SOA: Gram Positive

Question 1

Group Strep

Answer 1

everything EXCEPT:

Ticarcillin

Azetreonam

Aminoglycosides (gent, tobra, amik, plazi)

Col poly B

Met

Question 2

Viridans Strep

Answer 2

Gentamycin works, not as monotherapy

everything EXCEPT:

Ticarcillin

Azetreonam

Aminoglycosides (tobra, amik, plazi)

TMP-SMX

Met

Question 3

PSSP

Answer 3

everything EXCEPT:

Nafcillin

Ticarcillin

Azetreonam

Aminoglycosides (gent, tobra, amik, plazi)

TMP-SMX

Met

Question 4

***What covers PRSP?

Answer 4

3rd Gen Ceph: ceftriaxone and cefotaxime

4th gen: Cefepime (NOT cefiderocol)

Anti-MRSA Ceftaroline

FQ: Levo, Moxi, Dela

Vancomycin***

Synercid, linezolid, tedizolid, daptomycin, telavancin, dalbavancin, oritavancin

Question 5

What covers Enterococcus?

Answer 5

Penicillin G

Ampicillin

Unasyn (ampicillin/sulbactam), augmentin (amoxicillin/clavulanate)

Piperacillin

Timentin (ticarcillin/clavulanate)

Imipenem

FQ: levo, moxi, dela

Primarily gentamycin

Vancomycin

Synercid, linezolid, tedizolid, daptomycin, telavancin, dalbavancin, oritavancin

Tet (tet, doxy, mino)

Tige, erav, oma

Question 6

***What covers VRE?

Answer 6

Synercid only against VRE faecium

televancin/dalbavancin vs some VRE

Question 7

***What covers MSSA?

Answer 7

Everything EXCEPT:

Penicillin G

Ampicillin

Ticarcillin

Piperacillin

Ceftol, Tazo, Cefta, -Avi (including some ESBL or AMP C producing gram negatives)

Azetreonam

Col Poly B

Met

Question 8

***What covers MRSA?

Answer 8

Anti-MRSA Ceftaroline

Delafloxicin

AG (primarily gentamycin, not as monotherapy)

Vancomycin

Synercid, linezolid, tedizolid, daptomycin, telavancin, dalbavancin, oritavancin

Tet (tet, doxy, mino)

Tige, erav, oma

TMP-SMX

Clin (CA-MRSA)