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