gram + DOC Flashcards

1
Q

S. aureus

  • Food poisoning
  • toxic shock syndrome
A
  • food poisoning: none

- toxic shock syndrome: clindamycin + nafcillin, oxacillin

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2
Q

S. aureus:

- folliculitis and impetigo

A

topical mupirocin

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3
Q

s. aureus:

- endocarditis, pneumonia, osteomyelitis, septic arthritis, meningitis

A

nafcillin

oxacillin

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4
Q

MRSA

A

vancomycin

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5
Q

Staph epidermidis

-endocarditis

A

vancomycin

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6
Q

staph saprophyticus

-UTI

A

TMP-SMX

second line: floroquinolones

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7
Q

strep pyogenes:

-invasive (necrotizing fascilitis)

A

IV Pen G

second line: clindomycin

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8
Q

strep pyogenes

-strep throat

A

Pen V

second line: amoxicillin

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9
Q

strep pyogenes

-PS glomerulonephritis

A

penicillin

second line: erythromycin

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10
Q

strep pyogenes

-scarlet fever

A

IM benzathine Pen G

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11
Q

strep pyogenes

-pyoderma (skin infections)

A

penicillin

second line: erythromycin

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12
Q

when in doubt with strep pyogenes: guess _____

A

some kind of penicillin

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13
Q

strep viridans

-endocarditis

A

penG

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14
Q

strep mutans

-endocarditis

A

pen G

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15
Q

strep penumoniae

-pneumonia

A

beta-lactam for pen sense strep

second line: 3rd gen cephalosporins

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16
Q

strep penumoniae

-meningitis

A

ceftriaxone + vancomycin

17
Q

strep penumoniae

-otitis media and sinusitis

A

amoxicillin

penicillin allergy: use macrolide

18
Q

strep agalactiae

-neonatal meningitis

A

pen G

19
Q

enterococci

-UTI

A

ampicillin

20
Q

enterococci

-endocarditis

A

penicillin G
or
ampicillin + gentamycin

21
Q

actinomyces

-cervicofacial actinomycosis

A

penicillin

allergy: give tetracycline

22
Q

bacillus anthracis

  • cutaneous
  • inhalation
A
  • cutaneous: ciprofloxacin or doxy

- inhalation: ciprofloxacin + rifampin + vancomycin

23
Q

bacillus cereus

-food poisoning

A

none!

24
Q

clostridium botulinum

A

CI in infections

25
Q

Clostridium difficile

-antibiotic-associated diarrhea

A

vancomycin (oral)
or
metronidazole

26
Q

clostridium perfringens

-gas gangrene

A

penicillin + clindamycin or tetracycline

and surgical debridement

27
Q

clostridium tetani

A

metronidazole

antitoxin most important

28
Q

corynebacterium diphtheriae

A

erythromycin or Pen G

antitoxin most important

29
Q

gardnerella vaginalis

-bacterial vaginosis

A

metronidazole

30
Q

listeria monocytogenes
-neonatal meningitis
-pregnancy
gastroenteritis with fever

A

all can be given ampicillin (or TMP-SMX for allergy)

-neonatal meningitis: can also use Pen G

31
Q

mycobacterium TB

A

RIPE

-rifampin, isonazid, pyrazinamide, ethambutol

32
Q

Mycobacterium avium complex

A

clarithromycin or azithromycin

second line: ethambutol or rifampin

33
Q

nocardia

-pulmonary

A

TMP-SMX