TREATING BACTERIAL INFECTIONS Flashcards Preview

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Flashcards in TREATING BACTERIAL INFECTIONS Deck (20):
1

Community acquired atypical pneumonia (Mycoplasma and Legionella)

  1. Azithromycin
  2. Doxycycline (not for legionella)
  3. Moxifloxacin - quinolones

1

Lyme disease

  1. Doxycycline
  2. Amoxicillin
  3. Ceftriaxone
  4. Penicillin G

2

UTI (bladder, empiric)

  1. Trimethoprim + sulfamethaxazole
  2. Nitrofurantoin
  3. Fosfomycin
  4. Norfloxacin - lots of resistance
  5. Ciprofloxacin - lots of resistance

2

What does metronidazole treat?

  • C. diff enterocolitis - mild
  • #1 for Strict anaerobes (+/-)
  • #2 for gastric ulcers (H. pylori) with omeprazole

3

Gonorrhea

  1. Ceftriaxone + azithromycin or doxycycline

3

C. diff enterocolitis

  1. Metronidazole - mild
  2. Vancomycin (oral) - moderate to severe
  3. Fidaxomicin - 3rd line

4

Bacterial Meningitis (empiric)

Ceftriaxone + vancomycin

5

Strict anaerobes (+/-)

  1. Metronidazole
  2. Tigecycline - IV
  3. Cefoxitin
  4. Amoxicillin + clav
  5. Ticarcillin + clav
  6. Clindamycin
  7. Imipenem + cilastatin
  8. Chloramphenicol

7

Surgical Prophylaxis

  1. Cefazolin

10

Gram positive STREP THROAT

  1. Penicillin V
  2. Penicillin G procaine or benzathine
  3. Cephalexin (1st gen but all gens work)
  4. Erythromycin for pen allergies!
  5. Clindamycin - for pen allergies!

11

What does vancomycin treat?

  • #1 for gram positive STAPH (MRSA)
  • C. diff enterocolitis (oral - moderate to severe)
  • #1 for bacterial meningitis (empiric) with ceftriaxone!
  • #1 for strict anaerobes (+ only)

12

Gastric Ulcers (H. pylori)

  1. Clarithromycin
  2. Metronidazole + omeprazole
  3. Amoxicillin + ranitidine
  4. Tetracycline
  5. Use 2 drugs

13

Gram positive STAPH (MSSA)

  1. Oxacillin
  2. Amoxicillin + clavulanate
  3. Linezolid
  4. Cefazolin (IV), Cephalexin (Oral)
  5. Erythromycin
  6. Daptomycin

14

Middle ear infections (empiric)

  1. Amoxicillin - high dose
  2. Azithromycin - for bplactam alelrgic pts
  3. TMP-SMX

15

Gram NEGATIVES + pseudomonas

  1. Tigecycline - not pseudomonas
  2. Piperacillin + tazobactam
  3. Ceftriaxone
  4. Cefepime
  5. Aztreonam
  6. Imipenem - also for ESBL's
  7. Tobramycin, amikacin
  8. Polymyxin B (topical)

16

Strict anaerobes (+ only)

  1. Vancomycin
  2. Pen G
  3. Daptomycin

17

Gram positive STAPH (MRSA)

  1. Vancomycin
  2. Linezoild (IV or oral)
  3. Daptomycin
  4. Tigecyclin

18

Syphilis

  1. Penicillin G - benzathine
  2. Minocycline or doxycycline - for pen allergies!

19

Chlamydia

  1. Azithromycin
  2. Doxycycline
  3. Ciprofloxacin
  4. Norfloxacin

20

What does azithromycin treat?

  • #1 for chlamydia
  • #1 for gonorrhea with ceftriaxone
  • #1 for community acquired atypical pneumonia (Mycoplasma and Legionella)
  • #2 for middle ear infections (for b-lactam allergic pts!)