bug to drug Flashcards
MRSA
some 3rd gen cephalosporins (CTX
some 4th gen cephalosporins (cefepime)
TMP/SMX
macrolides (azithro, clarithro, erythro)
vancomycin
linezolid
clindamycin
CoNS
3rd gen cephalosporins (CTX)
4th gen cephalosporins (cefepirne)
vancomycin
resistant strep pneumoniae
3rd gen cephalosporins (CTX)
4th gen cephalosporins (cefepirne)
vancomycin
VRE
3rd gen cephalosporins (CTX)
4th gen cephalosporins (cefepirne)
daptomycin but not as good for e. faeclum?
staph aureus (MSSA)
penicillin nafcillin piperacillin, ticarcillin above + BLI carbapenems
ist generation cephalospoirns (cefaz/keflex)
3rd generation cephalosporins (CTX)
4th generation cephalosporins (cefepime)
ciprofloxacin
levofloxacin and moxifloxacin work, but work better for staph
aminoglycosides (gent, tobra, erythro)
TMP/SMX (staph more than strep)
vancomycin
linezolid
daptomyin
strep pneumo (not resistant)
PCN ampicillin amoxicillin above + BLI piperacillin, ticarcilin above + BLI carbapenems
some 2nd gen cephalosporins (cefurox)
3rd gen cephalosporins (CTX)
4th gen cephalosporins (cefepime)
ciprofloxacin, levofloxacin, moxifloxacin
aminoglycosides (gent, tobra, amik)
TMP/SMX (staph more than strep)
vancomycin
linezolid
daptomyin
e. coli
strep A-G
viridans streptococci
Penicillin
piperacillin, ticarcillin
+ BLI
carbapenems
3rd gen cephalosporins (CTX)
4th gen cephalosporins (cefepime)
sometiems ciprofloxacin
aminoglycosides (gent, tobra, amik)
macrolides (azithro, clarithro, erythro)
bancomycin
linezolid
daptomycin
lincomycin
clindamycin
oral anaerobes
clindamycin
GPR bacteria
b. cereus
b. anthracis
listeria
c. perfringens
c. diff
corynebacteria
nocardia
GPR drugs (that work on all)
ampicillin, amoxicillin
carbapenems
levofloxacin, moxifloxacin
c. perfringens
PCN
listeria
ampicillin or amoxicillin (or PCN?) plus BLI
aminoglycosides (gent, tobra, amik) synergy
nocardia
3rd gen cephalosporins (CTX)
TMP/SMX
anthrax
ciprofloxacin
c. diff
metronidazole
GNC bugs
n. meningitids
n. gonorrhea
moraxella
GNC drugs
carbapenems
other beta lactams sometimes except nafcillin, diclox (never works)
3rd gen cephalosporins (CTX) sometimes ceftaz
sometimes 2nd gen cephalospoirns (cefurox)
4th gen cephalosporins (cefepime)
monobactam (aztreonam)
all quniolones (ceprofloxacin, levofloxacin, moxifloxacin)
sometimes macrolides (azithromycin, clarithromycin, erythromycin)
non-resistant GNR bugs
e coli h. flu salmonella shigella campylobacter francisella yersinia b. fragilis prevotella (anaerobes) legionella mycoplasma chlamydia
GNRs (all) drugs
piperacillin, ticarcillin
carbapenems
3rd gen cephalosporins (CTX) (Ceftaz)
4th gen cephalosporins (cefepime)
aztreonam
ciprofloxacin
gentomycin, tobra, amik (aminoglycosides)
sometimes TMP/SMX
GNR anaerobes
best drug metronidazole!
beta lactams with BLIs
carbapenems
cefotetan (2nd gen cephalo)
moxifloxacin
50% clindamycin
E. coli
some ampicillin amoxicillin
add bli for better coverage
keflex/cefaz some (1st ten cephalosporin) cefurox some (2nd gen)
TMP/SMX some
H. flu
cefuroxime (2nd gen cephalosporin)
macrolides (azithro, clarithro, erythro)
legionella
levofloxacin
moxifloxacin
macrolides (azithro, clarithro, erythro)
atypical GNRs
moxifloxacin
macrolides (azithro, clarithro, erythro)
resistant GNRs (bugs)
serratia pseudomonas acinetobacter citrobacter enterobacter klebsiella
drugs for resistant GNRs
piperacillin, ticarcillin with BLI
carbapenems
3rd gen cephalosporins (ceftaz)
4th gen cephalosporins (cefepime)
sometimes aztreonam
sometimes quinolines (ciprofloxacin, levofloxacin, moxifloxacin)
sometimes aminoglycodises (gentamycin, tobramycin, amik)
stentrophomonas
TMP/SMX
