antibiotics

Question 1

Haemophilus influenzae
S. pneumoniae
what antibiotics?

Answer 1

amoxicillin, amox-calvulanate,

TMP-SMZ (bactrim)

Question 2

staph aureus - acute endocarditis

Answer 2

vancomycin and ceftriaxone (3rd gen)

gram positive coverage x2

Question 3

viridans streptococci, enterococci (subacute endocarditis): what is the antibiotic regimen?

Answer 3

penicillin + gentamicin

gram Positive coverage

Question 4

peritonitis- coliforms, bacteroides fragilis- what is antibiotic treatment?

Answer 4

flagyl plus 3rd gen cephalosporin, or pip-tazo

Question 5

intra-abdominal infection- e.coli, klebsiella, bacteroides fragilis, enterococci

Answer 5

gram posi, anaerobes, gram neg
ceftriaxone (3rd gen) or cipro or levofloxacin (fluroquinolone- gram neg),
plus flagyl- anaerobic gram negative bacteria

Question 6

staph a., group a strep- cellulitis

Answer 6

gram + coverage

1st gen cephalosporin (ancef), vancomycin, clindamycin, linezolid or daptomycin (if resistance)

Question 7

sepsis protocol antibiotic coverage

Answer 7

vanc plus
cefepime (or ceftriaxone) (3rd or 4th gen) 
OR pip/tazo
OR imipenem 
OR meropenem
gram + and gram - coverage