30 key associations from First Aid Flashcards
organism
treatment
C albicans
amphotericin B (systemic), nystatin (oral thrush, esophagitis)
Chlamydia trachomatis
doxycycline (+ ceftriaxone for gonorrhea coinfection), erythromycin eye drops (prophylaxis in infants)
C botulinum
antitoxin
C diff
metronidazole, or if refractory, oral vancomycin
C tetani
antitoxin + vaccine booster + diazepam
Cryptococcus neoformans
fluconazole (prophylaxis in AIDS pt)
enterococci
vancomycin/ampicillin + aminoglycoside
Hib
rifampin (prophylaxis)
Legionella
erythromycin
TB
RIPE (rifampin, INH, pyrazinamide, ethambutol)
Neisseria gonorrhea
ceftriazone (add doxycycline for concurrent chlamydia)
Neisseria meningitidis
penicillin/ceftriaxone, rifamin
Pneumocystis jirovecii
TMP-SMX (prophylaxis in AIDS pt)
Pseudomonas aeruginosa
antipseudomonal penicillin + aminoglycoside
Rickettsia rickettsii
doxycycline, chloramphenicol (esp with aplastic anemia)
S aureus
MSSA: nafcillin, oxacillin, dicloxacillin; MRSA: vancomycin
Streptococcus bovis
penicillin prophylaxis
Streptococcus pneumoniae
systemic: penicillin/cephalosporin; meningitis: vancomycin
Streptococcus pyogenes
penicillin prophylaxis
Toxoplasma gondiii
sulfadiazene + pyrimethamine
Treponema pallidum
penicillin
bacitracin response
sensitive: Strep pyogenes (GAS); resistant: Strep agalactiae (GBS)
novobiocin response
sensitive: Staph epidermidis; resistant: Staph saprophyticus
optochin response
sensitive: Strep pneumoniae; resistant: Viridans streptococcus
thumb sign on lateral x-ray
epiglottitis from Hib
association: bacterial meningitis
Strep pneumoniae
association: food poisoning
S aureus, B cereus
associations: infections in chronic granulomatous disease
S aureus, E coli, aspergillus
association: nosocomial pnuemonia
Klebsiella, E coli, Pseudomonas
association: osteomyelitis
S aureus
assocation: osteomyelitis in sickle cell disease
Salmonella
association: osteomyelitis in IV drug use
Pseudomonas, S aureus
association: pelvic inflammatory disease
Chylamydia trachomatis, Neisseria gonorrhea
association: UTI
E coli, Staph saprophyticus (young women)