First and Second line Abx Flashcards
Bullous Impetigo (3)
Keflex, Dicloxacillin, Doxy
Augmentin
Nonbullous Impetigo (1)
Bactroban
Anthrax
1st and 2nd
- Cipro
- Doxy
Folliculitis
Mild vs. severe (2)
- Bactroban
- Keflex or PCN
Rosacea 1
Flagyl gel
Cellulitis (non-purulent) (2)
Keflex or PCN
Purulent Cellulitis (3)
CBD Clinda, Bactrim, Doxy
Animal bite (1)
Augmentin
Erysipelas (2)
Keflex or PCN
Lyme Disease
1st and 2nd/pregnancy
- Doxy
- Amoxicillin
Rocky Mountain Spotted Fever (1)
Doxy
Mastitis
1st line and second line (3)
- Dicloxacillin
- Clinda, Keflex
3 macrolide
Sinusitis
1st line and 2nd line
- Augmentin
- PCN
- Cephalosporin
*AUGust Colds
PCN allergy: CLINDA or DOXY
Strep Throat
1st and second line (2)
- PCN
- Macrolide, cephalosporin
- Doxy
Strep + Mono
1st line (2) and second line (1)
- Macrolide, cephalosporin
- PCN VK
Pertussis (1)
Azithromycin
Acute Otitis Media
1st and 2nd line/recurrent or recent abx
- Amoxicillin
- Augmentin, cephalosporin
Otitis Externa
1st line and 2nd line (2)
- Ofloxacin drops
- Cipro or Polytrim
TM Rupture (1)
Ofloxacin
Endocarditis Prophylaxis
1st line and 2nd line (3)
- Amoxicillin
- Keflex, Clinda, Clarithromycin
Rheumatic Fever (2)
PCN G or Erythromycin
Pneumonia (comorbid, abx within 90 days)
1st line and 2nd line (combo)
- Levaquin
- Augmentin plus macrolide
Pneumonia (healthy adult) (3)
MAD Lung
Macrolide, Amoxicillin, Doxy
H. Pylori: Triple therapy
First line (3), allergy replacement?
Clarithromycin, Amoxicillin, PPI
PCN allergy: Replace Amoxicillin with Flagyl
**triple CAP
H. Pylori: Quadruple Therapy
Bismuth, PPI (or H2), Tetracycline, Flagyl
Diverticulitis (combo)
Cipro + Flagyl
Or Augmentin
C. Diff (1)
Oral Vanco
Bacterial Gastroenteritis (2)
Fluoroquinolone or macrolide
Giardia (1)
Flagyl
Traveler’s Diarrhea (1)
Cipro
Uncomplicated UTI S/S < 7 days
1st line (2) and 2nd line (3)
- Bactrim or Cipro x 3 days
- Macrobid, Keflex, Augmentin
Complicated UTI > 7 days (2)
And PYELONEPHRITIS
Bactrim or Cipro x7-10 days
UTI in pregnant patient (4)
CAMP
Cephalosporins, Amoxicillin, Macrolide/Macrobid, PCN
Pediatric UTI
1st line and 2nd line
- Bactrim
- Cephalosporin or Augmentin
Chlamydia
1st line and 2nd line
- Doxy
- Azithromycin
Gonorrhea (1)
Rocephin
Trich/BV
1st line and 2nd line
- Flagyl
- Clindamycin
Syphilis (1)
PCN G
Prostatitis/Epidymitis < 35 (combo)
IM Rocephin and Doxy
Prostatitis/Epididymitis > 35 (2)
Fluoroquinolone or Bactrim
Concern with sulfa drugs
Steven Johnson syndrome
Concern with Vanco
Red man Syndrome
Tuberculosis
Rifampin
Monitor LFTs, red pee
Conjunctivitis
Erythromycin drops or ointment
Cerumen impaction (cerumenosis)
Debrox drops aka carbamide peroxide
Otitis Externa edu
Use aluminum acetate (swimmers ear drops)