Clincal Use of Abx Flashcards
Skin & soft tissue infections: Uncomplicated -> S. aureus, S. pyogenes (MRSA- less serious)
TMP-SMX
Skin & soft tissue infections: Uncomplicated -> S. aureus, S. pyogenes (MRSA-more serious)
Vancomycin
Skin & soft tissue infections: Skin & soft tissue infections: Uncomplicated -> S. aureus, S. pyogenes (MSSA- less serious)
Dicloxacillin or 1st -ceph (oral)
Upper Respiratory tract (viral)
We don’t give meds for ANYTHING viral
Upper Respiratory tract: Bacterial– Otitis media (S.pneumoniae, H. influenzae, M. catarrhalis)
Amox OR amox/clav if PRIOR ABX, 2nd or 3rd gen ceph or clindamycin
Upper Respiratory tract: Acute pharyngitis –> S. pyogenes
Pen V or amoxicillin
- pcn allergy: 1st -ceph* or (macrolide) or clindamycin
Pneumonia- CAP: Outpatient (healthy, no comorbidities –> S. pneumoniae
Amoxicillin (hi dose) OR macrolide
Pneumonia- CAP: Outpatient (comorbidities) –> atypicals, H. flu, MSSA, M, catarrhalis
Amox/clavulanate OR 2nd-3rd gen Ceph PLUS macrolide OR doxycycline OR respiratory quinolone monotherapy (ADRs)
Pneumonia- CAP: Inpatient
Ceftriaxone (IV)
Urinary Tract: Uncomplicated cystitis –> E. coli
TMP-SMX (3d) or nitrofurantoin
Urinary Tract: Uncomplicated pyelonephritis –> E. coli
FQ [cipro-levo]
Urinary Tract: Complicated
–> resistant gram -, S. aureus, enterococci
FQ [levo-cipro] (outpatient) - 3rd-ceph or FQ or pip-taz (hosp)
Inra-abdominal: Cholangitis-diverticulitis –> E. coli, Bacteroides fragilis
Pip-Taz or moxifloxacin
Inra-abdominal: Antibiotic-associated diarrhea –> C. difficile
Metronidazole (mild-mod) - vancomycin (severe)
Meningitis (CA children-adults –> S. pneumoniae, N. meningitidis)
Ceftriaxone