amphotericin B
-Capsofungin

5

Antiviral

Acyclovir
Valacyclovir

6

ESCAPPM (enterobacter, serratia, citrobacter, aeromonas, proteus, providencia, morganella morganii)

-Ciprofloxacin
-Gentamicin/Tobramycin
-Moxifloxacin
-Meropenem, Imipenem
-Aztreonam

7

Pseudomonas

-Ciprofloxacin/Levo
-Zosyn (pip/tazobactam)
-Ceftazidime or cefepime (2nd gen)
-Tobramycin
-penems class

8

MRSA

PO:
-Bactrim
-Clindamycin
-Doxycycline, minocycline
-Linezolid

IV:
1. VANCOMYCIN
-Linezolid
-tigercycline
-ceftaroline

9

Abx side effects

-Diarrhea, GI upset
-Resistance
-Hypersensitivity
-Red man syndrome (vanc)

10

Clean surgery

-None
-Cefazolin IV
-Clindamycin IV

11

Clean contaminated

-IV cefazolin + metronidazole

12

Contaminated

-ceftoxitin/cefotetan
-cefazolin + metronidazole
-clindamycin + gentamicin (aminoglyc)


-aztreonam
-FQs (floxacins)

13

Dirty

-zosyn
-meropenem
-invanz
-unasyn
-primaxin
-timentin

14

GI surgery (colorectal/appendectomy)

1. Cefoxitin or cefotetan
-clindamycin + aminoglycoside
-cefazolin + metronidazole

15

Surgical infection prophylaxis

-piperacillin/tazobactam (zosyn)
-cefazolin
-cefoxitin

16

Abdominal surgery prophylaxis

-ampicillin/sulbactam
-ceftriaxone + metronidazole

17

Endocarditis surgical prophylaxis

-cefazolin

18

Pneumocystis pneumonia prophylaxis

-Bactrim

19

Allergenic bone marrow transplant

-Fluconazole

20

Cover all but MRSA (super broad)

-meropenem
-Imipenem

21

Vancomycin prophylaxis indications

-MRSA inf frequent in that hospital
-pt already known MRSA colonization
-high MRSA risk (nursing home, recent hospitalization)

22

Prophylactic dosing

<120kg: 2gm cefazolin
>120kg: 3gm cefazolin

23

Prophylactic timing

-within 60 minutes of surgery
-vanc or FQs within 120 minutes before
-no longer than 24 hours

24

Broad spectrum coverage for: Intra-abdominal

1. Zosyn
2. Unasyn (ampicillin/sulbactam)
3. Allergy: Meropenem/Levo

25

Broad spectrum coverage for: Pneumonia

1. Community: Ceftriaxone IV
-Allergy: Levo IV

2. Hospital: Zosyn
-Allergy: Meropenem or Aztreonam

26

Broad spectrum coverage for: UTI

1. Community: Ceftriaxone
-Allergy: Levo

2. Hospital/pyelonephritis: Meropenem IV

27

Broad spectrum coverage for: Cellulitis

1. Vanc + cipro
2. Vanc + aztreonam

28

Broad spectrum coverage for: necrotizing faciitis

1. Zosyn
-allergy: meropenem or aztreonam

29

Broad spectrum coverage for: diabetic foot or cellulitis with PVD

1. Zosyn
-allergy: meropenem or aztreonam

30

Ertapenem covers everything but...

1. MRSA
2. Pseudomonas

31

Cholangitis

-Zosyn
-meropenem