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MID I > Bugs and Drugs > Flashcards

Bugs and Drugs Flashcards

1
Q

Staphylococcus aureus, penicillin sensitive (unusual)

A

penicillin

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2
Q

staphylococcus aureus

A

oxacillin, nafcillin, dicloxacillin

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3
Q

MRSA

A

vancomycin

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4
Q

MRSA/VRSA

A

daptomycin, linezolid, ceftaroline

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5
Q

Group A strep

A

penicillin, amoxacillin

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6
Q

Group A strep, penicillin allergy

A

macrolide or 1st gen cephalosporin (cephalexin, cefazolin)

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7
Q

Group B strep

A

penicillin, ampicillin

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8
Q

Strep pneumoniae

A

penicillin

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9
Q

strep pneumoniae, intermediate resistance

A

3rd generation cephalosporin (caftriaxone, cefotaxime)

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10
Q

strep pneumoniae, high resistance

A

vancomycin, 3rd gen quinolones (levofloxacin)

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11
Q

enterococcus

A

penicillin or ampicillin

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12
Q

enterococcus, penicillin resistant

A

vancomycin

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13
Q

enterococcus endocarditis

A

penicillin/vancomycin + gentamicin

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14
Q

enterococcus uniformly resistant to

A

cephalosporins

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15
Q

resistant gram positive cocci (VRE, VSRA)

A

linezolid, daptomycin, dalfopristin, quinupristin (streptogramins)

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16
Q

streptogramin exception

A

enterococcus faecium, but not faecalis

17
Q

anaerobes

A

metronidazole, 2nd gen cephalosporins (cefoxitin, cefotetan), extended spectrum penicillins (piperacillin-tazobactam)

18
Q

clostridium

A

vancomycin

19
Q

C. dif

A

metronidazole or oral vancomycin

20
Q

enterobacteriaceae (e.coli, klebsiella, enterobacter)

A

3rd gen cephalosporin (ceftriaxone, cefotaxime), quinolones (cipro-, levofloxacin), aminoglycosides, carbepenems, extended spectrum penicillin, aztreonam

21
Q

pseudomonas

A

Ex-spec penicillins, quinolones, aminoglycosides, carbapenems, ceftazidime, cefepine (4th gen cephalo)

22
Q

rickettsia/ehrlichia/borrelia burgdorferi

A

doxycycline (also amoxicillin, ceftriaxone for borrelia)

23
Q

gonorrhea

A

ceftriaxone, cefotaxime, cefpodoxime

24
Q

syphilis

A

penicillin

25
Q

syphilis with penicillin allergy, nondesensitized (not pregnant, e.g.)

A

doxycycline

26
Q

chlamydia trachomatis

A

azithromycin, doxycycline

27
Q

atypical pneumonia: mycoplasma, legionella, chlamydia, bordetella

A

macrolides/azalides, quinolones, +/- tetracycline

28
Q

empiric treatment for community acquired pneumonia

A

ceftriaxone and azithromycin (both), or levofloxacin

MID I (8 decks)

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