Antibiotic Coverage Flashcards
Penicillin G/V
Streptococcus Enterococcus faecalis Some oral anaerobes Clostridium N. meningitidis Syphilis (Trepnoema pallidum)
Cloxacillin
Staph aureus (MSSA)
Staph epidermidis
Streptococci (some coverage)
Ampicillin/Amoxicillin
Streptococcus Enterococcus E. coli Proteus H. influenzae Listeria NOT - Klebsiella
Amoxicillin/Clavulanic acid (Clavulin)
Streptococcus Enterococcus E. coli Proteus H. influenzae Listeria
Staph aureus
Klebsiella
M. catarrhalis
Bacteroides (gut anarobes)
Piperacillin, Ticarcillin
Ampicillin Coverage +
PEcK
+/- Bacteroides (gut anarobes)
SPACE/SPICE bugs - but develop resistance during therapy!
Piperacillin/Tazobactam
Ticarcillin/Clavulanate
PEcK Staph aureus (MSSA) H. influenzae M. catarrhalis Oral and gut anarobes SPACE and SPICE - still develop resistance
1st Gen Cephalosporins
Cefazolin - IV (Ancef)
Cephalexin - PO (Keflex)
Staph aureus
Most Streptococci
PEcK
Some oral anaerobes
NOT: H. influenzae, M. catarrhalis, gut anarobes, SPACE/SPICE
2nd Gen Cephalosporins
Cefuroxime - IV/PO
Cefaclor
Cefprozil - PO
Less Staph coverage Streptococci PEcK H. influenzae M. catarrhalis
2nd Gen Cephalosporin + Anaerobic coverage
Cefoxitin - IV
Less Staph coverage PEcK H. influenzae M. catarrhalis Anaerobic coverage (increasing resistance in Bacteroides)
3rd Gen Cephalosporin
Cefotaxime - IV
Ceftriaxone - IV
Cefixime - PO
Streptococci coverage
PEcK
H. influenzae
M. catarrhalis
NOT: SPACE/SPICE infections
!!BEST penetration into CNS!!!
3rd Gen Cephalosporin + Pseudomonas
Ceftazidime
Good GN coverage
Less GP coverage
P. aeruginosa
4th Gen Cephalosporin
Cefepime - IV
Good GP coverage - Staph and Strep
Good GN coverage (including P. aeruginosa)
More stable vs BLs of SPACE/SPICE bugs
Ertapenem
Staph aureus (MSSA) Streptococci \+/- Enterococcus (faecalis) Good GN Coverage - SACE/SICE Good anaerobic coverage
Meropenem
Imipenem
Doripenem
Staph aureus (MSSA) Streptococci \+/- Enterococcus (faecalis) Good GN Coverage - SACE/SICE Good anaerobic coverage
P. aeruginosa coverage (unlike ertapenem)
Vancomycin
Staph aureus (MRSA) Staph epidermidis (and other CN Staph) Streptococcus Enterococcus C. difficile (PO treatment only)