Treatments for Common Antibiotics

Question 1

Acute Otitis Media

Answer 1

Amoxicillin 80-90 mg/kg/D divided in 2 doses
Augmentin 90mg/kg/day
Ceftriaxone
Note if failure of therapy use the other two
Use Cephalosporins that are not 1st or 2nd gen if allergy

Question 2

Bronchitis

Answer 2

Augmentin, Azithromycin, Doxycycline

Question 3

CAP treatment Nonsevere

Answer 3

Beta Lactam+ Macrolide or doxycyline

Respiratory Quinolone Monotherapy

Question 4

CAP Severe

Answer 4

Beta Lactam+ Macrolide

Beta Lactam+Respiratory quinolone

Question 5

CAP with risk factors for Pseudomonas or MRSA

Answer 5

Vanco/Linezolid for MRSA

Pseudomonas: Pip/Tazo, Cefepime, Meropenum, Aztreonam

Question 6

Treatment for HAP/VAP

Answer 6

Cefepime, Tazobactam

ADD vanco or Linezolid if risk of MRSA

Question 7

HAP/VAP with risk of MDR Pathogens for Pseudomonas

Answer 7

Pip/tazo+Cipro+Vanco
Or
Cefepime+gentamycin+Linezolid

Question 8

TB Treatment

Answer 8

Treatment for 2 months: RIPE
Treatment for 4 months: INH and RIF
Total treatment time of 6 months

Question 9

Infective endocarditis Dental Prophylaxis

Answer 9

Amoxcillin 2g 30 to 60 minutes before procedure
Ampicillin or Cefazolin IV if NPO
Clinda, Azithro, or Clarithro if allergic to PCN’
Clinda IV if NPO

Question 10

Impetigo SSTI

Answer 10

Cephalexin and topical Mupirocin

Question 11

Folliculitis/furuncles/Carbuncles SSTI

Answer 11

Cephalexin first then unresponsive SMX/TMP or Doxy

Question 12

Mild infection SSTI

Answer 12

Cephalexin or Clinda if PCN Allergy

Question 13

Abscess SSTI

Answer 13

SMX/TMP or Doxycyline

Question 14

Severe Purulent SSTI

Answer 14

Vanco, Dapto, Linezolid

Question 15

Nec Fasc

Answer 15

Vancomycin+Beta lactam (usually Pip tazo, imipenum, meropenum)

Question 16

Diabetic Foot Infection

Answer 16

Monotherapy (no risk of MRSA): Amp/sulbactam, pip/tazo, Carbapenum, Tigecycline, Moxifloxacin
Combo therapy: Vanco+ ceftazimide, cefepime, Pip/tazo, Aztreonam, or carbapenum except erta

Question 17

Acute Uncomplicated Cystitis UTI

Answer 17

Macrobid, SMX/TMP, or Fosfomycin

Question 18

Acute Pyleonephritis UTI

Answer 18

Ciprofloxacin or Levo if no resistance

Ceftriaxone, SMX/TMP, or Beta Lactam if resistance

Question 19

Complicated UTI

Answer 19

Carbapenum if ESBL producing

Question 20

Pregnancy and UTI

Answer 20

Must be treated even if asymptomatic.
Beta Lactams Preffered
Macrobid and SMX/TMP can be used in these patients if allergic to PCN
DO NOT USE QUINOLONES

Question 21

Travelers Diarrhea

Answer 21

Azithromycin or Cipro, Levo, Ofloxacin, Rifaximin

Question 22

C. Diff

Answer 22

Vancomycin or Fidaxomicin used throughout

Question 23

Syphillis Early

Answer 23

Penicillin G specifically 2.4 million units IM or doxycycline
IF PREGGO OR HIV+ and Allergic to PCN Desensitize

Question 24

Syphillis Late

Answer 24

Penicillin G 2.4 million units IM given for 3 weeks

Question 25

Neurosyphillis

Answer 25

Penicillin G crystalline 18-24 units daily divided in 6 doses for 10 to 14 days

Question 26

Gonorrhea

Answer 26

Ceftraixone less than 150 kg: 500mg IM once Greater than 150Kg: 1 g IM once

Question 27

Chlamydia

Answer 27

Doxycyline or Azithromycin

Question 28

Bacterial Vaginosis

Answer 28

Metronidazole tablet or gel

Question 29

Trichomoniasis

Answer 29

Metronidazole or Tinidazole

Question 30

Genital Warts

Answer 30

Imiquimod cream

Question 31

Rocky Mountain, Typhus, Lyme, Ehrlichiosis

Answer 31

All doxycycline pretty much

Question 32

Tularemia

Answer 32

Gentamycin or Tobramycin

Question 33

Meningitis neonates

Answer 33

Ampicillin, Ceftoaxime or Gentamycin

Question 34

Meningitis 1 mo to 50 yo

Answer 34

Ceftriaxone or Cefotaxime plus Vanco

Question 35

Meningitis greater than 50

Answer 35

Ampicillin plus Ceftriaxone or Cefotaxime plus Vanco