ID Flashcards
Which Abx are time dependent?
Beta-lactams
Which Abx are concentration-dependent?
Aminoglycosides, quinolones, dapto
MOA of macrolides?
Binds to 50s
BBW of aminoglycosides?
Nephro, oto, and neurotoxicity
Aztreonam covers gram (positive/negative)
Negative
Does Aztreonam cover MRSA?
No
Does Aztreonam cover Pseudo
Yes
Which carbapenem covers for MRSA?
None
Which carbapenem covers for Pseudo?
All but Ertapenem
Which cephalosporin covers for Pseudo?
Cefepime (4th gen) and Ceftazidime (3rd gen)
What is the only beta-lactam that covers for MRSA?
Ceftaroline
Aminoglycosides cover for gram (positive/negative)
Negative, unless they are used in synergy with beta-lactam or vanco
What are the respiratory quinolones?
MLG
Which quinolones cover for Pseudo?
Cipro + levo
Which quinolone covers for MRSA?
Delafloxacin
AE of macrolides?
QT prolongation + hepatotoxicity
Avoid use with lovastatin/simvastatin w/ clarithromycin or erythromycin
MOA of tetracycline
Binds to 30s
Do aminoglycosides cover for MRSA?
No
Do aminoglycosides cover for Pseudo?
Yes
MOA of clindamycin?
Binds to 50s
Clindamycin has gram (positive/negative) coverage
Gram positive + anaerobes
Generic of Omnicef?
Cedinir
Which Abx cover B. fragilis?
- Flagyl
- BL + BLi
- Cefotetan, cefoxitin
- Carbapenems
DOC for treating Acineobacter?
Merrem
Which Abx decrease seizure threshold?
BL + quinolones
Which Abx cover atypicals?
Zithromax, tetracyclines, quinolones
When do you stop Abx prior to surgery?
1hr for Ancef or cefuroxime
2hrs if quinolone or vanco