Gram - Cocci - Treatments

Question 1

Treatment for Neisseria gonorrhea?

Answer 1

Ceftriaxone (intramuscular) OR cefixime (oral)
AND (for possible chlamydia co-infection)
Doxycyline OR erythromycin (pregnancy)

Expedited partner therapy; tetracycline drops in eyes of newborns

Question 2

Treatment for Neisseria meningitidis?

Answer 2

3rd gen. cephalosporin (ceftriaxone)

Question 3

Initial treatment for meningitis (before we know what it is)?

Answer 3

Broad-spectrum antibiotics + vancomycin (this will penetrate the damaged BBB)

Question 4

Prophylaxis for Neisseria meningitidis?

Answer 4

Rifampin (ceph III, high dose cipro also used)

Vaccines also exist.

Question 5

Treatment for Moraxella catarrhalis?

Answer 5

3rd generation cephalosporin OR ciprofloxacin OR not at all