ID step-up Flashcards
outpatient pneumonia treatment CAP
- younger than 60: macrolide or doxy or fluoroq
- older or comorb or antib 3 months: fluoroq alone OR macrolide + augmentin
hospitalized treatment of cap
fluoroq ALONE or 3rd ceph + macrolide
hosp aquired oneumonia
- cephalos with pseudo coverage: ceftazidime or cefepime
- carabenem
- tazosin
VAP pneumonia
combinations of
- cephalosporin (ceftazidime, cefepime) or tazosin or carbapenem
- aminoglicoside or fluoroq
- vancom or linezolide
meningitis treatment
ceftriaxone (or cefotaxime) + vanco + ampicillin (if listeria) + steroids (if strep pneum)
uncomplicated cystitis - treatment
- TMP-SMX for 3 days
- 5-7days nitrofurantoin
- fosfomycin single dose
- fluoroquinolones 3 days
pregnant cystitis - treatment
ampicillin, amoxicillin or oral cephalosp for 7-10 days
UTI in men treatment
like women but 7 days
uti prophylaxis
single TMP-SMX after intercourse or at first stings of symtoms
pyelonephritis treatmenT
TMP/SXM or fluoroquinolone for 10-14 days
- ceftriaxone or gentamicine single dose IV before startinf of therapy
- if inpatient and very sick: ampicillin + gentamicin or ciprofl (2-3 weeks)
recurrent pyelonephritis treatment
if same orgnanism –> treat 6 weeks
if different –> treat appropriately for 2 weeks
acute prostatitis treatment
TMP SXM or Fluoro or doxycycline for 4-6 wks
chronic prostatitis treatment
fluoro
cellulitis - culture?
- topical if wound ulcer or site of infection
- blood only if fever
cellulitis treatment
based on history. cover strep A and SSA (oxacillin cefazolin). If suspect MRSA start vanco
- start IV until improve, then oral for 2 wks
