Schoenwald Respiratory Pathogens/Tx Flashcards
Pertussis
pathogen: bortadella pertussis
tx: macrolides
prevention: macrolides
pneumocystitis PNA
pathogen: pneumocystis jerovecci (fungus)
tx: Bactrim
prophylaxis: Bactrim
active TB
pathogen: myobacterium tuberculosis
tx:
Rifampin
Isoniazid
Pyrazinamide
Ethambutol
latent TB
pathogen: myobacterium tuberculosis
tx: Rifampin qd
TB - AIDS
tx:
Isoniazid
Streptomycin/Clindamycin → 2nd line tx to replace Rifampin
Pyrazinamide
Ethambutol
TB - Pregnant
Isoniazid
Rifampin
Ethambutol
Bronchiectasis
tx: Fluoroquinolones
CF - stenotrophomonas
Bactrim
Fluoroquinolones
CF - pseudomonas
inhaled tobramycin
Fluoroquinolones
COVID19 - hospitalized pt
Remdesivir
Dexamethasone
COVID19 outpt
monoclonal abs
COVID19 - prevention
Molnupiravir
CAP
pathogen:
streptococcus pneumoniae
tx:
no comorbidities or risk for MRSA/pseudomonas:
Amoxicillin 1 gm TID
Doxycycline 100 mg bid
OR
Macrolides if local pneumococcal resistance <25%
+ comorbidities:
Augmentin
OR
cephalosporin + doxycycline
OR
monotherapy w. Fluoroquinolones
H.flu
tx:
- Augmentin
- Cephalosporins
- Fluoroquinolones
Legionella Pneumophilla - Legionaire’s Dz
pathogen: atypical pathogens
Legionella pneumophila → highest mortality PNA
tx:
Macrolides
Fluoroquinolones
Atypical Pathogens of Concern
mycoplasma → walking PNA
chlamydophila
legionella pneumophila
tx:
macrolides
Fluoroquinolones
Viral PNA
influenza
adenovirus
RSV
parainfluenza
Hospital Acquired PNA
pathogens:
pseudomonas
Acinetobacter
s.aureus; H.flu; Klebsiella pneumoniae; E.coli
tx:
based on risk for MRSA and local antibiogram data
Ventilator Associated PNA
pathogen: pseudomonas
tx:
Cefepime
Imipenem
Aspiration PNA
pathogen: anaerobic organisms
Peptostep
Prevotella
Flusobacterium
tx:
Pipercillin/Tazo
Clindamycin
MRSA PNA
tx:
Linezolid has better outcomes than Vanco
Sinusitis
pathogens: most commonly viral
bacterial:
strep pneumo
H.flu
M.catarrhalis
tx:
kids: Augmentin
PCN allergy: Levofloxacin
adults: Augmentin
PCN allergy: Doxycycline