infectious diseases Flashcards
best antifungal therapy for neutropenic fever
ECHINOCANDINS
- caspofungin
- Micafungin
- Anidulafungin
treatment for staph osteomyelitis
6 weeks IV
-Oxacillin or -Nafcillin
MRSA
-vanco,linezolid,ceftaroline or daptomycin
otitis media treatment
amoxicillin 7 days
treatment for strep pharyngitis
penicillin or amoxicillin
urethritis treatment
Ceftriaxone + doxycycline
inpatient treatmetn for PID
cefoxitin and doxycycline
PID treatment in penicillin allergic patient
Clindamycin and gentamicin
epididimiits in <35-year patient
Ceftriaxone + doxycycline
epididimitis in > 35-year patient
Fluoroquinolone
chancroid treatament(haemophilus ducreyi)
ceftriaxone or oral azythromycin
LGV(chlamydia)
doxycycline or azithromycin
most accurate test in primary syphilis
darkfield microscopy
treatment for syphilis inpatient allergic to penicillin
Doxycycline
Treatment for tertiary syphilis in a patient allergic to penicillin
Desensitization if allergic
Cystitis
3 days fosfomycin or nitrofurantoin
complicated cystitis
7 days of TMP/SMX or ciprofloxacin
perinephric abscess treatmetn
quinolone plus staphylococcal coverage
indications for HAART
CD4<500
pregnant
needle-stick scenario
Check for HLA-B*5701
Abacavir
NRTI
Class side effect lactic acidosis
zidovudine (anemia) didanosine(pancreatitis and periferal neuropathy) Stavudine(pancreatitis and neuropathy) lamivudine Abacavir(HLA-B*5701) Emtricitabine Tenofovir(renal tox)
integrase inhibitors
Raltegravir
Elvitegravir
Dolutegravir
NNTI
Efavirenz
nevirapine
Etravirine
Rilpivirine
Protease ihibitor for HIV
Class side effect hyperglycemia and hyperlipidemia
navirs
needle stick injury (postexposure prophylaxis)
ART for a month
2 NNTI + integrase inhibitor
START within 72 h
PCP profilaxis
TMP/SMX
atovaquone or dapsone if allergic
inpatient treatmetn for PID
cefoxitin and doxycycline
Esquema oficia de AIDS en el embarazo
zidovudine and lamivudine
PCP treatment
IV TMP/SMX
IV Pentamidine if allergic
STEROIDS if pO2<70 or A-a gradient >35
MAI treatment
Clarithromycin and etambutol
Ehrlichia
Ixodes
MOrulae in WBC,Dx with PCR
Treat with doxy
Babesiosis
IXODE
ring cyst in RBC,Dx with PCR
Treat with azithromycin and atovaquone
malaria profilaxis
Mefloquine(weekly) gives WT prolongation
or
atovaquone/proguanil(daily)
treat with the same medications
ARTESUNATE for severe
coccidioidomycosis treatment (erythema nodosum, joint pain)
itraconazole
most common cause of osteomyelitis
staphylococcus
-Treat with oxacillin or nafcillin IV for 4-6 weeks
most common cause of erysipelas
Group A strep, treat with dicloxacillin or cephalexin
treatment for cryptococcus
amphotericin and 5FC followed by fluconazole
most common cause of culture-negative endocarditis
Coxiella and Bartonella
most common cause of Endocarditis
S.aureus and viridans group steptococci
Endocarditis empiric treatmetn
vango + genta for 4 weeks
endocarditis prophilaxis
-prostetics valves,unrepaired cyanotic heart disease,previous endocarditis,transplant recipients who develop valve disease
procedures that require prophilaxis
Dental procedure with bleeding=amoxicillin
Respiratory
Surgery of infected skin=cephalexin
treatment for Lyme
doxyclycline
Amoxicillin for kids<8 years,pregnancy and lactating woman.
treatment for histoplasmosis
Ampho followed by itraconazole
