Abx Flashcards

1
Q

Agents to treat anaerobes

A
Zosyn
Ciprofloxacin
Clindamycin
Flagyl
Cefuroxim, Cefoxitin, Cefotetan
Augmentin
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2
Q

Agents to treat atypicals

A

Fluoroquinolones

Macrolides

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3
Q

Treat CA-MRSA?

A
Clindamycin
Doxycycline
Bactrim DS
Linezolid
Rifampin
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4
Q

Why not use a macrolide alone for pneumonia?

A

No longer gets strep pneumonia, it is used to cover ATYPICALS while the cephalosporin is added to cover strept pneumonia

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5
Q

DOC for afebrile neutropenia?

A

HIGH DOSE cefepime (2 grams)

*if MRSA, can add Vanco

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6
Q

No dose adjustment for renal impairment

A
Ceftriaxone
Azithromycin
Nafcillin, Oxacillin
Clindamycin
Doxycyline
Moxifloxacin
Linezolid
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7
Q

Acute pancreatitis

A

*up to 20% get infections

Start abx unless cultures are negative

Ciprofloxacin
Primaxin (imipenem/cilastatin)
Cefuroxime

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8
Q

Pre-op with PNC allergy and surgery where gram(-) may be relevant?

A

Cipro 400 mg AND Flagyl 500 mg

*if gram(+), i.e., skin, then Vanco 1 gram or Cipro 600 mg

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9
Q

Most common gram(-) in sepsis?

A

E. coli & pseudomonas

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10
Q

Cephalosporins w/ pseudomonas coverage?

A

Fortaz (ceftazidime); 3rd gen, very little gram(+)
Maxipime (cefepime); 4th gen
Teflaro (ceftaroline); 5th gen

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11
Q

Antistaphylococcal penicillin’s

A

Nafcillin & Oxacillin

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12
Q

Skin infection PO treatment:

A

Bactrim or Cleocin

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13
Q

Travelers diarrhea

A

E. coli (80%), C. jejuni

Fluoroquinolones (+ loperamide)

Prego/children: Bactrim or Azithromycin

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14
Q

SIRS criteria

A

*at least 2 meets SIRS criteria

Tempt > 100.4 OR <96.8
HR > 90
RR > 20 OR PaCO2 <32
WBC >12,000, < 4,000, OR bands >10%

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15
Q

Cephalosporins w/ anaerobic coverage

A

Ceftin, Zinacef (cefuroxime); 2nd gen
Mefoxin (cefoxitin); 2nd gen
Cefotan (cefotetan); 2nd gen

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16
Q

Cephalosporins w/ anaerobic coverage

A

Ceftin, Zinacef (cefuroxime); 2nd gen
Mefoxin (cefoxitin); 2nd gen
Cefotan (cefotetan); 2nd gen

17
Q

Cephalosporin that covers MRSA and pseudomonas

A

Teflaro (ceftaroline); 5th gen

*also covers some gram(+)

18
Q

Agents used for pseudomonas aeruginosa

A

Zosyn
Ceftazidime, Cefepime, Ceftarloine
Cpriofloxacin, Levofloxacin, Moxifloxacin (not as active as cipro and levo)
CARBAPENEMS
Aztreonam
Aminoglycosides (Tobramycin = best of the AG’s)

19
Q

VRE. faecalis vs. faecium tx

CONFIRM THIS CARD

A

Both:
Penicillin G
Ampicillin
Linezolid

VRE UTI other than faecalis or faecium – doxycycline 100 mg BID (PO)

20
Q

DOC for gonoccal conjunctivitis

A

3rd gen cephalosporins

21
Q

UTI

A

Sexually active women: E. coli (80%), staph saprophyticus

Acute cystitis (uncomplicated): Bactrim DS, if >20% resistance or sulfa allergy: Cipro, Levo, or Nitrofurantoin

Acute pyelonephritis (uncomplicated): Fluoroquinolones (1st line) x 5-7days

SEVERE: Amp + Gent or Zosyn or CARBAPENEMS x 14 days

Prego: Beta-lactams or nitrofurantoin