gram - DOC Flashcards
neisseria gonorrhoeae
- gonorrhea
- gonococcal pharyngitis
ceftriaxone (if gonorrhea also give azithromycin for chlamydia)
second line: azithromycin
neisseria meningitidis
- meningitis
- bacteremia
ceftriazone
second line: chloramphenicol
moraxella cattharalis
-otitis media
amoxicillin
macrolide if penicillin allergy
Klebsiella pneumoniae
- pneumonia
- bacteremia
cephalosporin +/- aminoglycosides
second line: aztreonam and quinolones
ETEC
ciprofloxacin (if warranted)
EHEC
CI
HUS from EHEC
eculizumab
EIEC
floroquinolone (if warranted)
E coli
-meningitis
3rd gen cephalosporin (ceftriaxone)
E. coli
-pneumonia
3rd gen cephalosporin (ceftriaxone)
or floroquinolone
E. coli
-UTI
fluoroquinolone, TMP-SMX or nitrofuratoin
shigella
-bloody colitis
floroquinolone (if warranted)
3rd gen cephalosporin if cipro resistance
salmonella
- nontyphoidal
- typhoidal
floroquinilone for both
nontyphoidal: pregnant pt and kids: ceftriaxone
typhoidal: ceftriaxone…. and kids: azithromycin.. chloramphenicol for resistance
pseudomonas
-endocarditis, bacteremia
aminoglycoside + antipseudomonal b-lactams
azithromycin if allergy
pseudomonas
-meningitis
ceftazidime