abx IV Flashcards
What is the treatment of choice of uncomplicated soft tissue infections? What is there is an allergy to these agents? What about if hospitalized?
PCN
1st gen ceph
If allergy = vanco
If hospitalized = nafcillin or cfazolin
What is the treatment for complicated skin and soft tissue infection?
PCN + lactamase inhibitor
Carbapenem
What is the treatment for MRSA skin infections?
Vanco
Linezolid
Daptomycin
What are ‘uncomplicated” skin/soft tissue infections cause by?
Staph aureus or strep pyogenes
What are the complicated skin infections caused by?
MRSA or e.coli/pseudomonas
What is the anti-pseudomonal abx?
Ticarcillin
What is the empiric treatment for osteomyelitis?
Vanco
Cephalosporins
What is the treatment for bone/joint infections secondary to surgery?
PCN + lactamase inhibitor
What is the empiric treatment for septic arthritis? What if MRSA?
Ceftriaxone
Vanco, linezolid or daptomycin
What is the treatment for prosthetic joint infection?
Rifampin
What is the abx of choice for chronic osteomyelitis?
Organism dependent
What is the abx of choice for hospitalization for osteomyelitis?
IV nafcillin or cefazolin
What is the most common causeative organism with osteomyelitis?
S aureus or staph
Infections following orthopedic surgeries are often caused by what?
E.coli or pseudomonas
Septic arthritis is usually caused by what organism?
S aureus s.proenes
Strep pneumo
N. gonn
Protehstic joint infections are usually caused by what
S aureus
Staph
What is the abx for acute sinusitis?
Amox + clavulanate
What is the treatment for chronic bronchitis?
Amox + clavulanate
What is the treatment for pharyngitis?
PCN or amox
What are the most common organisms causing URTs?
S pneumo
H. influenzae
moarell catarrhalis
What are the causes of acute exacerbation of chronic bronchitis?
H. influenzae
S. pneumoniae
M. Catarrhalis
The most common cause of acute bacteria pharyngitis for adults and kids is what?
Strep
What are the three abx of choice for ambulatory, community acquired pneumonia?
Erythromycin
Azithromycin
Clarithromycin
What is the abx of choice for hospitalization pneumonia?
Beta lactam + macrolide
What is the treatment for MRSA pneumonia?
Vanco or linezolid
What is the empiric treatment for hospital acquired pneumonia?
Ceftriaxone
What is the most common cause of pneumonia?
Strep penumoniae and mycoplasma pneumonia
What are the most common causes of hospitalized pneumonia?
gram negative bacilli such as Klebsiella, E.coli, enterobacter, serratia, pseudomonas, acintobacter
something about cell wall
What is the abx of choice for uncomplicated cystitis?
Trimethoprim/sulfa
What is the treatment for pyelonephritis?
TMP-SMX and/or fluoroquinolone
What is the most common cause of UTIs?
E.coli
What is the treatment for complicated UTIs?
Fluoroquinolones
TMP-SMX
What is the abx of choice for prostatitis?
Fluoroquinolones
TMP-SMX
What are the causes of complicated UTIs?
S aureus
abx resistant gram - baccili
Acute/chronic prostatitis is caused by what?
e. coli Proteus Klebsiella Pseudomonas Enterococcus
What are the intra-abdominal infections abx treatment choice?
Ticarcillin
Clavulanate
What is the treatment for C.diff?
Metronidazole if mild-moderate
Vanco - if severe
What are the common causes of intra-abdominal infections?
E. coli
Klebsiella
Proteus
Bacteroides
What type of bacteria usually infect the GI Tract?
Gram -
What is the most common cause of abx-associated diarrhea?
C.diff
What are the abx that are commonly associated with causing C.diff?
Fluoroquinolones
Clindamycin
Cephalosporins
What is the abx of choice for community acquired meningitis >2 months old?
Ceftriaxone of ceftaxime + vanco
What is the treatment of choice for neonatal meningitis?
Ampicillin + cephalosporin + gentamycin
What is the most common cause of community acquired meningitis in adults and children? (2)
S. pneumoniae
N. Meningitidis
Neonatal meningitis is most often caused by what? (3)
GBS
Gram neg organisms
Listeria monocytogenes
Ready-to-eat meats bacteria = ? How does this relate to neonate meningitis
Listeria monocytogenes
This can cause neonate meningitis if prego mother eats these
What is the empiric treatment for sepsis?
Cefepime + vanco
What is the empiric treatment for endocarditis?
Ceftriaxone + vanco
What are the abx for empiric treatment of fever and neutropenia?
Cipro + amox/clavulanate
Bacterial endocarditis is usually caused by what?
Staph or strep
Infectious fever and neutropenia is most commonly caused by what?
Gram + bacteria
What are the three abx of choice for drug resistant enterococci?
Linezolid
Daptomycin
Tigecycline
What is the treatment for gram negative multidrug resistant bacteria?
Carbapenem (imipenem or meropenem)
What is the treatment for gram negative multidrug resistant bacteria that have carbapenemases?
Polymyxin B
Tigecycline
Many strains of enterococcus are resistant to what abx?
Ampicillin
Gentamicin
Streptomycin
Vancomycin
What is the MOA of pseudomonas bacteria resistance?
Beta lactamases