Drug Of Choice- Micro Flashcards

0
Q

MRSA

A

Vancomycin

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1
Q

Methicillin sensitive SA

A

Penicillinase resistant penicillins (nafcillin, oxacillin, and dicloxacillin)

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2
Q

VRSA

A

Linezolid

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3
Q

Staph epidermidis

A

Vancomycin

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4
Q

Staph saprophyticus

A

TMP SMX, quinolonesw

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5
Q

Strep pyogenes

A

Pen G

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6
Q

Strep agalactiae

A

Pen ag

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7
Q

Group D Strep (Enterococcus Faecalis)

A

Penicillin + gentamicin; vancomycin; linozolid

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8
Q

Strep Pneumoniae

A

Pen G; Levofloxacin/ vancomycin combined with ceftriaxone for penicillin resistance

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9
Q

Viridians streptococci(streptococcus mutans, S. sanguis)

A

Pen G with or without an aminoglycoside; vancomycin; linezolid

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10
Q

Bacillus anthracis

A

Ciprofloxacin

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11
Q

Bacillus cereus

A

Symptomatic for food poisoning; vancomycin, clindamycin, ciprofloxacin, gentamicin for ophthalmitis

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12
Q

Clostridium tetani

A

Penicillin; metronidazole

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13
Q

Clostridium botolinum

A

Adeq ventilatory support; elimination of organism from GIT, trivalent botolinum toxin (A,B,E)

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14
Q

Clostridium perfringens

A

Wound debridement and penicillin for gas gangrene; supportive management for food poisoning

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15
Q

Clostridium difficile

A

Withdrawal of antibiotic, metronidazole

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16
Q

Corynebacterium diphtheriae

A

Antitoxin and Pen G

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17
Q

Listeria monocytogenes

A

Ampicillin with or without gentamycin

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18
Q

Neisseria meningitidis

A

Pen G

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19
Q

Neisseria gonorrhea

A

Ceftriaxone+ gentamycin

20
Q

Haemophilus influenzae

A

Ceftriaxone

21
Q

Bordettela pertussis

A

Erythromycin

22
Q

Legionella pneumophilia

A

Azithromycin or erythromycin

23
Q

E.coli

A

Ampicillin or sulfonamides for UTI; 3rd gen cephalosporin for meningitis and sepsis; rehydration for traveler’s diarrhea

24
Salmonella spo
Ceftriaxone, ciprofloxacin; PH: amoxicillin, chloramphenicol, cotrimoxazole
25
Shigella spp
Ciprofloxacin in severe cases
26
Vibrio cholera
Tetracycline; azithromycin shortens duration
27
Vibrio parahaemolyticus, V. Vulnificus
Minocycline plus fluoroquinolone of cefotaxie
28
Campylobacter jejuni
Erythromycin for severe disease
29
Klebsiella pneumoniae
Culture guided treatment (cephalosporins alone or with aminoglycosides)
30
Proteus mirabilis
TMP SMX or ampicillin
31
Pseudomonas aeruginosa
Combination of active antibiotics*
32
Bacteroides fragilis
Metronidazole, clindamycin or cefoxitin
33
Brucekla abortus
Doxycycline plus rifampin
34
Francisella tularensis
Streptomycin or gentamycin
35
Yersinia pestis
Streptomycin and tetracycline
36
Pasturella multicoda
Pen G
37
Mycobacterium avium intrwcellulare complex
Azithromycin
38
Mycobacterium leprae
Tuberculoid leprosy- dapsone and rifampin; lepromatous leprosy- dapsone, rifampin, clofazimine; erythema nodosum leprosum- thalidomide
39
Actinomycosis
Pen G+ drainage
40
Nocardia asteroides
TMP SMX + drainage
41
Mycoplasma pneumonia
Erythromcyin or azithromycin
42
Treponema pallidum
Benzathine penicillin
43
Borrelia burgdorferi
Doxycycline
44
Borrelia recurrentis
Tetracycline, erythromycin
45
Leptospira interogans
Pen G
46
Chlamydia spp
STD- azithromycin; conjunctivitis- erthromycin; LGV- doxycycline; psittacosis- azithromycin
47
Rickettsia
Doxycycline
48
Klebsiella granulomatis
Azithromycin