TSS, CAP Flashcards
In TSS, exfoliation of skin occurs
several days after onset of infection
Causative organisms in TSS
Staph aureus and S. pyogenes
Treatment for TSS
High volume IVF
Carbapenem or penicillin with a B-lactamase inhibitor plus clinda.
(Clinda and Nafcillin if MSSA)
Penicillins with B lactamase inhibitors
Augmentin
Zosyn
Unasyn
Ticarcillin-Clavulanate
Pathogen in Alcoholism
S. pneumo, Anaerobes, Klebsiella, Acinetobacter, M. tuberculosis
COPD/smoking
H flu, Pseudomonas, Legionella, S. Pneumo, Moraxella, C. pneumoniae
HIV early
S. pneumo, H flu, M. tuberculosis
Flu
flu, S. pneumo, S. Aureus, H flu
Nursing home resident, Cardiopulm disease, recent antibiotics
Enteric gram negatives
Structural lung disease, glucocorticoid therapy, broad antibiotic therapy, malnutrition
Pseudomonas, Burkholeria cepacia, Stenotrophomonas, S. aureus
Travel to southwestern US
Coccidioides, Hanta virus
Travel to Southeast and East Asia
Burkholderia pseudomallei (melioidosis)
Bat or bird droppings
Histoplasma
Exposure to birds
Chlamydophila psittaci
Rabbits
Francisella Tularensis
Farm animals or parturient cats
Coxiella Burnetii
Rodent excretia
Hantavirus
Out patient CAP in healthy patient
Macrolide or Doxy
Outpatient CAP in region with macrolide resistance
Respiratory Quinolone or B lactam +macrolide
Outpatient CAP in pt with comorbidites or antibiotic use in last 3 months
Respiratory quinolone or B lactam plus macrolide
Macrolides
Azithromycin, Carithromycin, Erythromycin
B lactams
Cephalosporins
Penicillins
Carbapenems
Monobactam
Inpatient non-ICU CAP
B lactam plus macrolide or respiratory quinolone
CAP in ICU
B lactam + Azithomycin or respiratory quinolone
If penicillin allergic- resp quinolone + aztreonam
Antipseudomonal B-lactam
Piperacillin Ceftazidime Cefepime Imipenem Aztreonam
Antipseudomonal Quinolone
Cipro
Levoquine
