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71 Cards in this Set
- Front
- Back
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GI infections
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Flouroquinolones
Chloramphenicol (only if allergic to penicillin) DOC: Metronidazole (if due to Giardia) |
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GI ulcers (H. pylori)
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BMT (bismuth, metronidazole, tetracycline)\
Amoxicillin Tetracycline Clarithromycin |
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Intestinal amebiasis
(E. histolytica) |
DOC: Metronidazole
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Respiratory tract infections
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Flouroquinolones
Cefaclor (cephalospoprin) – esp in children Erythromycin (G+ in penicillin-allergic) |
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Bronchitis / otitis media
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Erythromycin
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Mycoplasma pneumoniae
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Tetracycline
Erythromycin |
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Urinary tract infections
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Flouroquinolones (Norfloxacin)
Nalidixic acid “Negram” (rarely) – quinolone Nitrofurans (high urine concentration) DOC: Metronidazole (if due to G. vaginalis) Sulfisoxazole & Sulfamethoxazol (Sulfa drugs) Trimethoprim (as a single drug) |
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Intra-abdominal infections
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DOC: Metronidazole if caused by anaerobic bacteria ie b. fragilis
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Pseudo-membranous colitis
(C.diff) |
DOC: Metronidazole
Vancomycin (Back up) |
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Surgical prophylaxis
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Cefazonin (cephalospoprin)
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Eye infections
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Sulfacetamide (sulfa drug) – chlamydial
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CAP: Community-
acquired pneumonia |
Azithromycin (4-5 days)
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Chlamydia
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Azithromycin (single-dose) C. trachomatis
Oxofloaxin is superior to ciprofloxacin (FQ) Tetracycline Erythromycin (macrolide) |
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Gonorrhea
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DOC: Ceftriaxone (IM) / Cefixime (PO)
Spectinomycin (single-dose) |
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Bacterial vaginosis
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Tinidazole
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Trichomonas vaginalis
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DOC: Metronidazole
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Mycoplasma
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Oxofloxacin is superior to ciprofloxacin (FQ)
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MRSA / MRSE
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Vancomycin
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Bacterial meningitis
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Chloramphenicol (if beta lactam allergy)
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Anaerobic infections
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Cefuroxime (cephalospoprin)
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Streptococcal Infections
(except PRSP) |
Penicillin G
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Active against PRSP
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3rd / 4th generation cephalospoprins
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Staphylococcal infections
(non MRSA / NRSA) |
Nafcillin/ Oxacillin/ dicloxacillin (PO, parenteral)
-all Penicillins |
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Meningococcal infections
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Vancomycin (due to PRSP)
Penicillin G Ceftariaxone |
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Ear infections
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Cefaclor – esp in children
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Meningococcal carrier state
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Ciprofloxacin
Minocycline (tetracyclin) |
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Brain abscesses
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DOC: Metronidazole
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Gram Negative bacilli
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Penicillin G
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Gram Negative rods
(ie E. coli) |
1st generation cephalospoprins
2nd generatopn cephalospoprin (better activity) 3rd generation cephaloss (resistance) |
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Gram Positive bacteria
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Ampicillin
1st generation cephalospoprins (not NRSA) Vancomycin |
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Endocarditis
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Clindamycin (when penicillin allergic)
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H. influenzae
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Ampicillin
Cefuroxime (cephalospoprin) 3rd generation cephalospoprins (esp s. marcescens / pseudomonal) Erythromycin (macrolide) Azithromycin |
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E. coli
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Ampicillin
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M catarrhalis
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Ampicillin
Azithromycin |
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P mirabilis
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Ampicillin
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Enterococcus species
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DOC - Ampicillin + aminoglycoside
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Listeriosis
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DOC: Ampicillin + aminoglycoside
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Spirochetes
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Penicillin G
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Lyme disease
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DOC: Doxycycline (tetracycline)
Amoxicillin (back up drug) |
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Tx of GI ulcers from H. pylori
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Amoxicillin
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Syphilis
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DOC = benzathine Penicillin G (IM)
Tetracycline (if penicillin allergy) |
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Used in dentristy
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Penicillin V (PO)
Metronidazole Clindamycin |
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Oralpharyngeal infections
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Penicillin VK
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Pseudomonas aeruginosa
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Piperacillin (IV)
Ticarcillin (IV) |
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Aerobic G- bacteria
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Piperacillin
Ticarcillin Aminoglycosides |
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Anaerobic G- rods
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Piperacillin
Ticarcillin |
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Gram + cocci
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Clindamycin
(not MRSA / PRSP/ enterococci) |
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MDR Tuberculosis
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Ciprofloxacin (FQ)
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Tuberculosis
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Amikacin**
Streptomycin |
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Used for prophylaxis
in neutropenia |
Cirpofloxin
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pneumoniae
(including PRSP strains) |
3rd generation flouroquinolones
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M pneumoniae
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DOC: Erythromycin
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Atypical pneumonia
(ie Chlamydia, etc) |
3rd generation flouroquinolones
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C jejuni
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DOC: Erythromycin
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L pneumoniae
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DOC: Erythromycin
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Anerobic bacterial
infections |
Mitronidazole & Tinidazole
(Azoles) |
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Protozoal infections
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Mitronidazole & Tinidazole
(Azoles) |
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Amoebic hepatic abscess
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DOC: Metronidazole
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Enterobacter infections
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3rd generation cephalospoprins
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Burn injury
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Nitrofurazone
Silver sulfadiazine & Sulfamylon – active against pseudomonas |
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Pseudomonas infections
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Polymisin B
Tobramycin** (Gentamicin) |
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Mucus membranes / eye /
ear / etc |
Polymixin B
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B. fragilis
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Ceftizosime
Moxalactam Clindamycin |
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Rickettsial infections
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Tetracycline
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Malaria
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Doxycycline (prophylactically)
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Acne
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Tetracycline (PO)
Erythromycin (topical) |
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Toxoplamosis
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DOC: Sulfadiazine + pyrimethamine
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AIDS
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Clindamycin
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Avoid in pregnancy
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Erythromycin
Tetracycline |
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Nafcillin / Oxacillin/
Dicloxacillin are... |
penicillinase-resistant but have a very narrow spectrum of antimicrobial activity
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Amoxicillin is combined with ...
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clavulanic acid
(“Augmentin”) to counteract beta-lactamases |
