antibacterial tx Flashcards
(32 cards)
uncomplicated skin and soft tissue
penecillin, cephalexin
uncomplicated skin and soft tissue if allergy to penecillin
vancomycin or clindamyacin
complicated skin and soft tissue/and what to replace if allergy
penecillin + lactamse inhibitor (Ticarcillin + clavulanate);
allergy, use imipenem
MRSA
vancomycin, Linezolid, daptomycin
osteomyelitis
vancomycin, ceftriazone or cefepime
orthopedic surgery infection
penecillin + lactamase inhibitor (ticarcillin/clavulanate)
Empiric/Mrsa Septic arthritis
Empiric: ceftriaxone (3rd gen)
MRSA: vancomycin, linezolid, daptomycin
prosthetic joint
rifampin
acute sinusitis
Amoxocillin + clavulanate (not required as combo)
chronic bronchitis
Amoxocillin + clavulanate (not required as combo)
pharyngitis/ allergy replacements?
penecillin or amoxicillin
alternative: cephalosporin
Serious allergy: clindamycin, clarithromycin, azithromycin
Ambulatory community acquired bacteria pneumonia
macrolides: erythromycin, azithromycin, clarithromycin
Hospitalization community acquired bacteria pneumonia
beta lactam + macrolide
MRSA community acquired bacteria pneumonia
vancomycin, linezolid
cystitis
trimethoprim/sulfamethoxazole (TMP-SMX)
Pyelonephritis
TMP-SMX
uncomplicated UTI with kidney infection
Fluoroquinolone (Ciprofloxacin)
complicated UTI
fluoroquinolone, TMP-SMX
Prostatitis
Fluoroquinolone, TMP-SMX
intra-abdominal infections
Ticarcillin + clavulanate
C diff infection: moderate/severe
Moderate: metronidazole
Severe: vancomycin
community acquired bacteria meningitis >2months
ceftriaxone or cefotaxime + vancomycin
neonatal meningitis <2months
Ampicilin + cephalosporin +/- gentamicin
Sepsis syndrome
3rd/4th cephalosporin + vancomyin
ie. cefepime _vacomycin