RTI Treatment Flashcards
DOC for GAS pharyngitis_____?
Penicillin V
Alternative Agents for GAS pharyngitis
Amoxicillin Penicillin G benzathine Macrolide (penicillin-allergic patients)--Azythromycin Clindamycin 1st and 2nd Generation Cephalosporin
DOC for Bacterial Sinusitis
Amoxicillin
Alternative Agents for Bacterial Sinusitis
Amoxicillin-clavulanic acid
Macrolide (penicillin-allergic patients)
Co-trimoxazole
2nd or 3rd generation cephalosporin
DOC for Bacterial otitis media
Amoxicillin
Alternative agents for Bacterial otitis media
Amoxicillin-clavulanic acid
Macrolide (penicillin-allergic pts)–Azythromycin
Clindomycin
2nd or 3rd generation cephalosporin
Empirical Treatment for Outpatient CAP (no comorbidities)
Macrolide or Doxycycline
no antimicrobials within the last 3 months
Empirical Treatment for Outpatient CAP with comorbidities
Respiratory Fluoroquinolone or B-lactam plus a macrolide
Immunosuppressing conditions or use of immunosuppressing drugs; use of antimicrobials within previous 3 months
Empirical Therapy for Inpatient CAP (Non ICU)
Respiratory Fluoroquinolone or B-lactam plus a macrolide
Empirical Therapy for Inpatient CAP (ICU)
B-lactam plus either azithromycin or respiratory fluoroquinolone
For penicillin-allergic patients: resp. Fluoroquinolone plus aztreonam
Aspiration Pneumonia (anaerobes)
DOC: Clindamycin
2nd line Metronidazole
Bordetella pertussis
DOC: Macrolide
2nd line: Cotrimoxazole
Chlamydia pneumonia
DOC: Macrolide, doxycycline
Haemophillus influenzae (otitis media, sinusitis)
Non-B-lactamase producing
DOC: Amoxicillin
2nd line: 2nd or 3rd generation cephalosporin, cotrimoxazole
Haemophillus influenzae (otitis media, sinusitis)
B-lactamase producing
DOC: 2nd or 3rd generation cephalosporin, amoxicillin-clavulanic acid
2nd line: Co-trimoxazole