spectrum and target organisms

Question 1

Penicillins

Answer 1

depends on class

Question 2

aminoglycosides

Answer 2

gent: gram -, gram + synergy
tobra: pseudo
Amik: gram - and nocardia
• ALL good against listeria (meningitis in old and young)

Question 3

cephalosporins

Answer 3

gram + and HENPEKSSS (depending on generation) 3rd and 4th - pseudo

Question 4

Monobactam

Answer 4

pseudo, gram - aerobes

Question 5

glycopeptides

Answer 5

MRSA, PRSP, C. diff diarrhea

Dal- VRE

Question 6

Oxazolidinones

Answer 6

VRE, VISA, MRSA, PRSP

Question 7

carbapenems

Answer 7

Imp/Mero/Dor - Pseudo

gram +/- and anaerobes inc. Bacteroides (don’t work on atypical)

Question 8

Lipopeptides

Answer 8

gram +, VRE, MRSA, VISA

Question 9

tetracyclines

Answer 9

RMSF, Lyme, Q-fev
gram +/- and anaerobes
tigacylcine- severe SSSI due to MRSA

Question 10

TMP-SMX

Answer 10

aerobes

nocardia

Question 11

fluoroquinolones

Answer 11

cipro/levo - Pseudo
ALL - legionella
Levo/moxi - PRSP

Question 12

metroniozole

Answer 12

anaerobes

bacteroides and C. diff

Question 13

clindamycin

Answer 13

peptostreptococcus

Question 14

macrolides

Answer 14

cover atypical legionella, mycoplasma, mycobacteria, chlamydia, H. influenza

MAC complex in HIV pts

Question 15

streptogramins

Answer 15

VRE, S. aureus