GRAM + TREATMENTS Flashcards
Not MRSA - Nafcillin, cephalosporin
MRSA - Vancomycin
Staphylococcus
aureus
Vancomycin
Staphylococcus
epidermidis
TMP / SMX
Staphylococcus
saprophyticus
Penicillin G, Vanco if Pen resistant
Streptococcus
pneumoniae
Penicillin G/ Vanco + Aminoglycoside,
Streptococcus
viridans
Pen-G/Erythromycin, sulfa drugs, topical bacitractin
NEVER PUT S. pyogones IN REFRIGERATOR
Streptococcus
pyogenes (A)
Pen-G or Vanco
Streptococcus
agalactiae (B)
Vanco + Aminoglycosides
if Vanco Resistant -> Streptogramin
Enterococcus (E.
faecium, E. faecalis)
Bioterrorism: Doxycycline/ Ciprofloxacin with (Rifampin, clindamycin, penicillin or vanco)
Cutaneous = penicillin
Vaccine = anthrax Toxoid
Bacillus anthracis
rods in chains
Normal incidence: fluid and electrolyte replacement
Serious incidence: Vanco, Ciproflaxacin, Clindamycin
Bacillus cereus (rods in chains)
Amputation, debridement, Penicillin G, Hyperbaric Oxygen
Clostridium
perfringens
Debridement, Metronidazole, Diazepam, tetani toxoid (10 yr Boosters)
Clostridium tetani
Ventilator support if advanced, polyvalent anti-toxin (covers all the toxins), prevent by heating food,
refrigerating food. Debridement with Penicillin / Metronidazole if wound botulinum (usually from heroin needle use)
Clostridium botulinum
Continue current Antibiotic if possible, switch to or add
oral vanco
Can possible use Metronidazole
Clostridium difficile
immune response can heal in about a week, but often fatal within that week
Treat with Penicillin, Erythromycin
Diptheria antitoxin (toxoid)
Corynebacteria
diphtheria
