IC13-18 Antibiotics Flashcards
Non-pharm for UTI
Urinate as soon as you feel the urge
Urinate after sex
Drink more fluids to flush out bacteria
Wipe from front to back
Avoid diaphragms and spermicides for birth control
Definition of uncomplicated UTI
Healthy, pre menopausal women
Definition of complicated UTI
Men, pregnant women, children
Uncomplicated cystitis
Co-trimoxazole 800/160mg BD for 3 days
Nitrofurantoin 50mg QDS for 5 days
Fosfomycin 3g 1 dose
Alternative
Amox clav 625mg BD for 5 days
Cefuroxime 250mg BD for 5 days
Low dose ciprofloxacin 250mg BD for 3 days
Low dose levofloxacin 250mg BD for 3 days
Complicated cystitis in women
Fosfomycin 3g every other day, 3 doses
Complicated cystitis in men
No prostatitis
Same as women, treat for 10-14 days
Prostatitis: if confirmed, treat for 6 weeks
Co trimoxazole 800/160mg 10-14 days
Ciprofloxacin 500mg BD 10-14 days
Pyelonephritis
Ciprofloxacin 500mg BD 7 days
Levofloxacin 750mg OD 5 days
Nosocomial UTI and cathether associated UTI
IV meropenem 1g q8h for 7-14 days
IV imipenem 500mg q6h for 7-14 days
Impetigo and ecthyma
Mild: Topical mupirocin 2% ointment
Moderate:
Cloxacillin 1g q6h 5-7 days
Cephalexin 500mg q6h 5-7 days
Penicillin allergy:
Clindamycin 300mg q6h 5-7 days
Purulent
Mild: Incision and drainage
Moderate:
Cloxacillin 1g q6h 5-10 days
Cephalexin 500mg q6h 5-10 days
Penicillin allergy:
PO Clindamycin 300mg q6h 5-10 days
IV Clindamycin 600mg q8h 5-10 days
Severe:
IV Cloxacillin 5-10 days
IV Cefazolin 1g q8h 5-10 days
Non purulent
Cloxacillin 1g q6h 5-10 days
Cephalexin 500mg q6h 5-10 days
Penicillin allergy:
PO Clindamycin 300mg q6h 5-10 days
Water exposure:
Ciprofloxacin
Pharyngitis
Penicillin V 250mg q6h 10 days
Amoxicillin 500mg BD 10 days
Penicillin allergy:
Cephalexin 500mg BD 10 days
Cefuroxime 250mg BD 10 days
Clarithromycin 250mg BD 10 days
Acute rhinosinusitis
Amoxicillin 500mg q8h 5-7 days
Amox clav 625mg q8h 5-7 days
Penicillin allergy: Respiratory quinolones
Levofloxacin 500mg OD 5-7 days
Moxifloxacin 400mg OD 5-7 days
CAP Outpatient, no comorbidities
Amoxcillin 1g q8h 5 days
Penicillin allergy: Respiratory quinolones
Levofloxacin 500mg OD 5 days
Moxifloxacin 400mg OD 5 days
CAP Outpatient with comorbidities (chronic conditions, asplenia, cancer, alcoholism)
Amox-clav
+
Clarithromycin/Azithromycin
Penicillin allergy: Respiratory quinolones
Levofloxacin 500mg OD 5 days
Moxifloxacin 400mg OD 5 days
CAP inpatient, non severe
Same as outpatient with comorbidities
+
MRSA: IV Vancomycin/Linezolid
Pseudomonas: Pip tazo, meropenem
^ respiratory isolation in last 1 year/IV antibiotics in last 90 days
CAP inpatient, severe
Amox-clav
+
Clarithromycin/Azithromycin
+
Ceftazidime
+ MRSA, Pseudomonas cover
Penicillin allergy:
Respiratory quinolones
+
Ceftizidime
+ MRSA, Pseudomonas cover
HAP/VAP
Cover: Pseudomonas, MSSA, MRSA, enterobacterales
Piptazo
Meropenem, imipenem
+
IV Vancomycin
IV linezolid
Bacteria meningitis
High dose
Ceftriaxone 2g q12h
Vancomycin 30mg/kg LD, 15mg/kg q8h
Listeria: Ampicillin 2g q4h
C diff
Fidaxomicin 200mg BD
PO Vancomycin 125mg QDS
