Clincal Use of Abx Flashcards

1
Q

Skin & soft tissue infections: Uncomplicated -> S. aureus, S. pyogenes (MRSA- less serious)

A

TMP-SMX

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2
Q

Skin & soft tissue infections: Uncomplicated -> S. aureus, S. pyogenes (MRSA-more serious)

A

Vancomycin

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3
Q

Skin & soft tissue infections: Skin & soft tissue infections: Uncomplicated -> S. aureus, S. pyogenes (MSSA- less serious)

A

Dicloxacillin or 1st -ceph (oral)

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4
Q

Upper Respiratory tract (viral)

A

We don’t give meds for ANYTHING viral

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5
Q

Upper Respiratory tract: Bacterial– Otitis media (S.pneumoniae, H. influenzae, M. catarrhalis)

A

Amox OR amox/clav if PRIOR ABX, 2nd or 3rd gen ceph or clindamycin

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6
Q

Upper Respiratory tract: Acute pharyngitis –> S. pyogenes

A

Pen V or amoxicillin

  • pcn allergy: 1st -ceph* or (macrolide) or clindamycin
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7
Q

Pneumonia- CAP: Outpatient (healthy, no comorbidities –> S. pneumoniae

A

Amoxicillin (hi dose) OR macrolide

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8
Q

Pneumonia- CAP: Outpatient (comorbidities) –> atypicals, H. flu, MSSA, M, catarrhalis

A

Amox/clavulanate OR 2nd-3rd gen Ceph PLUS macrolide OR doxycycline OR respiratory quinolone monotherapy (ADRs)

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9
Q

Pneumonia- CAP: Inpatient

A

Ceftriaxone (IV)

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10
Q

Urinary Tract: Uncomplicated cystitis –> E. coli

A

TMP-SMX (3d) or nitrofurantoin

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11
Q

Urinary Tract: Uncomplicated pyelonephritis –> E. coli

A

FQ [cipro-levo]

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12
Q

Urinary Tract: Complicated

–> resistant gram -, S. aureus, enterococci

A

FQ [levo-cipro] (outpatient) - 3rd-ceph or FQ or pip-taz (hosp)

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13
Q

Inra-abdominal: Cholangitis-diverticulitis –> E. coli, Bacteroides fragilis

A

Pip-Taz or moxifloxacin

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14
Q

Inra-abdominal: Antibiotic-associated diarrhea –> C. difficile

A

Metronidazole (mild-mod) - vancomycin (severe)

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15
Q

Meningitis (CA children-adults –> S. pneumoniae, N. meningitidis)

A

Ceftriaxone

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16
Q

Meningitis if pregnant, >50 y/o, immunosuppressed (Listeria)

A

Ceftriaxone Add ampicillin –> gentamicin