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Flashcards in SA drugs and bugs Deck (32):
1

Single agents with 4 quadrant coverage

clavamox; cefoxitin; chloramphenicol; pradofloxacin (in cats)

2

Other useful (but expensive) single agents with 4 quadrant coverage

ticarcillin + clavulanic acid (Timentin); piperacillin + tazobactam (zosyn); meropenem (merrem)

3

Drug combos with 4 quadrant coverage

TMS + amoxicillin; fluoroquinolone/aminoglycoside + amoxicillin + metronidazole; fluoroquinolone + clindamycin/clavamox/cefoxitin

4

Uncomplicated UTI

Amoxicillin or clavamox; fluoroquinolone for suspected pyelonephritis

5

Multi-drug resistant UTI

nitrofurantoin; cefovecin (convenia); chloramphenicol

6

Urinary antiseptic

methanamine; cystitis only, must acidify urine

7

Fungal UTI

Aspergillosis: fluconazole/voriconazole; Candida: fluconazole/voriconazole, nystatin infusion as a last resort

8

Prostatitis

enrofloxacin is first choice

9

Kennel Cough

supportive care; antibiotics rarely used; if severe in puppy use clavamox

10

Feline upper respiratory disease complex

clavamox/doxy if chlamydia only bacteria involved

11

Nasal aspergillosis

itraconazole first then voriconazole

12

Pulmonary nocardiosis

TMS is drug of choice

13

Skin

cefoxitin (1st gen cephalosporin); clavamox

14

Malasessia (yeast) infection

ketoconazole; acetic acid; lime sulfur

15

Bite wounds

clavamox

16

Topical wounds/pyodermas

1:40 chlorhex; 0.5% silver sulfadiazine

17

Cellulitis

clavamox

18

Oral infections

Clindamycin for periodontal disease; clavamox better suited for bacteremia; metronidazole/doxy for severe infections

19

Otitis

intact TM: otomax (gentamicin + clotrimazole + betamethasone); ruptured TM: 0.5%-1.0% silver sulfadiazine or baytril otic (enrofloxacine + silver sulfadiazine); Systemic: start with clavamox +/- ketaconazole

20

Bone infection

empirical first choice clavamox

21

Refractory osteomyelitis

Local implantation of antibiotic beads containing amikacin; IV regional infusion of amikacin

22

Bacterial meningitis

TMS; chloramphenicol

23

Helicobacter gastritis (GI)

Only treat if organism associated with significant lesion

24

Salmonella (GI)

Fluoroquinolone is drug of choice

25

Campylobacter (GI)

Fluoroquinolone

26

Clostridial enteritis (GI)

metronidazole

27

Cornea

topical: chloramphenicol; subconjunctival: amikacin; systemic treatment if severe

28

Anterior chamber

topical: chloramphenicol; systemic: TMS or chloramphenicol

29

Vitreous chamber

systemic: chloramphenicol; intravitreal injection: 1mg vancomycin

30

Intraocular fungal infection

Fluconazole

31

Actinomycosis (problem bacteria)

drug of choice is penicillin; clindamycin as alternate

32

Multi-resistant enterococcal

penicillin + aminoglycoside; controversial: vancomycin