Specific diseases with corresponding antimicrobal tx Flashcards
Folliculitis
Cephalexin/Keflex - Gram -
Dicloxacillin - Anti-Staph
If MRSA is suspected: Clinda/bactrim
Non-Prulent Cellulitis - Out Patient
Non-purulent cellulitis - Out Patient
Amoxicillin - gram +,-,enterococcus
Dicloxicillin - Anti-Staph , Gram +, for soft tissue
Cephalexin/Keflex - gram +,- for skin infections
Non-Prulent Cellulitis - In Patient
Cefazolin/Ancef (IV ONLY)- indicated for gram +,- soft tissue infections = DOC
Oxacillin - IV ONLY - anti staph
Nafacillin- IV ONLY - anti staph
Purulent Cellulitis - Out Patient
Bactrim - Gram - & Staph. 2nd best against PO MRSA
Doxycycline - Gram + & -
Purulent Cellulitis - In Patient
Vancomycin
Aquatic environment cellulitis
3rd/4th gen Cephalosporin
or Fluroquinolone
What do you discharge a patient home on who has cellulitis if they cannot continue the medication the are on in the hospital?
Augemntin
or
Cephalexin/Keflex
DM ulcers inpatient
Amp-Sulb /Unasyn & Pip-tazo/Zosyn
DM Ulcers outpatient
Strep: Cephalexin/Keflex
Staph: Dicloxicillin or Bactrim or Doxycyclin
GN/Anaerobes: Augmentin or Clinda
Necrotizing Fasciitis
PEN G + CLINDA + AMINOGLYCOSIDE
Animal Bites
Augmentin
Human Bites
Augmentin
Histoplasmosis - Severe
Amphotericin B
Histoplasmosis - not severe
Itraconazole
Coccidiomycosis - severe and mild
Severe- Amph. B
Mild- Long term itraconazole or diflucan
Candidiasis - Skin
Topical Nystatin
Itraconazole if extensive infection
Candidiasis - Oropharyngeal
Nystatin Orally
Clotrimazole
Candidiasis - Vulvovaginal
Topical azalea 3 days
Or oral diflucan
Candidal UTI
Diflucan if symptomatic or persistant
Disseminated candidiasis
Echinocandins - Suffix:Fungin
Cryptococcus
Diflucan aka Fluconazole
Sepsis without pseudomonas
Vancomycin PLUS ONE OF THE FOLLOWING:
+ 3rd/4th gen cephalosporin
or
+Zosyn or Unacyn
Sepsis with pseudomonas
Vancomycin PLUS TWO ANTI PSEUDOMONALS
Anti-pseudomonals that are not empiric: Aminoglycosides and monobactam
Distributive shock pressors
Levophed
second line: Vasopressin
Steroids with hypoxemia
Cardiogenic shock
Dobutimine
When should neupogen/neulasta be added in?
Febrile neutropenia
Mycoplasma
E-mycin, tetracyclins, fluroquinolones
PCP PNA
High dose IV bactrim for 3 weeks
Influenza for at risk populations
Tamiflu
HSV1/2
Valcyclovir/Valtrex
Herpes Zoster
Valcyclovir/Valtrex
Post-herpetic neuralgia
neuron tin
gabapentin
Strep throat
Azythromycin/Zithromax
CMV
Gancyclovir
Prophylaxis for PNA?
3rd Gen + Macrolide
MAC
Clarithromycin/Biaxin
C-diff tx?
Metronidiazole
Uncomplicated UTI?
Bactrim/nitrofurantion
Complicated UTI?
Levofloxacin/Ciprofloxacin
DOC for candida and cryptococcus?
Fluconazole
DOC for aspergillus?
Voriconazole
DOC for severe disseminated fungal infections
Amphotericin B
DOC for cutaneous sporotrichosis?
Itraconazole
YAWS tx?
One dose of azythromycin or IV Benzathine PCN
Tularemia?
Streptomycin
PB/TT Leprosy?
Dapsone & Rifampin
MB/LL Leprosy?
Dapsone, Rifampin & Colfazimine
T.b. Rhodesiense
Suramin
Melarsopril
T.b. gambiense
Pentamidine
elflornithine
Cysticercosis
Albendazole / Dexamethasone / Anti Convulsant
Onchocerciasis
Ivermectin and Doxycyclin