Antibacterial: Clinical Applications Flashcards
What is the First Line Treatment for uncomplicated S&ST infection?
Gram (+) Narrow Spec.
Penicillin
1st gen Ceph
Vanco if they’re allergic
What is the First Line Treatment for complicated S&ST infection?
G+/-
Penicillin + lactamase inhibitor (ticarcillin/clavulanic acid)
What is the First Line Treatment for MRSA?
Vanco, Linezolid, Daptomycin
What is the First Line Treatment for Osteomyelitis?
Vancomycin
Cephalosporin
(broad spectrum)
What is the First Line Treatment for Surgical B&Joint Infections?
Penicillin + Lactamase inhibitor
What is the First Line Treatment for Septic Arthritis?
Ceftriaxone
If MRSA =>VLD
What is the First Line Treatment for Prosthetic Joint?
Rifampin (adherent bacteria)
What is the First Line Treatment for acute sinusitis and cronic bronchitis?
Amoxicillin + lactamase inhibitor
What is the First Line Treatment for Pharyngitis?
Penicillin or Amoxicillin
Cephalosporin if allergic.
What is the First Line Treatment for Community Acquired bacterial Pneumonia? Ambulatory Resistant Hospitalized Aspiration MRSA
Ambulatory: Macrolide (broad spec) (erythro, azithro, clarithromycin)
Res: Fleuro (levofloxacin or moxifloxacin)
Hosp:B-Lactam +Macrolide
Aspir: Metro, Clindamycin
MRSA: Vanco, Linezolid
What is the First Line Treatment for Hospital/Healthcare/ventilator associated Pneumonia?
Empiric:Cephtriaxone
MRSA: Vanco or Linezolid
What would constitute a complicated S&ST infection?
Burns, Diabetes, Pressure Ulcers, trauma/surgical are generally polymicrobial in nature
What is different about Mycoplasma Pneumoniae and how you treat it?
It has no peptidoglycan! Can’t treat it with a B-Lactam
What is the First Line Treatment for Uncomplicated UTI?
Trimethoprim/Sulfamethoxazole (TMP-SMX)
What is the First Line Treatment for Pyelonephritis and Prostatitis?
TMP-SMX
Fluoroquinolones