Drugs of Choice Flashcards
Staphylococcus aureus
Penicillinase-resistant penicillins (nafcillin, oxacillin, dicloxacillin)
MRSA
Vancomycin
VRSA
Linezolid
Staphylococcus epidermidis
Vancomycin
Staphylococcus saprophyticus
TMP-SMX, quinolones
Streptococcus pyogenes
Penicillin G
Streptococcus agalactiae
Penicillin G
Streptococcus pneumoniae
Penicillin G
viridans Streptococci
Penicillin G ± aminoglycoside
Enterococci
Penicillin
Vancomycin for penicillin resistance
Linezolid for vancomycin resistance
Bacillus anthracis: cutaneous
Ciprofloxacin
Bacillus anthracis: inhalational
Ciprofloxacin OR doxycycline + 1-2 additional abx
Bacillus cereus: food poisoning
Symptomatic treatment only
Clostridium tetani
Penicillin (microbio-wise)
Metronidazole (HPIM)
Clostridium botulinum
Supportive tx + antitoxin
Clostridium perfringens
Penicillin G
Clostridium difficile
Metronidazole PO or Vancomycin PO
Corynebacterium diphtheriae
Penicillin G + antitoxin
Listeria monocytogenes
Ampicillin ± Gentamicin
Neisseria meningitidis
Penicillin G
Neisseria meningitidis prophylaxis
Rifampin OR Ciprofloxacin OR Ceftriaxone IM
Neisseria gonorrhoeae
Ceftriaxone + Doxycycline (due to frequent Chlamydia co-infection)
Spectinomycin for resistance
Haemophilus influenzae
Ceftriaxone
Bordetella pertussis
Erythromycin
Legionella pneumophila
Azithromycin OR Erythromycin
Escherichia coli
Ampicillin OR TMP-SMX
Escherichia coli: UTI
Quinolones
Escherichia coli: Meningitis, sepsis
3rd-gen cephalosporins
Salmonella typhi: Uncomplicated typhoid fever
Amoxicillin OR Chloramphenicol
Salmonella typhi: Severe typhoid fever
Ampicillin OR Ceftriaxone
Shigella spp.
Ciprofloxacin
Vibrio cholerae
Tetracycline OR Azithromycin
Campylobacter jejuni
Erythromycin (severe cases)
Helicobacter pylori
Triple therapy (OAC or OMC) OR Quad therapy (OBMT)
Klebsiella pneumoniae
3rd gen cephalosporin + aminoglycoside (empiric)
Proteus mirabilis
TMP-SMX OR Ampicillin
Bacteroides fragilis
Metronidazole, Clindamycin OR Cefoxitin
Brucella abortus
Doxycycline + Rifampin