Summer Exam I - Infections & Treatments Flashcards
(53 cards)
Cellulitis Non-purulent Treatment
Mild - PCN, Keflex, Dicloxacillin, Clindamycin
Moderate - [Keflex, Cefazolin, Cefadroxil] OR [Cefotaxime, Ceftazidime, Cefdinir, Ceftiraxone] OR Clindamycin
Severe - Vancomycin + Cefepime
Cellulitis Purulent Treatment
Mild - I&D
Moderate - I&D, Bactrim, Clindamycin, Doxycycline *possibly adding [Keflex, Cefazolin, Cefadroxil} to Bactrim or Doxycycline
Severe- I&D, Vancoymcin, Daptomycin, Linezolid *in sepsis, add Cefepime or [Cefotaxime, Ceftazidime, Cefdinir, Ceftriaxone]
Orbital Cellulitis Treatment
Ophthalmologic consult
IV Vancomycin + Ceftriaxone
If pt wears contacts, IV [Vancomycin + Zosyn] OR [Vancomycin + Cefepime + Flagyl] OR [Vancomycin + Ceftriaxone + Flagyl]
If intracranial/sinus involvement, add either Flagyl, Clindamycin, Unasyn, or Zosyn
Community-Acquired MRSA Treatment
Bactrim, Clindamycin, Doxycycline
Impetigo Treatment
Mupirocin and handwashing
If severe, Mupirocin + Keflex
DM Foot Infection Treatment
Augmentin, Keflex, Clindamycin, Ciprofloxacin
If severe, [Vancomycin + Cefepime + Flagyl] OR [Vancoymcin + Zosyn]
Necrotizing Fasciitis treatment
Surgical evaluation
Vancomycin + Cefepime + Clindamycin (for toxin binding)
Animal Bites Treatment
Augmentin OR [Doxycycline + Flagyl] OR [Bactrim + Flagyl] OR [Cipro + Flagyl] OR moxiflocaxin
Possible rabies prophylaxis
For prophylaxis from capnocytophaga canimorsus, Augumentin x 5 days after bite
Human Bites Treatment
Augmentin
Folliculitis Treatment
I&D, warm compress
Mupriocin, Cipro, Levofloxacin (IV if severe)
Herpes Simplex & Keratitis Treatment
Acyclovir OR Valacyclovir
Herpes Zoster & Zoster Ophthalmicus Treatment
Acyclovir OR Valacyclovir
Analgesia (NSAIDs, opioids, acetaminophen)
+ topical steroids, if progressive, do IV Acyclovir x 10-14 days THEN PO Valacyclovir x 6 weeks
Tinea Capitus Treatment
Griseofulvin
Terbinafine
Tinea Pedis Treatment
Azoles (Clotrimazole, Miconazole)
Toinaftate, Terbinafine
Tinea Cruris Treatment
Topical azoles
Terbinafine, Toinaftate
Tinea Corporis Treatment
Topical azoles
Fluconazole
Griseofulvin
Onychomycosis Treatment
Terbinafine
Fingernail x 6 weeks
Toenail x 12 weeks
Intertrigo Treatment
Azoles
Topical Nystatin
Dry environment
Lice & Scabies Treatment
Permethrin
For head lice, Ivermectin
Conjunctivitis Treatment
Bacterial
Erythromycin ointment
Polytrim Drops
Ofloxacin, Cipro
Viral
Topical antihistamines
Warm compress
Eye lubricants
Allergic
Topical antihistamines
Systemic antihistamines
Otitis Externa Treatment
Cipro + Hydrocortisone (Cipro HC)
Neomycin/Polymyxin/Hydrocortisone (Cortisporin)
Otitis Media Treatment
Augmentin (90mg/kg/day BID x 10 days)
Cefdinir OR Doxycycline OR Azithromycin OR Levofloxacin
If TMs are perforated, they usually heal spontaneously, but don’t use steroids
Mastoiditis Treatment
IV Vancomycin
If recurrent, [Vancomycin + Ceftriaxone] OR [Vancomycin + Cefepime]
Dental Infection Treatment
IV Unasyn OR [Clindamycin + Levofloxacin] OR [Ceftriaxone + Flagyl]
PO Augmentin x 7-14 days OR Clindamycin, PCN V
