Treatments Flashcards

1
Q

S. aureus

A

Nafcillin or Vanco

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2
Q

S. agalactiae

A

Intrapartum penicillin/ampicillin

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3
Q

VRE

A

Linezolid or Tigecycline

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4
Q

Corynebacterium diptheriae

A

Passive Vaccination

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5
Q

C. tetani

A

Passive Vaccination

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6
Q

C. diff

A

Metronidazole or Oral Vanco

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7
Q

C. botulinum

A

Passive immunity?.. IDK?

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8
Q

C. perfringens

A

Penicillin

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9
Q

Anthrax

A

Flouroquinolones and Doxycyclin

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10
Q

Listeria

A

Ampicillin

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11
Q

Actinomyces

A

Penicillin

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12
Q

Nocardia

A

Sulfonamides

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13
Q

TB

A

RIPE

Rifampin, INH, Pyrazinamide, Ethambutol

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14
Q

MAI

A

Z-pack prophylaxis

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15
Q

M. leprae

A

Tuberculoid: Dapsone and Rifampin for 6 months

Lepromatous: Dapsone, Rifampin, and Clofazimine for 2-5 years

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16
Q

Neisseria meningitidis

A

Ceftriaxone. Rifampin prophylaxis

Possible penicillin G

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17
Q

N. gonorrhea

A

Ceftriaxone + (Azithromycin or Doxycycline for chlamydia coinfection)

Erythromycin in neonates for prophylaxis

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18
Q

H. influenzae

A

Ceftriaxone for meningitis
Rifampin for prophylaxis

Amoxicillin in mucosal infections + clavulanate

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19
Q

Legionella

A

Macrolides and/or Fluroquinolone

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20
Q

Pseudomonas

A

Piperacillin/tazobactam, Fluroquinolone, Aminoglycoside, impinem, meropenem, ticarcillin, cefepime

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21
Q

EIEC

A

FQ or Bactrim

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22
Q

ETEC

A

FQ or Bactrim

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23
Q

EHEC

A

Don’t treat, can make it worse

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24
Q

Shigella

A

FQ, Bactrim, Ampicillin

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25
Q

Salmonella

A

Don’t treat, prolongs shedding, except FQ for typhoid.

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26
Q

C. jejuni

A

Self limited 3-4wks

27
Q

V. cholera

A

Rehydration.

28
Q

Y. enterocolitica

A

Supportive

29
Q

H. pylori

A

Clarithromycin, PPI, Amoxicillin (or metronidazole if pen allergy)

30
Q

Lyme Disease

A

Doxycycline if 1st or 2nd stage

Ceftriaxone if 3rd stage (migratory polyarthritis and subacute encephalitis)

31
Q

Syphilis

A

Penicillin G

32
Q

Bartonella henselase

A

Macrolides or Doxycyclin

33
Q

Bordtella pertusis

A

Macrolides

34
Q

Brucella

A

Rifampin and Doxycycline

35
Q

Gardnella vaginalis

A

Metronidazole or Clindamycin (treat anaerobes)

36
Q

Chlamydia

A

Macrolide or Doxycycline. Oral even for trachoma

Ceftriaxone for coinfection w/ gonorrhea

37
Q

Rickettsia’s

A

Doxycycline

38
Q

Coxiella

A

Self limited

39
Q

Francisella tularemia

A

Aminoglycosides

40
Q

Pastruella multicida

A

Penicillin G

41
Q

Mycoplasma pneumoniae

A

Macrolide, Doxycycline or fluoroquinolone

42
Q

Systemic Mycoses (Blast, Histo, Coccidio)

A

Fluconazole or Itraconazole for local infections (pneuomniae)

Amphotercin for Systemic

43
Q

Tineae

A

Miconazole or selenium (topical)

Oral if sever or scalp. Or unguium (nails)

Terbafine, itraconazole or fluconazole for nails/extensive/hair

44
Q

Candida Albicans (Vaginal)

A

Topical Azole

45
Q

Candida Albicans (Esophageal/oral thrush)

A

Caspofungin or fluconazole

46
Q

Candida Albicans (Systemic)

A

Fluconazole, Amphotercin B, Caspofungin

47
Q

Aspergillus fumigatus

A

Itraconazole or Amphotercin B

48
Q

Cyrptococcus neoformas

A

Amphotercin B, Flucytosine, Fluconazole

49
Q

Mucor/Rhizopus

A

Amphotercin B

50
Q

PCP

A

Treatment/prophylaxis: Bactrim (#1), pentamidine, dapsone (prophylaxis only), atovaquone (prophylaxis only)

Prophylax if CD4

51
Q

Sporothrix schenckii

A

Itraconazole or Potasium iodide

52
Q

Metronidazole

A

GET GAP

Giardia, Entamoeba, Trichomonas, Gardnella, Anaerobics, Pylori

53
Q

Giardia lamblia

A

Metronidazole

54
Q

Entamoeba histolytica

A

Metronidazole

Iodoquinol if asymptomatic cyst passer

55
Q

Cryptosporidium

A

Nitazoxamide

56
Q

Toxoplasma gondii

A

Sulfadiazine + pyrimethamine

Clinda if allergy

57
Q

Naegleria fowleri

A

Amphotercin B and Praying

58
Q

Trypansoma brucei

A

Suramin for blood borne/early

Melarsoprol if CNS preparation

59
Q

Plasmodium

A

Chloroquine (inhibits heme polymerase)
Mefloquine or atovaquone/proguanil if resistant

IV quinidine if servere

Artemether/lumefa

Primaquine for hyponzoites in vivax/ovale

60
Q

Babesia

A

Atovaquone and Azithro if mild

Quinine and Clinda if severe

61
Q

Trypansoma cruzi

A

Benzidazole or nifurtimox

62
Q

Leshmania

A

Amphotercin B -> visceral

Sodium stibogluconate -> cutaneous

63
Q

Trichomonas

A

Metronidazle