pgs 23-28 Flashcards
pathogens for aspiration pneumonia
oral: anaerobes, Streptococcus pneumonia & other Streptococcus sp, Moraxella catarrhalis
gastric: enteric gm-neg bacillli & staph aureus
pharm treatment of Aspiration pneumonia
amoxicillin/clavulanate or clindamycin
treatment of acute bronchitis
usually self-limiting, antibiotics should not be used unless secondary bacterial infection is suspected. the common lower resp. track pathogens should be covered with macrolide, quinolone, or tetracycline.
treatment of acute bronchitis?
reduce exposure to irritants, bronchodilators, use of antibiotics is controversial.
pathogens of acute otitis media?
strep pneumonia>haemophilus influenzae>moraxella catarrhalis
pharm treatmetn of AOM (acute otitis media)
DOC is high-dose amoxicillin 80-90mg/kg/dayx10days
AOM is an infection that can use watchful waiting/safety-net. what is this?
allowing rx to be refilled only if symptoms do not resolve within 48 hours. this can reduce antibiotic use by 67%. watchful waiting is appropriate for children > 2 years.
therapy options for Chronic Otitis Media?
ciprofloxacin and amoxicillin/clavulanate
treatment for External Otitis (swimmer’s ear)?
otic drops containing an antibiotic plus a steroid are helpful
pathogens of viral pharyngitis?
rhinovirus, coronarvirus, adenovirus, influenza, parainfluenza, or epstein-barr virus
pathogens of bacterial pharyngitis?
group A strep or strep progenies
pharm treatment of strep pharyngitis (strep throat)
DOC is Penicillin VK x 10 days
alternatives are amox, cephalexin, azithromycin, clindamycin
how many days does acute bacterial sinusitis present with symptoms?
> 10 days!
pharm therapy for bacterial sinusitis
DOC is high-dose amoxicillin x 10-14 days
alternate is high dose amos/clavulunate
what are the pathogens of an uncomplicated UTI?
85% e. coli
