Modules 7-8 Antibiotics Flashcards
Which ABTs for mild cellulitis in the immunocompromised, DM, vasc insufficient, etc?
- Amox/TR-Clav (Augmentin)
- Levofloxacin + clindamycin
- moxifloxacin
-
Which ABTs for mild cellulitis in the immunocompromised, DM, vasc insufficient, etc?
- Amox/TR-Clav (Augmentin)
- Levofloxacin + clindamycin
- moxifloxacin
Which ABTs for mod-severe cellulitis in the immunocompromised, DM, vasc insufficient, etc?
- Vancomycin
- daptomycin
- telavancin
- linezolid +B-lactam
- carbapenem
- ceftaroline with clindamycin or metronidazole
- ceftazidime with clindamycin
Which ABTs for mod-severe cellulitis in the immunocompromised, DM, vasc insufficient, etc?
- Vancomycin
- daptomycin
- telavancin
- linezolid +B-lactam
- carbapenem
- ceftaroline with clindamycin or metronidazole
- ceftazidime with clindamycin
-
Which ABTs for mild cellulitis in previously healthy people?
- dicloxacillin
- cephalexin
- clindamycin
-
Which ABTs for mild cellulitis in previously healthy people?
- dicloxacillin
- cephalexin
- clindamycin
Which ABTs for mod-severe cellulitis in previously healthy people?
- nafcillin
- cefazolin
- clindamycin
Which ABTs for mod-severe cellulitis in previously healthy people?
- nafcillin
- cefazolin
- clindamycin
-
If CA-MRSA is suspected or there’s an allergy to PCN, treat mild cellulitis in previously healthy adults with:
- clindamycin
- SMZ/TMP
- doxycycline
-
If CA-MRSA is suspected or there’s an allergy to PCN, treat mod-severe cellulitis in previously healthy adults with:
- Vancomycin
- linezolid
- daptomycin
- ceftaroline
- telavancin
(Regarding cellulitis.)
-
- Vancomycin
- linezolid
- daptomycin
- ceftaroline
- telavancin
What do these ABTs treat?
(Regarding cellulitis.)
Mod-severe cellulitis in previously healthy adults when CA-MRSA is suspected or there’s an allergy to penicillin.
- clindamycin
- SMZ/TMP
- doxycycline
What do these ABTs treat?
(Regarding cellulitis.)
Mild cellulitis in previously healthy adults when CA-MRSA is suspected or there’s an allergy to penicillin.
- nafcillin
- cefazolin
- clindamycin
What do these ABTs treat?
(Regarding cellulitis.)
Mod-severe cellulitis in previously healthy adults.
- dicloxacillin
- cephalexin
- clindamycin
What do these ABTs treat?
(Regarding cellulitis.)
Mild cellulitis in previously healthy adults.
Bacterium most common causing uncomplicated cellulitis?
S. pyogenes (GAS)
- Clindamycin
- TMP/SMZ
- doxycycline
- minocycline
- linezolid
- tedizolid
- delafloxacin
These ABTs treat what?
MRSA in adults
Regarding hyperse_________, avoid penicillins or cephalosporins in patients with a history of it.
hypersensitivity
Avoid these ABTs in children:
- cycl___s
- quino____s
- cyclines
- quinolones
There are drug interactions between quinol___s and Ca, Mg, iron, etc.
quinolones
If hypersensitive to an ABT like PCN, cephalosporins, and carbapenems, you can use an alter______ ABT.
alternative
Antibiotic of choice for animal bites: (Aug______)
Amoxicillin-Clavulanate (Augmentin)
An alternative antibiotic empiric regimen for animal bites. One of the 1st group and one of the 2nd group.
1st: (ONE OF THESE)
- doxycycline
- TMP/SMZ
- penicillin
- cefuroxime
- moxifloxacin
AND
2nd: (ONE OF THESE)
- metronidazole
- clindamycin
-
Is doxycycline and metronidazole OK as an alternative treatment for animal bites?
[Y/N Q]
Y
Is penicillin and clindamycin OK as an alternative treatment for animal bites?
[Y/N Q]
Y
Metronidazole or clindamycin are OK options for the SECOND part of the alternative combination in treating animal bites.
-
Tetracyclines should be avoided in children.
-
Tetrac_______ should be avoided in children.
Tetracyclines
S. pyogenes and S. aureus are most commonly involved in impetigo in children.
-
Treatment for impetigo include:
- antistaphylococcal penicillins (like dicloxacillin)
- 1st gen cephalosporins (like cephalexin)
-
Treatment options for impetigo include:
- dicloxac_____
- cephal____
- dicloxacillin
- cephalexin
For uncomplicated LUTIs, use:
- nitrofurantoin
- SMZ/TMP
-
For uncomplicated LUTIs, use:
- nitrofurantoin
- SMZ/TMP
For uncomplicated LUTIs, use:
- nitrofur______
- SM_/TM_
- nitrofurantoin
- SMZ/TMP
For complicated LUTIs, use:
- cefpodoxime
- SMZ/TMP
- quinolone
-
For complicated LUTIs, use:
- cefpodoxime
- SMZ/TMP
- quinolone
For complicated LUTIs, use:
- cefpod_____
- SM_/TM_
- quino____
- cefpodoxime
- SMZ/TMP
- quinolone
Antibiotic agents of choice for asymptomatic bacteriuria:
- beta-lactams
- nitrofurantoin
- fosfomycin
-
Antibiotic agents of choice for asymptomatic bacteriuria:
- beta-lactams
- nitrofurantoin
- fosfomycin
Antibiotic agents of choice for asymptomatic bacteriuria:
- beta-lact___
- nitrofur______
- fosfomy___
- beta-lactams
- nitrofurantoin
- fosfomycin
ABTs for asymptomatic bacteriuria and cystitis in pregnancy:
- nitrofurantoin
- amoxicillin
- amoxicillin-clavulanate
- cephalexin
- cefpodoxime
- fosfomycin
- TMP/SMZ
-
These ABTs are for…?
- nitrofurantoin
- amoxicillin
- amoxicillin-clavulanate
- cephalexin
- cefpodoxime
- fosfomycin
- TMP/SMZ
ABTs for asymptomatic bacteriuria and cystitis in pregnancy.
ABTs for asymptomatic bacteriuria and cystitis in pregnancy:
- nitrofurantoin
- amoxicillin
- amoxicillin-clavulanate
- cephalexin
- cefpodoxime
- fosfomycin
- TMP/SMZ
Don’t use fosfomy___ for asymptomatic bacteriuria/cystitis IF pyelonephritis is suspected, because it does not achieve therapeutic levels in the kidneys.
Fosfomycin
Don’t use TM_/SM_ during the first trimester or at term.
TMP/SMZ
Don’t use nitrofuran____ during the first trimester or at term.
Nitrofurantoin
Don’t use nitrofuran____ for asymptomatic bacteriuria/cystitis IF pyelonephritis is suspected, because it does not achieve therapeutic levels in the kidneys.
Nitrofurantoin
Regarding ABTs for asymptomatic bacteriuria and cystitis in pregnancy:
Amoxi______ resistance may limit its utility among gram-negative pathogens.
Amoxicillin
For uncomplicated pyelonephritis, use:
- SMZ/TMP
- quinolones
-
For uncomplicated pyelonephritis, use:
- SMZ/TMP
- quinolones
For uncomplicated pyelonephritis, use:
- SM_/TM_
- quino_____
- SMX/TMP
- quinolones
Primary regimen for uncomplicated bacterial prostatitis with risk of STD:
1) Ceftriaxone x1 dose OR cefixime x1 dose
THEN:
2) Doxycycline BID x10 days
-
Primary regimen for uncomplicated bacterial prostatitis with risk of STD:
1) Ceftria____ x1 dose OR cefix___ x1 dose
THEN:
2) Doxycy_____ BID x10 days
1) Ceftriaxone x1 dose OR cefixime x1 dose
THEN:
2) Doxycycline BID x10 days
Primary regimen for uncomplicated bacterial prostatitis with risk of STD:
1) Ceftriaxone x1 dose OR cefixime x1 dose
THEN:
2) Doxycycline BID x10 days
Primary regimen for uncomplicated bacterial prostatitis with LOW risk of STD:
- Levofloxacin OR ciprofloxacin x10-14 days
OR
- SMZ/TMP BID x10-14 days
-
Primary regimen for uncomplicated bacterial prostatitis with LOW risk of STD:
- Levofloxacin OR ciprofloxacin x10-14 days
OR
- SMZ/TMP BID x10-14 days
Primary regimen for uncomplicated bacterial prostatitis with LOW risk of STD:
- Levof_______ OR ciprof_______ x10-14 days
OR
- SM_/TM_ BID x10-14 days
- Levofloxacin OR ciprofloxacin x10-14 days
OR
- SMZ/TMP BID x10-14 days
Use of adjunctive uroselective alpha-adrenergicantagonists should be considered to reduce symptomatology of bacterial prostatitis. These symptoms include poor urinary stream, hesitancy, etc.
These meds include:
- tamsulosin
- alfuzosin
- silodosin
-
- tamsulosin
- alfuzosin
- silodosin
These are adjunctive uroselective alpha-adrenergicantagonists that help with the symptoms of bacterial prostatitis (hesitancy, poor urinary stream, etc).
-
SMZ/TMP also known as co-trimoxazole
-
co-trimoxazole =
SMZ/TMP
SMZ/TMP =
co-trimoxazole
