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Flashcards in ID - ABx Deck (21):
1

Penicillin covers?

Amoxicilin and ampicillin also cover?

#Strep
#Oral anaerobes
#Syphilis
#leptospira

HELPS
#H flu
#E coli
#Listeria
#Proteus
#Salmonella

2

When to use Amoxicillin/ampicillin?

#Face - otitis media, dental infection
#Endocarditis PPX
#Lyme disease (limited to rash, joint, CN7)
#UTI in pregnancy
#Listeria
#Enterococcal infections

3

penicillinase-resistant penicillins?

Use for?

Oxacillin, cloxacillin, dicloxacillin, nafcillin (never use methicillin)

#Skin cellulitis, impetigo, erysipelas
#endocarditis, meningitis, staph bacteremia
#Osteomyelitis and septic arthritis if sensitive

4

Bug covered by amoxicillin but not oxacillin/etc or cephalosporins?

Enterococcus

5

Never use methicillin because?

renal failure from allergic interstitial nephirits

6

Use Pipercillin, ticarcillin, azlocillin mezlocillin for?

Gram negatives, enterobacteria, pseudomonads

#Cholecystitis, ascending cholangitis
#Pyelo
#Bacteremia
#HCAP/VAP
#Neutropenic fever

7

1st gen cephalosporins cover which bugs?

Use to treat?

PEKS

Proteus
E coli
Klebsiella
Strep (except enterococcus), MSSA,

#Osteomyelitis
#Septic Arthritis
#Endocarditis
#Cellulitis

8

Use 2nd gen cephalosporins for? Adverse reactions?

#PID (with doxy)
#Bronchitis
#Otitis media
#Sinusitis

Disulfiram like reaction
Bleeding

9

Gram staining Bugs resistant to all cephalosporins?

Listeria
MRSA
Enterococcus

10

If pt gets rash to penicillins, give?

If prophylaxis?

cephalosporins

non-beta-lactam

11

Use 3rd gen cephalosporins for?

#Meningitis
#CAP
#Gonorrhea
#Lyme involving heart/brain

12

Avoid ceftriaxone in? because?

Use instead?

Neonates; impaired biliary metabolism

Cefotaxime

13

Carbapenums used to treat?

#Resistant gram-negatives
#Anaerobes
#Strep/Staph

14

All carbapenums cover pseudomonas expect?

Ertapenum

15

Fluoroquinolones are used to treat?

CAP
Pseudomonas
Cystitis/Pyelo (Cipro)
Diverticulitis (with flagyl)

16

Fluoroquinolones cover? Do not cover (exception)?

Gram-negative rods

Anaerobes (except moxifloxacin)

17

Doxyclicine used to treat?

Chlamdia
Tick-bornes - Lyme/Rickettsia/Ehrlichia, Borrelia
MRSA
Syphilis (in those with allergies to penicillin)

18

Adverse reactions of doxyclicine?

#tooth discoloration
#Fanconi (Type II RTA)
#Photosensitivity
#Esophagitis

19

Bactrim adverse reactions?

#Rash
#Hemolysis with G6PD
#Bone marrow suppression

20

Treatment of Anarobes above diaphragm?

Anaerobes below diaphragm?

Penicillins and Clindamycin (and Zosyn, Carbapenums, cephalosporins)

Metronidazole, Augmentin (etc), (and Zosyn, Carbapenums, cephalosporins)

21

Treat Gram-negatives with?

#Aminoglycosides
#Aztreonam
#Carbapenums
#Cephalosporins
#Fluoroquinolones
#Zosyn

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