G-Bugs and Treatment - G-R Flashcards
Klebsiella pneumoniaePneumonia, bacteremia
Cephalosporin +/- aminoglycoside Aztreonam and quinolones for penicillin allergyImipenem for ESBL strains
Escherichia coliETEC
Ciprofloxacin (if warranted)
Escherichia coliEHEC
Contraindicated
Escherichia coliHUS from EHEC
Eculizumab
Escherichia coliEIEC
Fluoroquinolone (if warranted)
Escherichia coliMeningitis
3rd-gen cephalosporin (ceftriaxone)
Escherichia coliPneumonia
3rd-gen cephalosporin or fluoroquinolone
Escherichia coliUTI (UPEC)
fluoroquinolone, TMP-SMX, or nitrofurantoin
ShigellaBloody colitis
Fluoroquinolone (if warranted)3rd-gen cephalosporin for cipro resistance
SalmonellaNontyphoidal
Fluoroquinolone (if warranted)Ceftriaxone in preg pts and children
SalmonellaTyphoidal
Fluoroquinolone (adult), ceftriaxone (children)Azithromycin, chloramphenicol for resistance
PseudomonasEndocarditis, bacteremia
Aminoglycoside + antipseudomonal b-lactam (piperacillin, ticarcillin, ceftazidime, cefepime, imipenem)
PseudomonasMeningitis
Ceftazidime
PseudomonasOsteomyelitis
beta-lactam, carbapenem or fluoroquinolone
PseudomonasUTI
Aminoglycoside or fluoroquinolone