ID I: FIRST LINE TREATMENT SUMMARY Flashcards
MSSA
Diclofloxacillin, nafcillin, oxacillin *
Cefazolin, cephalexin *
amoxicillin/clavulante, ampicillin/sulbactam *
doxy/mino
bactrim
CA-MRSA, SSTI
PO
Bactrim
Doxycycline, minocycline
Clindamycin (D test)
Linezolid
Severe SSTI requiring IV treatment or hospitalization (covers MRSA and streptococci)
Vancomycin when MIC <2
Linezolid
Daptomycin
Ceftaroline
Nosocomial MRSA
Vancomycin when MIC <2
Linezolid
Daptomycin (not in pneumonia)
VRE (E. faecalis)
Pen G or ampicillin
Linezolid
Daptomycin
VRE (E. Faecium)
Daptomycin*
Linezolid*
Synercid
VRE (E. Faecium, E. faecalis, cystitis only)
nitrofurantoin
fosfomycin
doxycycline
Pseudomonas aeruginosa
pseuodomonal drugs
Pip/Tazo (Zosyn)
Cefepime
Ceftazidime
Ceftazidime/Avibactam
Ceftolozane/Tazobactam
Carbapenems (NOT ERTA)
Ciprofloxacin, levofloxacin
aztreonam
AG
Colistimethate, polymyxin B
ESBL gram negative rods (E coli, K pneumoniae, P. mirabilis)
carbapenems
Ceftolozane/tazobactam
ceftazidime/avibactam
ESBL GNR cystitis only
fosfomycin
CRE gram negative rods
ceftazidime/avibactam
colistimethate/polymyxin B
Acinetobacter baumannii
Carbapenems (NOT ERTA)*
ampicillin/sulbactam
minocyclin
HNPEK
Beta-lactam/beta-lactamase inhibitor
HNPEK if beta-lactamase negative
amoxicillin
Bacteroides fragilis
metronidazole
beta-lactam/betalactamase inhibitor
cefotetan, cefoxitin
carbapenems