abx Flashcards
sinusitis
Amoxicillin/Clavulanate 875/125mg BID X 7 days.
Doxycycline 100mg BID X 7 days
Increase Augmentin to 14 days
Levofloxacin 750mg daily for 14 days
Otitis Media
Amoxicillin 875 mg PO BID X 7-10 days for adults
Cefdinir 14mg/kg PO daily for 7-10 days
Augmentin 875/125mg PO BID for 7-10 days for adults
Otitis Media and PCN allergy
Clindamycin 10mg/kg PO TID for 7-10 days for kids
Azithromycin 10mg/kg PO X 1 day then 5 mg/kg X 4 days daily
Strep Throat Adult
Benzathine penicillin G 1.2 million units IM X 1
Penicillin VK 500mg PO BID X 10 days
Amoxicillin 500mg PO BID X 10 days or 1000mg daily
Bacterial Conjunctivitis
PolytrimB/Trimethoprim 1 gtt every 3 hours while awake for 7-10 days
Erythromycin 0.5 % ointment – ½ inch 4-6 times a day for 5-7 days
Otitis Externa
Polymyxin B/neomycin/hydrocortisone 4 drops 4 X a day
Dental Abscess
Penicillin VK 500mg PO QID X 7 days
Augmentin 875/125 mg PO BID X 7 days
Pertussis
Azithromycin 500mg 2 tabs X 1 day, then 1 tab daily for 4 days
Bactrim DS 1 po BID X 14 Days
Children same drugs dosing is age dependent
Clostridium Difficile
Vancomycin 125mg PO QID X 10 days
Metronidazole 500mg PO TID X 10 days
Diverticulitis
Mild – Outpatient
Requires 2 drug therapy
Augmentin 875/125mg PO BID X 7 days (choice if unable to tolerate Metronidazole.
Ciprofloxacin 500mg PO BID X 7 days
With Metronidazole 500 mg PO TID X 7 days
Levofloxacin 750mg PO daily X 7 days
With Metronidazole 500mg PO TID X 7 days
Infectious Diarrhea
Azithromycin 500 mg PO daily
Levofloxacin 500mg PO daily
Ciprofloxacin 500mg PO BID
Bacterial Vaginosis
Metronidazole 500 mg PO BID X 7 days
Metronidazole vaginal gel 2 % 1 applicator at HS X 5 days
Clindamycin vaginal cream 2 % 1 applicator at HS X 7 days
Clindamycin 300 mg PO BID X 7 days
HSV 2 First Episode
Treatment 7-10 days
Acyclovir 400 mg PO TID
Valacyclovir 1 gm PO BID
HSV 2 Recurrent
Acyclovir 400 mg TID X 5 days
Acyclovir 800 mg TID X 2 days
Valacyclovir 500mg. BID X 3 days
Valacyclovir 1 gm daily for 5 days
HSV 2 Suppressive
Acyclovir 400mg BID
Famciclovir 250 mg BID
Valacyclovir 1 gram daily
HSV 1
Valcyclovir 2000mg q 12 X 1 day
Supression – 500mg qd
PID
Mild outpatient
Doxycycline 100 mg BID X 14 days AND Ceftriaxone 250mg IM X 1
Consider adding metronidazole 500 mg PO BID X 14 days
Prostatitis
STD not suspected Ciprofloxacin 500 mg PO BID X 14-28 days Levofloxacin 500mg daily X 14-28 days Bactrim DS 1 tablet BID X 14-28 days STD suspected Doxycycline 100mg BID X 14 days and Cefitriaxone 250mg IM X 1 Ciprofloxacin 500mg BID X 14 days Severe - Inpatient
Pyelonephritis
Outpatient
Cephalexin 500 mg BID 10-14 days
Bactrim DS 1 tablet BID 14 days
Trichomoniasis
Metronidazole 2 mg PO X 1 or 500mg PO BID X 7 days
Tindazole 2 gm PO one
GC-Chlamydia
Ceftriaxone 250mg IM X 1 AND
Zithromax 1 gram X 1
UTI
Uncomplicated (healthy non pregnant female)
Cephalexin 500mg PO BID X 5-7 days
Nitrofurantion 100 mg PO BID X 5 days (antiseptic)
Bactrim 1 BID X 3-5 days (consider alternative if local resistance to e coli)
UTI – Pregnant Asymptomatic
Cephalexin 500mg PO BID X 5-7 days
Nitrofurantoin 100 mg PO BID X 5-7 days
Acute Exacerbation of Chronic Bronchitis
Azithromycin 500mg daily for 5 days
Z pack
Doxycycline 100 mg PO BID 3-10 days
Levofloxacin 750 mg Po daily for 5 days
Influenza
Tamiflu 75mg BID X 5 days
Prevention Tamiflu 75mg daily for 7 days
Pneumonia
Community Acquired and healthy
Z pack
Doxycycline 100 mg BID X 5-7 days
Community Acquired with comorbidities or antibiotics in 3 months
Augmentin 2 gm PO BID plus Zithromax or Doxy
Levofloxacin 750 mg daily for 5 days
Animal Bites
Treatment is 5-7 days Augmentin 875-125mg BID Doxycycline 100 mg BID Clindamycin 450mg TID with Cipro 500mg BID or Bactrim 1 BID If PCN allergy and pregnancy Zpack
Human Bites
Treatment 7-10 days
Augmentin 875-125 mg BID
Doxycycline 100 mg BID
Ceftriaxone 1 gm IM X 1 and metronidazole 500mg IV BID
Cellulitis
Mild Outpatient
Cephalexin 500mg QID X 7-10 days
Clindamycin 450 mg TID 7-10 days
Augmentin 875/125mg BID 7-10 days
Diabetic Ulcers
Mild Outpatient – 14 days Cephalexin 500 mg QID If MRSA suspected add Doxycycline 100 mg BID or Bactrim 1 tab BID PCN allergy Clindamycin 450mg TID
Impetigo
Mupirocin 2 % ointment TID X 5 days Cephalexin 250 mg QID X 5 days If MRSA suspected Bactrim BID X 5 days Doxycycline 100mg BID X 5 days Clindamycin 450 mg QID X 5 days
Mastitis
Cephalexin 500mg QID X 10-14 days
Augmentin 875/125 mg BID X 10-14 days
PCN Allergy
Clindamycin 450 mg TID X 10-14 days. ? Safety in lactation
Zoster (Shingles)
Acyclovir 800 mg 5 times a day for 7-10 days
Valacyclovir 1. gm PO TID X 7 days
Famciclovir 500 mg TID X 7 days
Lyme Disease
Prophylaxis – all of the following criteria must be met:
Correct Tick
Correct Time > 36 hours attached and/or engorged
Less 72 hours since removal
Correct location
Doxycycline – 200 mg PO. X 1
Lyme. Erythema Migrans
Doxycycline 100 mg BID 10-21 days
Amoxicillin 500mg TID 14-21 days
Cefuroxime 500 mg BID 14-21 days
Antibiotic Pearls
Quinolones – Black Box for tendon rupture. Never under 18 years of age.
Tetracycline – Never under 8 – discolors teeth
Doxycycline – Avoid sun or use sunscreen
Take with food probiotic
No PCN liquid – tastes terrible – use amoxicillin
Antibiotic Pearls
Sulfa allergy – No Silvadene
Children conjunctivitis and otitis media – only oral antibiotics
Mastitis – major red flag if not lactating
Eye drops for ears - $$ saving
Metrodiazole – NO ETOH
Antibiotic Pearls
Ear wicking for Otitis Externa
Women may require difluican
Always treat ANY cat bite
Renal Dosing
COPD
Augmentin
Macrobid
COPD
Augmentin
Macrobid
COPD
Augmentin
Macrobid
