gram + DOC Flashcards
S. aureus
- Food poisoning
- toxic shock syndrome
- food poisoning: none
- toxic shock syndrome: clindamycin + nafcillin, oxacillin
S. aureus:
- folliculitis and impetigo
topical mupirocin
s. aureus:
- endocarditis, pneumonia, osteomyelitis, septic arthritis, meningitis
nafcillin
oxacillin
MRSA
vancomycin
Staph epidermidis
-endocarditis
vancomycin
staph saprophyticus
-UTI
TMP-SMX
second line: floroquinolones
strep pyogenes:
-invasive (necrotizing fascilitis)
IV Pen G
second line: clindomycin
strep pyogenes
-strep throat
Pen V
second line: amoxicillin
strep pyogenes
-PS glomerulonephritis
penicillin
second line: erythromycin
strep pyogenes
-scarlet fever
IM benzathine Pen G
strep pyogenes
-pyoderma (skin infections)
penicillin
second line: erythromycin
when in doubt with strep pyogenes: guess _____
some kind of penicillin
strep viridans
-endocarditis
penG
strep mutans
-endocarditis
pen G
strep penumoniae
-pneumonia
beta-lactam for pen sense strep
second line: 3rd gen cephalosporins
strep penumoniae
-meningitis
ceftriaxone + vancomycin
strep penumoniae
-otitis media and sinusitis
amoxicillin
penicillin allergy: use macrolide
strep agalactiae
-neonatal meningitis
pen G
enterococci
-UTI
ampicillin
enterococci
-endocarditis
penicillin G
or
ampicillin + gentamycin
actinomyces
-cervicofacial actinomycosis
penicillin
allergy: give tetracycline
bacillus anthracis
- cutaneous
- inhalation
- cutaneous: ciprofloxacin or doxy
- inhalation: ciprofloxacin + rifampin + vancomycin
bacillus cereus
-food poisoning
none!
clostridium botulinum
CI in infections
Clostridium difficile
-antibiotic-associated diarrhea
vancomycin (oral)
or
metronidazole
clostridium perfringens
-gas gangrene
penicillin + clindamycin or tetracycline
and surgical debridement
clostridium tetani
metronidazole
antitoxin most important
corynebacterium diphtheriae
erythromycin or Pen G
antitoxin most important
gardnerella vaginalis
-bacterial vaginosis
metronidazole
listeria monocytogenes
-neonatal meningitis
-pregnancy
gastroenteritis with fever
all can be given ampicillin (or TMP-SMX for allergy)
-neonatal meningitis: can also use Pen G
mycobacterium TB
RIPE
-rifampin, isonazid, pyrazinamide, ethambutol
Mycobacterium avium complex
clarithromycin or azithromycin
second line: ethambutol or rifampin
nocardia
-pulmonary
TMP-SMX