Abx by disease Flashcards
1
Q
Purulent tonsillitis - Bacteria and Abx you would give and for how long
A
- Group A strep
- Give penicillin unless allergies present
- 1st generation cephalosporin
- Macrolide (ACE)
10 days of therapy
2
Q
Cellulitis - Bacteria and Abx you would give and for how long
A
- Group A strep, Staph aureus
- cloxacillin, 1st gen cephalosporin (Cefalexin well tolerated)
OR - Clindamycin - Macrolide - resp FQ 5 days of therapy
3
Q
Septic monoarthritis
A
- Staph aureus, Gonorrhea
- Cloxacillin, 1st gen Ceph
if very sick - give Vanco - For the gonorrhea: Third Gen cephalosporin - ceftriaxone
Hospital treatment
4
Q
Acute Otitis media
A
- H. Flu, Strep Pneumo, Moraxella
- 2nd or 3rd gen Ceph
- Amoxicillin!
- Macrolide - C or A
5
Q
Cystisis
A
- Ecoli (90%), Klebsiella, Proteus or Staph Saprophyticus
- Tmp- Smx
- Nitrofurantoin
(ciprofloxacin) - dont use if you can narrow it down
3 days
6
Q
Polynephritis
A
- Hospitalized - vomiting?
- Give Ciprofloxacin - 7 days
- Amox- Clavulanate - 14 days
i.v. 3rd gen Ceph or Ciprofloxacin IV
7
Q
If complicated polynephritis with obstructed bladder
A
Ciprofloxacin
Consider Amp/Amox if Enterococcus if older man
8
Q
Pregnancy and Pyelonephritis - what do you avoid
A
- Give Amox - Clav
3rd gen ceph
Nitrofurantoin
AVOID FQ - and TMP-SMX
9
Q
Intra-abdominal sepsis
A
- Gram negative aerobic bacilli
- Cephalosporin (enough to use 1st gen)
- Aminoglycosides
- Cipro!!
Anaerobes (Bacteroides)
- Metronidazole
OR… Pip-tazo or carbapenem
10
Q
Meningitis
A
Strep Pneumo
- Ceftriaxone
- Vancomycin (some resistance with Pneumo)
H Flu
- Ceftriaxone
N meningitidis
- Ceftriaxone
Listeria
- Ampicillin
10-14 days, Ceftriaxone, Vanco, Ampicillin
11
Q
Pneumonia - CAP
A
- Strep Pneumo
- H. Flu
- M. Pneumoniae
- C. pneumoniae
- Legionella
Macrolide plus beta lactam (2nd gen ceph, Amox-Clav) OR
Dox OR
RFQ
7-10 days
12
Q
Traveler’s diarrhea
A
Gram negative aerobes!
- Fluroquinolone
- OR
- Azithromycin
3 days
