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Antibiotics > Antibiotics > Flashcards

Antibiotics Flashcards

1
Q

GAS

A

Penicillin or Amoxicillin (if allergic then azithro)

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2
Q

Strep agalactiae

A

Penicillin or amoxi for non sepsis amd enigitis

Neonatal meningitis - cefotaxime + ampicillin

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3
Q

Strep viridans

A

Penicillin

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4
Q

Strep pneumoniae

A 
M (adult) - ceftriaxone/cefotaxime + vancomycin (+ampi if pregnant)
O - Ampicillin/ Amoxicillin
P - Amoxicillin (mild)
Levofloxocin (mild or severe)
Ceftriaxone+Azithromycin/Doxy (severe)
S/S - Ampicillin/ Amoxicillin
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5
Q

Enterococcus

A

Ampicillin if susceptible, then Vanco if ampi resistant, then linezolid or dapto if VRE

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6
Q

staph sapro

A

TMP/SMZ

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7
Q

staph epid

A

vancomycin and remove/replace device; if resistant then linezolid or daptomycin

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8
Q

staph aureus

A

1st line - nafcillin - MSSA or cefazolin (IV)/cephalexin (oral)
MRSA - vancomycin (mostly IV) or daptomycin or linezolid, 2nd line - ceftaroline, TMP/SMZ, doxycycline, clindamycin

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9
Q

actinomyces

A

penicillin

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10
Q

nocardia

A

tmp/smz

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11
Q

c. diphtherium

A

DtAp child or tdap booster vaccine or anti toxin and do not scrape membrane

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12
Q

listeria

A

ampicillin

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13
Q

bacillus cereus

A

tetracycline or levofloxacin

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14
Q

c. diff

A

oral vanco - colitis, metronidazole (oral or IV)

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15
Q

c. perfringes

A

penicillin

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16
Q

c.botulinism

A

anti-toxin

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17
Q

c. tetani

A

anti-toxin, tdap/dtap vaccine

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18
Q

Myco fortuitum

A

clarithromycin + amikacin (if necessay) and surgical debridement

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19
Q

myco tuberculosis

A

RIPE for 2 months and RI for 4 months

20
Q

Treponema pallidum

A

penicillin always (for early stages doxy as alternative if allergic)

21
Q

leptospira (zoonotic)

A

penicillin or doxy

22
Q

borrelia burgdoferi (tick borne)

A

doxycycline for stage 1, ceftriaxone stage 2 and 3. for kids and pregnant women amoxicillin and cefotaxime

23
Q

rickettsia + anaplasma + erlichia

A

doxy for all. no exceptions for rickettsii but can do amoxi for kids and pregnant women for the other two

24
Q

coxiella, brucella, bartonella, franciscella

A

doxy or you don’t have to know

25
Q

mycoplasma and chlamydophila pneumo

A

doxy or azithromycin or levofloxacin

26
Q

chlamydia trachomatis

A

azithromycin (1 day) + doxy or levo (7days) + ceftriaxone for gonorrhea co-infection

27
Q

neisseria meningitidis

A

meningitis - ceftriaxone/cefotaxime

rifampin for close contacts; ACYW-135 vaccine for asplenics and older kids

28
Q

neisseria gonrrhea

A

ceftriaxone + (azithro+doxy/levo) for chlamydia co-infection

29
Q

moraxella

A

ceftriaxone

30
Q

H. influenzae

A

cefriaxone + vanco, rifampin for close contacts, HIB vaccine for infants and asplenics

31
Q

H. ducreyi

A

ceftriaxone, azithromycin, or ciprofloxacin

32
Q

bordetella pertussis

A

azithromycin to prevent spread - is supportive. tdap/dtap

33
Q

legionella

A

azithromycin, levo, doxy

34
Q

proteus

35
Q

citrobacter

A

SPICE org - carbapenem

36
Q

enterobacter

A

SPICE org - carbapenem

37
Q

campylobacter and vibio

A

not treated but if necessary (immunocomp) azithromycin

anti toxin available for vibrio

38
Q

helicobacter

A

triple therapy: proton pump + clarithromycin + amoxi/metronidazole

39
Q

klebsiella

A

Extended spectrum such as cefepime, cefuroxime, cefoxitin, piperacillin + B lactam inhibitor, or aztreonam
if ESBL than carbapenems
if kpc and last resort polymixins

40
Q

bacteroides

A

piperacillin/tazobactam

41
Q

yersinia

A

not needed, azithro if necessary

42
Q

shigella

A

not needed in healthy but to prevent spread

ceftriaxone, cipro, or azithromycin

43
Q

salmonella

A

typhi - ceftriaxone non typhi - not needed

44
Q

E.coli

A

UTI - lower = TMP/SMZ; upper = ceftriaxone or cipro; nosocomials = carbapenems; neonatal meninigits = cefotaxime/ampicillin

45
Q

pseudomonas

A

Extended spectrum such as cefepime, cefuroxime, cefoxitin, piperacillin + tazobactam, aztreonam, cipro, amikacin, imipenem-cilastin and last resort polymixins

Antibiotics (1 decks)

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