RTI Treatment Flashcards

1
Q

DOC for GAS pharyngitis_____?

A

Penicillin V

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2
Q

Alternative Agents for GAS pharyngitis

A
Amoxicillin
Penicillin G benzathine
Macrolide (penicillin-allergic patients)--Azythromycin
Clindamycin
1st and 2nd Generation Cephalosporin
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3
Q

DOC for Bacterial Sinusitis

A

Amoxicillin

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4
Q

Alternative Agents for Bacterial Sinusitis

A

Amoxicillin-clavulanic acid
Macrolide (penicillin-allergic patients)
Co-trimoxazole
2nd or 3rd generation cephalosporin

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5
Q

DOC for Bacterial otitis media

A

Amoxicillin

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6
Q

Alternative agents for Bacterial otitis media

A

Amoxicillin-clavulanic acid
Macrolide (penicillin-allergic pts)–Azythromycin
Clindomycin
2nd or 3rd generation cephalosporin

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7
Q

Empirical Treatment for Outpatient CAP (no comorbidities)

A

Macrolide or Doxycycline

no antimicrobials within the last 3 months

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8
Q

Empirical Treatment for Outpatient CAP with comorbidities

A

Respiratory Fluoroquinolone or B-lactam plus a macrolide

Immunosuppressing conditions or use of immunosuppressing drugs; use of antimicrobials within previous 3 months

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9
Q

Empirical Therapy for Inpatient CAP (Non ICU)

A

Respiratory Fluoroquinolone or B-lactam plus a macrolide

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10
Q

Empirical Therapy for Inpatient CAP (ICU)

A

B-lactam plus either azithromycin or respiratory fluoroquinolone

For penicillin-allergic patients: resp. Fluoroquinolone plus aztreonam

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11
Q

Aspiration Pneumonia (anaerobes)

A

DOC: Clindamycin

2nd line Metronidazole

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12
Q

Bordetella pertussis

A

DOC: Macrolide

2nd line: Cotrimoxazole

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13
Q

Chlamydia pneumonia

A

DOC: Macrolide, doxycycline

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14
Q

Haemophillus influenzae (otitis media, sinusitis)

Non-B-lactamase producing

A

DOC: Amoxicillin

2nd line: 2nd or 3rd generation cephalosporin, cotrimoxazole

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15
Q

Haemophillus influenzae (otitis media, sinusitis)

B-lactamase producing

A

DOC: 2nd or 3rd generation cephalosporin, amoxicillin-clavulanic acid

2nd line: Co-trimoxazole

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16
Q

Klebsiella pneumonia

A

DOC: Ceftriaxone, cefotazime

2nd line: Fluoroquinolones

17
Q

Legionella sp.

A

DOC: Fluoroquinolones, azithromycin

2nd line: Doxycycline, cotrimoxazole

18
Q

Moraxella catarrhalis

A

DOC: Amoxicillin-clavulanic acid, 2nd or 3rd generation cephalosporins, co-trimoxazole

2nd line: Macrolide

19
Q

Mycoplasma Pneumoniae

A

DOC: Macrolide, doxycycline

2nd line: 3rd or 4th generation fluoroquinolone

20
Q

Pseudomonas Aeruginosa

A

DOC: Antipseudomonal penicllin (pipercillin or tigercillin), ciprofloxacin

2nd line: levofloxacin, aztreonam, aminoglycoside

21
Q

Staphylococcus aureus (Methicillin susceptible)

A

DOC: Antistaphylococcal penicllin (Naphcillin, oxicillin)

2nd line: 2nd or 3rd generations cephalosporin, clindamycin, fluoroquinolone, imipenem

22
Q

Staphylococcus aureus (Methicillin resistant)

A

DOC: Vancomycin, linezolid

2nd line: Ceftaroline (5th generation cephalosporin)

23
Q

Streptococcus pneumoniae

Penicillin non-resistant

A

DOC: Penicillin G, amoxicillin

2nd line: Cephalosporin, clindamycin, fluoroquinolone, macrolide, cotrimoxazole

24
Q

Streptococcus pneumoniae (Penicillin resistant)

A

DOC: depends on susceptibility; includes 2nd and 3rd generation of cephalosporins, 3rd and 4th generation fluoroquinolones

2nd line: Vancomycin, linezolid, streptogramins

25
Q

Tularemia

A

DOC: Streptomycin

2nd line: Gentamicin, chloramphenicol