gram -ve and atypicals

Question 1

What covers Bacteroides fragilis? (likely active, empiric use acceptable)

Answer 1

Pip-tazo, co-amoxiclav, All carbapenems and metronidazole

Question 2

What covers Bacteroides fragilis? (may be active, use based on AST)

Answer 2

Moxifloxacin and clindamycin

Question 3

What covers Hemophilus Influenzae? (likely active, empiric use acceptable)

Answer 3

Pip-tazo, co-amoxiclav, All cephalosporins, All carbapenems, azithromycin, clarithromycin, All fluoroquinolones, doxycycline

Question 4

What covers Hemophilus Influenzae? (may be active, use based on AST)

Answer 4

Erythromycin, amoxcillin/ampicillin, co-trimoxazole

Question 5

What covers E.coil/Klebsiella/Proteus Mirabillis? (likely active, empiric use acceptable)

Answer 5

Pip-tazo, co-amoxiclav, All cephalosporins, All carbapenems, All AGs, ciprofloxacin, levofloxacin, co-trimoxazole

Question 6

What covers E.coil/Klebsiella/Proteus Mirabillis? (may be active, use based on AST)

Answer 6

Moxifloxacin, amoxicillin/ampicillin (E.coli), doxycycline

Question 7

What covers ESBL? (likely active, empiric use acceptable)

Answer 7

All carbapenems and All AGs

Question 8

What covers ESBL? (may be active, use based on AST)

Answer 8

Pip-tazo, co-amoxiclav, cefepime (first 3 for cystitis only), doxycycline, All fluoroquinolones, co-trimoxazole

Question 9

What covers Enterobacter (Amp-C producing GNR)? (likely active, empiric use acceptable)

Answer 9

All carbapenems and All AGs

Question 10

What covers Enterobacter (Amp-C producing GNR)? (may be active, use based on AST)

Answer 10

Pip-tazo, ceftriaxone, ceftazidime, ceftaroline (first 4 cystitis only), cefepime (for non-severe infx), doxycycline, All fluoroquinolones, co-trimoxazole

Question 11

What covers Pseudomonas Aeruginosa? (likely active, empiric use acceptable)

Answer 11

Pip-tazo, All carbapenems but ertapenem, gentamicin (controversial), amikacin (UTI only), ciprofloxacin and levofloxacin

not in spectrum: azteronam

Question 12

What covers Legionella, Mycoplasma pneumoniae, Chlamydia pneumoniae? (likely active, empiric use acceptable)

Answer 12

All macrolides, doxycycline, levofloxacin and moxifloxacin