Specific diseases with corresponding antimicrobal tx Flashcards

1
Q

Folliculitis

A

Cephalexin/Keflex - Gram -
Dicloxacillin - Anti-Staph

If MRSA is suspected: Clinda/bactrim

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2
Q

Non-Prulent Cellulitis - Out Patient

A

Non-purulent cellulitis - Out Patient
Amoxicillin - gram +,-,enterococcus
Dicloxicillin - Anti-Staph , Gram +, for soft tissue
Cephalexin/Keflex - gram +,- for skin infections

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3
Q

Non-Prulent Cellulitis - In Patient

A

Cefazolin/Ancef (IV ONLY)- indicated for gram +,- soft tissue infections = DOC

Oxacillin - IV ONLY - anti staph
Nafacillin- IV ONLY - anti staph

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4
Q

Purulent Cellulitis - Out Patient

A

Bactrim - Gram - & Staph. 2nd best against PO MRSA

Doxycycline - Gram + & -

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5
Q

Purulent Cellulitis - In Patient

A

Vancomycin

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6
Q

Aquatic environment cellulitis

A

3rd/4th gen Cephalosporin

or Fluroquinolone

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7
Q

What do you discharge a patient home on who has cellulitis if they cannot continue the medication the are on in the hospital?

A

Augemntin
or
Cephalexin/Keflex

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8
Q

DM ulcers inpatient

A

Amp-Sulb /Unasyn & Pip-tazo/Zosyn

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9
Q

DM Ulcers outpatient

A

Strep: Cephalexin/Keflex
Staph: Dicloxicillin or Bactrim or Doxycyclin
GN/Anaerobes: Augmentin or Clinda

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10
Q

Necrotizing Fasciitis

A

PEN G + CLINDA + AMINOGLYCOSIDE

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11
Q

Animal Bites

A

Augmentin

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12
Q

Human Bites

A

Augmentin

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13
Q

Histoplasmosis - Severe

A

Amphotericin B

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14
Q

Histoplasmosis - not severe

A

Itraconazole

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15
Q

Coccidiomycosis - severe and mild

A

Severe- Amph. B

Mild- Long term itraconazole or diflucan

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16
Q

Candidiasis - Skin

A

Topical Nystatin

Itraconazole if extensive infection

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17
Q

Candidiasis - Oropharyngeal

A

Nystatin Orally

Clotrimazole

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18
Q

Candidiasis - Vulvovaginal

A

Topical azalea 3 days

Or oral diflucan

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19
Q

Candidal UTI

A

Diflucan if symptomatic or persistant

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20
Q

Disseminated candidiasis

A

Echinocandins - Suffix:Fungin

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21
Q

Cryptococcus

A

Diflucan aka Fluconazole

22
Q

Sepsis without pseudomonas

A

Vancomycin PLUS ONE OF THE FOLLOWING:
+ 3rd/4th gen cephalosporin
or
+Zosyn or Unacyn

23
Q

Sepsis with pseudomonas

A

Vancomycin PLUS TWO ANTI PSEUDOMONALS

Anti-pseudomonals that are not empiric: Aminoglycosides and monobactam

24
Q

Distributive shock pressors

A

Levophed

second line: Vasopressin

Steroids with hypoxemia

25
Q

Cardiogenic shock

A

Dobutimine

26
Q

When should neupogen/neulasta be added in?

A

Febrile neutropenia

27
Q

Mycoplasma

A

E-mycin, tetracyclins, fluroquinolones

28
Q

PCP PNA

A

High dose IV bactrim for 3 weeks

29
Q

Influenza for at risk populations

A

Tamiflu

30
Q

HSV1/2

A

Valcyclovir/Valtrex

31
Q

Herpes Zoster

A

Valcyclovir/Valtrex

32
Q

Post-herpetic neuralgia

A

neuron tin

gabapentin

33
Q

Strep throat

A

Azythromycin/Zithromax

34
Q

CMV

A

Gancyclovir

35
Q

Prophylaxis for PNA?

A

3rd Gen + Macrolide

36
Q

MAC

A

Clarithromycin/Biaxin

37
Q

C-diff tx?

A

Metronidiazole

38
Q

Uncomplicated UTI?

A

Bactrim/nitrofurantion

39
Q

Complicated UTI?

A

Levofloxacin/Ciprofloxacin

40
Q

DOC for candida and cryptococcus?

A

Fluconazole

41
Q

DOC for aspergillus?

A

Voriconazole

42
Q

DOC for severe disseminated fungal infections

A

Amphotericin B

43
Q

DOC for cutaneous sporotrichosis?

A

Itraconazole

44
Q

YAWS tx?

A

One dose of azythromycin or IV Benzathine PCN

45
Q

Tularemia?

A

Streptomycin

46
Q

PB/TT Leprosy?

A

Dapsone & Rifampin

47
Q

MB/LL Leprosy?

A

Dapsone, Rifampin & Colfazimine

48
Q

T.b. Rhodesiense

A

Suramin

Melarsopril

49
Q

T.b. gambiense

A

Pentamidine

elflornithine

50
Q

Cysticercosis

A

Albendazole / Dexamethasone / Anti Convulsant

51
Q

Onchocerciasis

A

Ivermectin and Doxycyclin