4. Treatment Plans, Prophylaxis, and Empiric Therapy Flashcards
M. tuberculosis Prophylaxis
Isoniazid
M. tuberculosis Treatment
Rifampin Isoniazid Pyrazinamide Ethambutol "RIPE for treatment"
M. avium intracellulare Treatment
Azithromycin
Rifampin
Ethambutol
Streptomycin
M. avium intracellulare Treatment
Azithromycin
Rifampin
Ethambutol
Streptomycin
M. leprae Treatment
Dapsone
Rifampin
Clofazimine
M. leprae Treatment
Dapsone
Rifampin
Clofazimine
Meningococcal Infection Prophylaxis
DOC is Ciproflaxacin
- Can also use Rifampin or minocycline
Gonorrhea Prophylaxis
Ceftriaxone
Syphilis Prophylaxis
Benzathine Penicillin G
Recurrent UTI Prophylaxis
TMP-SMX
Prophylaxis against Endocarditis after dental or surgical procedure
Penicillins
Prophylactic therapy in HIV with CD4 < 200
TMP-SMX to prevent Pneumocystis pneumonia.
- May use aerosolized Pentamidine if patient doesn’t tolerate TMP-SMX
Prophylactic therapy in HIV with CD4 < 100
TMP-SMX to prevent Pneumocystis pneumonia and Toxoplasmosis.
- May use aerosolized Pentamidine if patient doesn’t tolerate TMP-SMX, but it may not prevent the Toxoplasmosis.
Prophylactic therapy in HIV with CD4 < 50
Azithromycin to prevent Mycobacterium avium Complexes.
Treatment of MRSA
Vancomycin
Treatment of VRE
Linezolid and Streptogramins
Empiric Therapy for Community Acquired Pneumonia in Outpatient Setting
Macrolides
Empiric Therapy for Community Acquired Pneumonia in Inpatient Setting
Fluoroquinolones
Empiric Therapy for Community Acquired Pneumonia in ICU Setting
B-Lactam + [Fluoroquinolone OR Azithromycin]
Antibiotics to Avoid in Pregnancy
Clarithromycin - embryotoxic Sulfonamides - kernicterus Aminoglycosides - ototoxicity Fluoroquinolones - cartilage damage Metronidazole - mutagenesis Tetracyclines - discolored teeth, inhibition of bone growth Ribavirin (antiviral) - teratogenic Griseofulvin (antifungal) - teratogenic Chloramphenicol - "gray baby"
“Countless SAFe Moms Take Really Good Care”
