Bugs and Drugs Flashcards
Staph aureus - toxic shock syndrome DOC
Clindamycin + nafcillin, oxacillin
Staph aureus - toxic shock syndrome - 2nd DOC
Clindamycin and vanco for MRSA
Staph aureus - folliculitis and impetigo DOC
Topical muciprocin
Staph aureus - skin and soft tissue infections DOC
Nafcillin, oxacillin, cefazolin
MRSA - clindamycin, TMP-SMX
Staph aureus - endocarditis DOC
Nafcillin, oxacillin
Staph aureus - pneumonia
Nafcillin, oxacillin
Staph aureus - osteomyelitis and septic arthritis DOC
Nafcillin, oxacillin
Staph aureus - meningitis DOC
Nafcillin, oxacillin
TMP-SMX for allergies
Any severe MRSA infection - DOC
vancomycin
Staph epi - UTI DOC
Vancomycin
Staph epi - UTI 2nd DOC
Nafcillin, oxacillin for sensitive strains
Staph epi - endocarditis DOC
Vancomycin
Staph saprophyticus - UTI DOC
TMP-SMX
Staph saprophyticus - UTI 2nd DOC
Fluoroquinolones
DOC based on cost
Strep pyogenes - Invasive necrotizing fasciitis DOC
IV Penicillin G
Strep pyogenes - Necrotizing fasciitis 2nd DOC
Clindamycin
Strep pyogenes - strep throat DOC
Penicillin V
Strep pyogenes - strep throat 2nd DOC
Amoxicillin
Macrolide for penicillin-allergic patient
Strep pyogenes - rheumatic fever DOC
Oral Penicillin V
Strep pyogenes - PS Glomerulonephritis DOC
Penicillin
Strep pyogenes - PS Glomerulonephritis 2nd DOC
Erythromycin
Strep pyogenes - Scarlet fever DOC
IM benzathine Pen G
Strep pyogenes - Pyoderma (skin infections) DOC
Penicillin
Strep pyogenes - pyoderma (skin infections) 2nd DOC
Erythromycin
If co-infection with Staph aureus, add 1st generation cephalosporin
Strep bovis - Endocarditis DOC
Penicillin or ceftriaxone
Vanco if penicillin allergies
Strep mutans - Endocarditis DOC
Penicillin G
Strep pneumo - pneumonia DOC
beta lactam for Penicillin Sensitive strep
3rd generation cephalosporin for pen resistant strep
Strep pneumo - meningitis DOC
Ceftriaxone and vanco
Strep pneumo - otitis media and sinusitis
Amoxicillin
Macrolide for penicillin allergy
Strep agalactiae - Neonatal meningitis DOC
Penicillin G
Enterococci - UTI DOC
Ampicillin
Enterococci - Endocarditis DOC
Penicillin G or ampicillin + gentamicin
Actinomyces DOC
Penicillin
Tetracycline(s) if allergy
Cutaneous anthrax DOC
Ciprofloxacin or doxycycline
Inhalation anthrax DOC
Ciprofloxacin + rifampin + vancomycin
Adult/infant botulism DOC
Antibiotic contraindicated in infections
C. diff antibiotic-associated diarrhea
Vancomycin or metronidazole
Gas gangrene DOC
Penicillin + clindamycin or tetracycline
Clostridium septicum - sepsis DOC
Penicillin + clindamycin or tetracycline
Clostridium tetani - tetanus - DOC
Metronidazole
C. diphtheriae DOC
Erythromycin or Penicillin G
Gardnerella vaginalis - bacterial vaginosis DOC
Metronidazole
Listeria monocytogenes - neonatal meningitis DOC
Ampicillin or Penicillin G
TMP-SMX for allergy
Listeria - pregnancy DOC
Ampicillin
TMP-SMX for allergy
Listeria - gastroenteritis with fever
ampicillin or TMP-SMX
For immunocompromised, elderly, or pregnant patients
Tubercolosis DOC
RIPE
Rifampin, isoniazid, pyrazinamide, ethambutol
Mycobacterium avium complex DOC
Clarithromycin or azithromycin
MAC 2nd DOC
Ethambutol or rifampin
Nocardia - pulmonary infection DOC
TMP-SMX
Erysipelothrix rhusiopathiae - Erysipeloid DOC
Penicillin
Acne vulgaris DOC
Macrolide, clindamycin
Tropheryma whippelii - whipple disease DOC
TMP-SMX