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Antimicrobials Flashcards

(54 cards)

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1
Q

MAC Prophylaxis, drug and CD4 count

A

Azithromycin, CD4 less than 50

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2
Q

Toxoplasmosis prophylaxis, drug and CD4 count

A

Bactrim or dapsone, CD4 less than 100

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3
Q

PJP prophylaxis, drug and CD4 count

A

Bactrim or dapsone, CD4 less than 200

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4
Q

Orbital cellulitis organism and tx

A

Staph or strep, IV vanco + cephalosporin

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5
Q

Salivary gland infection or stone organism and tx

A

S aureus, cephalosporin and duct dilation

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6
Q

Peritonsillar abscess organisms and tx

A

MRSA or GAS, Clindamycin or Ampicillin/sulbactam

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7
Q

Otitis externa organisms and tx

A

S pneumo, H flu, M catarhallis, topical flouroquinolone

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8
Q

Otitis media

A

S pneumo, H flu, M catarhallis, augmentin or amoxicillin

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9
Q

Pneumocystis jerovecii

A

Bactrim or pentamidine

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10
Q

Prostatitis

A

> 35 E coli, flouroquinolone or bactrim

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11
Q

Orchitis/Epididymitis

A

> 35 E coli, Cipro

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12
Q

UTI

A

E coli; flouroquinolone or bactrim

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13
Q

Pyelonephritis

A

E coli; Ciprofloxacin or levofloxacin

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14
Q

Endocarditis

A

Staph (acute) or strep (subacute), Amoxicillin or clindamycin if allergic

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15
Q

Acute rheumatic fever

A

Strep, amoxicillin or macrolide if allergic

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16
Q

Epiglottits pathogen

A

H flu

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17
Q

Pertussus

A

Bordatella pertussis, clarithromycin, azithromycin, bactrim

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18
Q

Healthy outpatient CAP

A

Strep pneumo, flouroquinolone, macrolide or doxy

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19
Q

Comorbid CAP

A

Strep pneumo; flouroquin, macrolide or doxy PLUS beta lactam (amoxicillin etc)

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20
Q

Inpatient CAP

A

Strep pneumo; macrolide + beta lactam

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21
Q

HAP

A

pseudomonas (>48 hrs after admission); piperacillin/tazobactam + levo, cipro, or tobramycin

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22
Q

Legionella

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A

Azith, cipro, or levo

23
Q

Walking pneumonia

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A

Mycoplasma, macrolides

24
Q

Aspiration pneumonia

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A

Klebsiella, cephalosporins

25
Valley fever (sw desert)
Coccidioides, itraconazole or fluconazole
26
Soil fungal pneumo, can cause meningitis
criptococcus, Amphotericin B
27
Fungal pneumo, birds, bats, or Mississippi valley
Histoplasmosis, Amphotericin B
28
H. pylori
PPI + Amoxicillin + Metronidazole or clarithromycin
29
Cholagitis
E coli; piperacillin/tazobactam or ticaracillin/clavulanate or ciprofloxacin
30
Wilsons disease treatment
Penicillamine
31
Appendicitis abx
piperacillin/tazobactam
32
Diverticulitis abx
Metronidazole + quinolone
33
Bloody diarrhea, abd tenderness, No fever
E. Coli. NO ABX because it could cause HUS
34
Travelers diarrhea classification
3 loose stools in less than 24 hrs
35
Travelers diarrhea tx
Flouroquinolones, antimotility agents
36
C diff
Metronidazole is 1st line Oral Vanco 2nd line NO antimotility
37
Trichomonas
Trichomonas vaginalis Metronidazole or tinidazole treat partner
38
Gonorrhea
Ceftriaxone | treat partner
39
Chlamydia
Azithromycin in one dose or Doxycycline x 7 days Treat partner
40
PID
Ceftriaxone plus doxycycline
41
Chancroid
H ducreyi Azith or eryth ceftriaxone cipro
42
Syphilis
``` Treponema palladium less than 1 yr: one dose of pen G greater than1 yr: Pen G multi dose Allergy to Pen: Doxy or azith Preg + Pen allergic: desensitize and give Pen G ```
43
Three classes of abx used in Klebsiella pneumonia
Aminoglycosides Cephalosporin Flouroquinolone
44
Two abx classes used to treat legionella
Macrolides | flouroquinolones
45
Pseudomonas treatment classes
Beta lactam + quinolone or aminoglycoside | Quinolone + aminoglycoside
46
MRSA pneumonia treatment
Vanc or linezolid + levo or cipro
47
ICU strep pneumo treatment
Beta lactam + macrolide or flouroquin
48
Inpatient non ICU strep pneumo treatment
Beta lactam + macrolide
49
CAP with comorbidities
Flouro, doxy, or macrolide + beta lactam
50
Healthy CAP treatment
Flouro, doxy or macrolide
51
Aminoglycosides
``` Amikacin Gentomycin streptomycin tobramycin neomycin ```
52
Macrolides
Erythromycin Azithromycin Clarithrmycin
53
PJP treatment
Bactrim or pentamidine
54
3 abx regimins to treat diverticulitis
Metro and cipro augmentin bactrim

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