doses of abx Flashcards
urine culture for
complicated UTI
1) Preg
2) Recurrent UTI (relapse within 2wks/ freq)
3) Pyelonephritis
4) Catheter-associated Uti
5) MEN with UTI
NOT: uncomplicated cystitis/ ASB
uncomplicated cystitis first lines
fosfomycin 3g (1dose)
nitrofurantoin 50mg QDS (5d)
CMX 960mg BD (3d)
uncom cys 2nd line
beta-lactams 5-7d
amox-clav 625mg BD
cefuroxime 250mg BD
cephalexin 250mg QDS
pen allergy uncom cys
FQ 3d
ciprofloxacin 250mg BD
levofloxacin 250mg OD
uncomplicated pyelo PO
PO CMX 960mg BD (10-14d)
PO cipro 500mg BD (7d)
PO levo 750mg OD (5d)
severely ill pyelo IV
IV cipro 400mg BD
IV amoxicillin-clav 1.2g TDS +/- gentamicin 5mg/kg/d
IV cefazolin 1g TDS +/- gentamicin 5mg/kg/d
uncomplicated pyelo beta-lactams
10-14d
amox-clav 625mg TDS
cefuroxime500mg BD
cephalexin 500mg QDS
complicated cystitis
fosfomycin 3g (EOD 3dose)
nitrofurantoin 50mg QDS (7-14d)
CMX 960mg BD (7-14d)
risk of prostatitis, men with myelo
PO CMX 960mg BD (10-14d)
PO ciprofloxacin 500mg BD (10-14d)
HAI-UTI risk factors
UTI after >48hr hospitalisation
Pt hosp last 6mnths
Invasive urological procedure last 6mnths
Indwelling urine catheter
HAI-Pyelo PO
PO cipro 500mg BD (7-14d)
PO levo 750mg OD (7-14d)
HAI-Pyelo IV M4
IV meropenem 1g TDS
IV imipenem 500mg QDS
IV cefepime (2g BD) +/- amikacin 15mg/kg/d
Catheter-UTI PO
PO CMX 960mg BD (3d)
PO levofloxacin 750mg OD (5d)
PO CMX for CAT UTI when
Treat of women PO CMX:
= 65 y/o CA-UTI
without upper UTI symptoms -
after removal of catheter
CAT-UTI IV ML4
IV levo 750mg OD (7d)
IV meropenem 1g TDS (7d)
IV imipenem 500mg QDS (7d)
IV cefepime (2g BD) +/- amikacin 15mg/kg/d (7d)
(7d. defeverse in 72hrs. 10-14d if delayed response)
symptomatic relief UTI
Phenazopyridine 100-200mg TDS
impetigo (staph, strep)
TOP muciporin BD 5d
ecthyma – strep A
(7d)
PO cloxacillin 500mg QDS
PO cephalexin 500mg QDS
MSSA: cloxacillin, cephalexin, clindamycin
S.pyogenes: pen V 500mg BD, amoxicillin 500mg TDS
PURULENT SSTI, MILD, MOD, SEVERE CLASSIFICATION
MILD -
MOD - systemic sx
SEVERE - age, immunosupp, more severe systemic, failed I&D
CA MRSA
Contact (sports, military, IV drug abuse, prison)
Overcrowded facilities, close contact, lack sanitation
PURULENT SSTI – staph aureus, grp B strep
MILD
(5-10d)
MILD: I&D + warm compress
PURULENT SSTI – staph aureus, grp B strep
MODERATE
MOD: I&D + PO cloxacillin 500mg QDS, cephalexin 500mg QDS, PO clindamycin 300-450mg QDS
PURULENT SSTI – staph aureus, grp B strep
SEVERE
SEVERE: I&D + IV cloxacillin 500mg-1g QDS, IV cefazolin 1-2g TDS, IV clindamycin 600mg TDS, IV vancomycin 15mg/kg Q8-12H
PURULENT SSTI ADD-ONS COVER FOR___
CA MRSA: doxy (100mg BD), clindamycin (300-450mg QDS), CMX 960mg BD
HA MRSA: IV vancomycin 15mg/kg Q8-12H, daptomycin 4-6mg/kg/d, linezolid 600mg BD
ANAEROBE: amox-clav 625mg TDS