LRTI & URTI Flashcards
What medications can a healthy patient with outpatient CAP take?
doxycycline, amoxicillin
what medications can an outpatient patient with comorbidities and CAP take?
levofloxacin/moxifloxacin OR augmentin, cefpodoxime, cefuroxime + macrolide/doxycycline
What medications can an inpatient non-severe CAP patient have?
ampicillin/sulbactam, ceftriaxone + macrolide or levofloxacin/moxifloxacin
What medications can an inpatient severe CAP patient have?
ampicillin/sulbactam, ceftriaxone + macrolide
or
levofloxacin/metronidazole + ampicillin/sulbactam, ceftriaxone
What medications are recommended to cover MRSA if risk factors are present for CAP?
vancomycin, linezolid
What medications are recommended to cover pseudomonas aeruginosa if risk factors are present for CAP?
meropenem, piperacillin/tazobactam, cefepime
What medications are recommended for HAP and patients are not at high risk for mortality?
piperacillin/tazobactam, cefepime, imipenem, meropenem, levofloxacin
What medications are recommended for HAP and not at high risk for mortality but MRSA risk?
piperacillin/tazobactam, cefepime, imipenem, meropenem, levofloxacin + vancomycin/linezolid
What medications are recommended for HAP and high risk of mortality?
piperacillin/tazobactam, cefepime, imipenem, meropenem, levofloxacin, tobramycin, amikacin (pick 2) + vancomycin/linezolid
What medications are recommended for VAP?
piperacillin/tazobactam, cefepime, imipenem, meropenem, levofloxacin, tobramycin, amikacin (pick 2 if pseudomonas risk factors present) + vancomycin/linezolid
What medications are indicated for acute bronchitis?
none!
most pathogens are viral
What medications are indicated for acute exacerbation of chronic bronchitis?
augmentin, cefuroxine, cefpodoxime
alternatives: doxycycline, tmp/smx, azithromycin
What medications are indicated for acute exacerbation of chronic bronchitis + pseudomonas risk?
levofloxacin
What treatment options are there for acute pharyngitis?
Penicillin VK, Amoxicillin
alternative: give cephalosporin or azithromycin/clindamycin
What treatment options are there for ABRS?
amoxicillin/clavulanate 500/125 mg or 2000/125 mg if concern for penicillin resistance
or can watchful wait and initiate antibiotics later if need be