Commonly Used Drugs for Specific Pathogens Flashcards

1
Q

Methicillin-susceptible Staphylococcus aureus (MSSA)

A
  • Antistaphylococcal penicillins
  • Amoxicillin/clavulanate
  • Ampicillin/sulbactam
  • 1st and 2nd gen cephalosporins
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2
Q

Methicillin-resistant Staphylococcus aureus (MRSA)

A
  • Vancomycin (consider using alternative if MIC ≥ 2)
  • Linezolid
  • Daptomycin (not in pneumonia)
  • Ceftaroline
  • SMX/TMP (CA-MRSA SSTIs)
  • Doxycycline, minocycline (CA-MRSA SSTIs)
  • Clindamycin (CA-MRSA SSTIs)
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3
Q

Vancomycin-resistant Enterococcus (VRE)

A
  • Pen G or ampicillin (E. faecalis only)
  • Linezolid
  • Daptomycin
  • Cystitis only: nitrofurantoin, fosfomycin, doxycycline
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4
Q

Atypical Organisms

A
  • Azithromycin, clarithromycin
  • Doxycycline, minocycline
  • Quinolones
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5
Q

C. difficile

A
  • Fidaxomicin
  • Vancomycin (oral)
  • Metronidazole
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6
Q

HNPEK

A
  • Beta-lactam/beta-lactamase inhibitor
  • Cephalosporins (except 1st gen)
  • Carbapenems
  • Aminoglycosides
  • Quinolones
  • SMX/TMP
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7
Q

Gram-negative anaerobes (B. fragilis)

A
  • Metronidazole
  • Beta-lactam/beta-lactamase inhibitor
  • Cefotetan, cefoxitin
  • Carbapenems
  • Moxifloxacin (reduced activity)
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8
Q

Pseudomonas aeruginosa

A
  • Piperacillin/tazobactam
  • Cefepime
  • Ceftazidime
  • Ceftazidime/avibactam
  • Ceftolozane/tazobactam
  • Carbapenems (except ertapenem)
  • Aztreonam
  • Ciprofloxacin, levofloxacin
  • Tobramycin
  • Colistimethate, polymyxin B
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9
Q

CAPES

Citrobacter, Acinetobacter, Providencia, Enterobacter, Serratia

A
  • Piperacillin/tazobactam
  • Cefepime
  • Carbapenems
  • Aminoglycosides
  • Colistimethate, polymyxin B
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10
Q

Extended-spectrum beta-lactamase (ESBL) producing gram-negative rods (E. coli, K. pneumoniae, P. mirabilis)

A
  • Ceftazidime/avibactam
  • Ceftolozane/tazobactam
  • Carbapenems
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11
Q

Carbapenem-resistant gram-negative rods (CRE)

A
  • Ceftazidime/avibactam
  • Meropenem/vaborbactam
  • Imipenem/cilastatin/relebactam
  • Colistimethate, polymyxin B
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