gram - DOC Flashcards

1
Q

neisseria gonorrhoeae

  • gonorrhea
  • gonococcal pharyngitis
A

ceftriaxone (if gonorrhea also give azithromycin for chlamydia)

second line: azithromycin

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2
Q

neisseria meningitidis

  • meningitis
  • bacteremia
A

ceftriazone

second line: chloramphenicol

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3
Q

moraxella cattharalis

-otitis media

A

amoxicillin

macrolide if penicillin allergy

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4
Q

Klebsiella pneumoniae

  • pneumonia
  • bacteremia
A

cephalosporin +/- aminoglycosides

second line: aztreonam and quinolones

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5
Q

ETEC

A

ciprofloxacin (if warranted)

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6
Q

EHEC

A

CI

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7
Q

HUS from EHEC

A

eculizumab

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8
Q

EIEC

A

floroquinolone (if warranted)

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9
Q

E coli

-meningitis

A

3rd gen cephalosporin (ceftriaxone)

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10
Q

E. coli

-pneumonia

A

3rd gen cephalosporin (ceftriaxone)

or floroquinolone

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11
Q

E. coli

-UTI

A

fluoroquinolone, TMP-SMX or nitrofuratoin

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12
Q

shigella

-bloody colitis

A

floroquinolone (if warranted)

3rd gen cephalosporin if cipro resistance

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13
Q

salmonella

  • nontyphoidal
  • typhoidal
A

floroquinilone for both

nontyphoidal: pregnant pt and kids: ceftriaxone
typhoidal: ceftriaxone…. and kids: azithromycin.. chloramphenicol for resistance

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14
Q

pseudomonas

-endocarditis, bacteremia

A

aminoglycoside + antipseudomonal b-lactams

azithromycin if allergy

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15
Q

pseudomonas

-meningitis

A

ceftazidime

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16
Q

pseudomonas

-osteomyelitis

A

beta-lactam, carbapenem or floroquinolone

17
Q

pseudomonas

-UTI

A

aminoglycoside or floroquinolone

18
Q

pseudomonas

-pneumonia

A

Antipseudomonal beta-lactam+ antipseudomonal quinolone (ciprofloxacinand levofloxacin)

Antipseudomonal beta-lactam + aminoglycoside

Antipseudomonal quinolone + aminoglycoside

19
Q

vibros

  • cholera
  • parahaemolyticus
A

fluids and electrolytes

20
Q

campylobacter

-bloody diarrhea

A

fluoroquinolone
or
azithromycin

21
Q

H. pylori

-gastric ulcer

A

PPI + amoxicillin + clarithromycin

22
Q

yersinia pestis

-plague

A

streptomycin (gentamicin)

second line: doxy, chloramphenicol

23
Q

bordetella pertussis

-pertussis

A

macrolide (historically erythromycin)

second line: TMP-SMX

24
Q

pasteurella multocida

-cellulitis

A

amoxicillin-clavulanate

second line: penicillin, doxy, floroquinolones

25
Q

francisella tularensis

-tularemia

A

stretomycin (gentamicin)

second line: cipro, doxy (for non-severe diseases)

26
Q

legionella pneumophilia

  • legionnaires disease
  • transplant pts
A

levofloxacin for both

légionnaires disease: azithromycin

27
Q

Brucella spp

-brucellosis

A

doxy + streptomycin

second line: doxy + rifampin

28
Q

bacteroides

-intraabdominal abscess

A

metronidazole

29
Q

HAECK

-endocarditis

A

ceftriaxone