21 Drug/Bug Chart Questions Flashcards
What does PEK stand for?
Proteus mirabilis, E. coli, Klebsiella pneumoniae
What does the HN stand for in HNPEK?
Hemophilus, Neisseria
What does CAPES stand for?
Citrobacter, Acinetobacter, Providencia, Enterobacter, Serratia
What are the Atypicals?
Legionella, Chlamydia, Mycoplasma
What does PCN cover?
Strep. pneumoniae, Strep. viridans, Enterococci, Neisseria, Mouth anaerobes. Variable: S. aureus (BL), B. fragilis. NO: Staph. epidermidis, CAPES, HPEK, P. aeruginosa
What is Amp/Amox very good at covering?
Strep. viridans
What does Ampicillin, Amoxicillin cover?
Strep. pneumoniae, Strep. viridans, Enterococci, HNPEK, mouth anaerobes. Variable: S. aureus (BL), B. fragilis. NO: Staph. epidermidis, CAPES, Pseud. aeruginosa
What does Amp/Sulb (Unasyn), Amox/Clav (Augmentin) cover?
Staph. aureus, Strep. pneumoniae, Strep. viridans, Enterococci, HNPEK, Mouth anaerobes, B. fragilis. NO: Staph. epidermidis, CAPES, Pseud. aeruginosa
What is the DOC for Staph aureus?
Oxacillin
What does Oxacillin cover?
Staph. aureus, Strep. pneumoniae, Strep. viridans. NO: Enterococci, HNPEK, CAPES, Pseud. aeruginosa, mouth anaerobes, B. fragilis
What does Piperacillin/Tazobactam (Zosyn) cover?
Everything but Staph. epidermidis
In general, what do the PCN derivatives NOT cover?
Staph. epidermidis, CAPES, Pseud. aeruginosa, Atypicals
What is Cefazolin very good at covering?
Staph. aureus
What does Cefazolin cover?
Staph. aureus, Strep. pneumoniae, Strep. viridans, PEK, Mouth anaerobes. NO: Staph. epidermidis, Enterococci, HN, CAPES, Pseud. aeruginosa, B. fragilis
What does Cefuroxime cover?
Staph. aureus, Strep. pneumoniae, Strep. viridans, HNPEK, Mouth anaerobes. NO: Staph. epidermidis, Enterococci, CAPES, Pseud. aeruginosa, B. fragilis
What does Cefoxitin cover?
Staph. aureus, Strep. pneumoniae, Strep. viridans, HNPEK, Mouth anaerobes, B. fragilis. NO: Staph. epidermidis, Enterococci, CAPES, Pseud. aeruginosa,
What is Cefotaxime, Ceftriaxone the DOC for?
Strep. pneumoniae
What does Cefotaxime, Ceftriaxone cover?
Staph. aureus, Strep. pneumoniae, Strep. viridans, HNPEK, CAPES, Mouth anaerobes. NO: Staph. epidermidis, Enterococci, Pseud. aeruginosa, B. fragilis
What does Ceftazidime, Aztreonam cover?
HNPEK, CAPES, Pseu. aeruginosa. NO: Staph, Strep, Enterococci (Gram (+)’s), Mouth anaerobes, B. fragilis
What is Ceftazidime, Aztreonam very good at covering?
Pseud. aeruginosa
What is Cefepime the DOC for?
CAPES
What is Cefepime very good at covering?
Strep. pneumoniae, Strep. viridans
What does Cefepime cover?
Staph. aureus, Strep. pneumoniae, Strep. viridans, HNPEK, CAPES, Psedu. aeruginosa, Mouth anaerobes. NO: Staph. epidermidis, Enterococci, B. fragilis
What are the only CEPHs that cover Pseud. aeruginosa?
Ceftazidime, Aztreonam, Cefepime
What does Ceftaroline cover?
Staph. aureus (MRSA), Staph. epidermidis, Strep. pneumoniae, Strep. viridans, Enterococci (E. faecalis only), HNPEK, Mouth anaerobes. Variable: CAPES. NO: Pseud. aeruginosa, B. fragilis
What do NONE of the CEPHs (except 5th gen) cover?
Staph. epidermidis, Enterococci, Atypicals
What does Imip/Mero/Doripenem cover?
Everything except: Staph. epidermidis, E. faecium, Atypicals
What does Ertapenem cover?
Everything except: Staph. epidermidis, Enterococci, Acinetobacter, Pseud. aeruginosa, Atypcals
What does Vancomycin cover?
Gram (+) only: Staph. aureus (MRSA), Staph. epidermidis, Strep. pneumoniae, Strep. viridans, Enterococci
What does Linezolid cover?
Gram (+) only: Staph. aureus (MRSA), Staph. epidermidis, Strep. pneumoniae, Strep. viridans, Enterococci. Exact same as Vanco
What does Synercid cover?
Gram (+) only: Staph. aureus (MRSA), Staph. epidermidis, Strep. pneumoniae, Strep. viridans, Enterococci (only E. faecium)
What does Daptomycin cover?
Gram (+) only: Staph. aureus (MRSA), Staph. epidermidis, Strep. viridans, Enterococci
What does Telavancin cover?
Gram (+) only: Staph. aureus (MRSA), Staph. epidermidis, Strep. pneumoniae, Strep. viridans, Enterococci. Exact same as Vanco and Linezolid
What does Ciprofloxacin cover?
Everything except: Mouth anaerobes, B. fragilis. Variable: Staph. aureus, Staph. epidermidis. Enterococci (urine only)
What does Levofloxacin cover?
Everything except: B. fragilis. Variable: Staph. aureus, Staph. epidermidis. Enterococci (urine only). Respiratory Strep. pneumoniae
What does Moxifloxacin cover?
Everything except: Pseud. aeruginosa. Variable: Staph. aureus, Staph. epidermidis. Enterococci (urine only). Respiratory Strep. pneumoniae
Which fluoroquinolone is the only one to cover B. fragilis?
Moxifloxacin
Which fluoroquinolone does NOT cover Pseud. aerugonisa?
Moxifloxacin
What do fluoroquinolones cover that most other antibiotics do not cover?
Atypicals
What does Gentamycin, Tobramycin (Aminoglycosides) cover?
HNPEK, CAPES, Pseud. aeruginosa. Synergy: Staph, Strep, Enterococci
What does Clarithromycin, Azithromycin cover?
Strep. pneumoniae, Strep. viridans. HN. Atypical. Variable: Staph. aureus, Staph. epidermidis. NO: Enterococci, PEK, CAPES, Pseud. aeruginosa, Mouth anaerobes, B. fragilis
What does Doxycycline cover?
Staph. aureus (MRSA), Staph epidermidis, Strep. pneumoniae, Strep. viridans, Enterococci, Atypical. Variable: HNPEK. NO: CAPES, Pseud. aeruginosa, Mouth anaerobes, B. fragilis
What does Tigecycline cover?
Everything (inc. MRSA, Staph. epi, Atypicals) except: Proteus mirabilis, Pseud. aeruginosa
What does Clindamycin cover?
Staph. aureus (D-test), Strep. pneumoniae, Strep. viridans. Mouth anaerobes, B. fragilis. Variable: Staph. epidermidis. NO: Enterococci, HNPEK, CAPES, Pseud. aeruginosa
What does Metronidazole (Flagyl) cover very well?
B. fragilis
What does Metronidazole (Flagyl) cover?
Mouth anaeroabes, B. fragilis
What does TMP/SMX (Bactrim) cover?
Staph. aureus (MRSA), Staph. epidermidis, Strep. viridans, HNPEK, CAPES. Variable: Strep. pneumoniae. NO: Enterococci, Pseud. aeruginosa, Mouth anaerobes, B. fragilis
What does Nitrofurantoin cover?
Urine: Staph. qureus, Staph. epidermidis, Enterococci, EK. Variable: CAPES
What are the only antibiotics that cover Pseud. aeruginosa?
Cipro, Levo, Gent/Tobra, Imip/Mero/Dori, Cefepime, Ceftazidime, Aztreonam
What are the only antibiotics that cover Atypicals?
Cipro, Levo, Moxi. Clari/Azith, Doxy, Tigecycline