ID/ABX Flashcards
4 meningitis organisms/viruses
S pneumo, neserria, HSV,
meningitis in older, pregnant, or immunocomp?
listeria
rx meningitis
CTX + vanc (for 1% of strep pneumo that isn’t covered by CTX) + acyclovir + ampicillin
young woman, obtunded, fever, rash on palms, track marks, clonus
ddx
ddx
rocky mountain spotted fever
septic emboli from infective endocarditis
endocarditis bugs
enterococcus
MRSA/MSSA
HACEK organisms
viridans strep
rx endocarditis
vanc (for MRSA, enterococcus, viridans strep)
+
CTX (for some of the weird HACEKs, and if you have exclusively have MSSA, don’t give VANC because it’s an unpredictable and sucky drug)
surgical site infection prophylax
cefazolin, vanc (in hospitals with lots of MRSA, staph epidermidis)
CHECK YOUR LOCAL HOSPITAL LISTINGS/antibiograms
new undifferentiated sepsis in hospitalized patient, not sure where infxn coming from…what to start empirically (after getting cultures of course!)
vanc and cefepime (VANCAPIME :D )
something that will cover all gram positives
VANC (except VRE)
side fx vanc
kidney problems
rash
thrombocytopenia
what covers gut anaerobes, most c diff
metro
side fx metro (3)
alcohol intolerance,
metallic taste
neuropathy (uncommon but severe)
covre GNRs, atypical intracellulars?
quinolones
what are you more vulnerable to when using quinolones
cdiff, qtc varaiton, delirium, tendinopathy
uses for azithro
=mouth/throat stuff/outpatient
atypial pneumonia
