Antibiotic Clinical Applications Flashcards
Uncomplicated Skin and Soft Tissue Infections
Penicillin (ampicillin)
1st Generation Cephalosporin (cephalexin)
Complicated skin and soft tissue infections
pencillin + lactamase inhibitor
MRSA
vancomycin, linezolid, daptomycin
osteomyelitis
vancomycin
cephalosporin (ceftriaxone or cefepime)
surgeries (bone and joint infections)
penicillin + lactamase inhibitor
Septic arthritis
Ceftriaxone
if MRSA: vancomycin, lenezolid, daptomycin
Prosthetic joint (infection)
Rifampin
Acute Sinusitis
penicillin + lactamase inhibitor
Amoxicillin + clavulanate
Pharyngitis
Penicillin
Amoxicillin
Community-acquired pneumonia: ambulatory
Macrolide
erythromycin, azithromycin, clarithromycin
Community-acquired pneumonia: hospitalization
B-lactam + macrolide
Community-acquired / Hospital-acquired pneumonia: MRSA
vancomycin or linezolid
Hospital-acquired pneumonia
Ceftriaxone
Uncomplicated UTI: Cystitis
Trimethoprim / Sulfamethoxazole (TMP-SMX)
Uncomplicated UTI: pyelonephritis
Trimethoprim / Sulfamethoxazole (TMP-SMX)
Fluoroquinolone
Complicated UTI
Fluoroquinolone
Trimethoprim / Sulfamethoxazole (TMP-SMX)
Prostatis
Fluoroquinolone
Trimethoprim / Sulfamethoxazole (TMP-SMX)
Intra-abdominal infections
Ticarcillin + clavulanate
C. Difficile infection
Moderate: metronidazole
Severe: vancomycin
Community-acquired bacterial meningitis
Ceftriaxone
Cefotaxime + vancomycin
Neonatal meningitis
Ampicillin + cephalosporin +/- gentamicin
Sepsis Syndrome
3rd or 4th generation Cephalosporin
Cefepime +/- vancomycin
Endocarditis
ceftriaxone + vancomycin
Fever + Neutropenia
Ciprofloxacin + amoxicillin/clavulanate
Enterocci Multi-drug resistance
Linezolid, daptomycin, tigecycline
Gram (-) Multi-drug resistant bacteria
Extended spectrum Beta-lactamses (ESBL) Bacteria: imipenem or meropenem
Carbapenemase bacteria: Polymyxin B or Tigecycline