ID treatments Flashcards
VRE
ampicillin
e. faecium
linezolid, daptomycin, synercid
e. faecalis
linezolid, daptomycin
pharyngitis
PCN VK
erysipelas superficial cellulitis
PCN, cephalosporin, macrolide
Impetigo
bactroban ointment or po
Necrotising faciitis
broad spectrum abx
Toxic shock
Abx, pressors, ventilation, transfusion, fluids, IVIG, surgery
botulism
supportive for resp. failure, alimentation, anti-toxin from cDC
Anthrax
fluoroquinolone
Cholera
LR, bactrim/quinolone, temporary vaccine (booster q6mos)
Tetanus
tetanus Igg IM + intubation, sedation, PCN if active and tetanus toxoid after recovery
Salmonellosis
fluoroquinolone
Shigellosis
Fluids, electrolytes, bactrim/fluoroquinolone
Diptheria
bactrim/erythromycin, antitoxin
Gonorrhea
ceftriaxone/cefixime/azithromycin
N. meningiditis treatment
PCN G, ceftriaxone if allergy, chloramphenicol for severe allergy + adjuvant dexamethasone in 4 divided dose
N. meningiditis prevention
MCV 4 vaccine
N. meningiditis prophylaxis
Rifampin (alt: cipro)
ehrlichiosis
doxycycline, rifampin in pregnancy/peds
antyhing resistant
linezolid or daptomycin
Pasturella
augmentin
Eikinella
augmentin
cutaneous candida
topical lotrimin/miconazole
mucosal candida
fluconazole/nystatin
vulvovaginal candida
diflucan (tid if resistant), miconazole,
disseminated fungemia
IV amphotericin + flucytosine
invasive candidal infection
amphotericin, micafungin
ADR amphotericin
hypokalemia, renal failure, HOTN, fever, chills
histoplasmosis
amphotericin + itraconazole for 1 year
cryptococcus
amphotericin, pre-med with APAP and Benadryl followed by fluconazole for life
PJP treatment
bactrim, Dapsone (AE: anemia), corticosteroids?