Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
54 Cards in this Set
- Front
- Back
|
S. aureus (MRSA)
|
Vancomycin
TMP/SMX, Daptomycin, Linezolid, Quinupristin/Dalfopristin |
|
|
S. aureus (MSSA)
|
Naficillin
(Cefazolin, Vancomycin) |
|
|
Coagulase-negative Staphylococci
|
Vancomycin
(Daptomycin, Linezolid, Quin/Dalfopristin) |
|
|
Streptococcus pyogenes
|
Penicillin G/Pen VK
|
|
|
HACEK
Haemophilus spp. Aggregatibacter Cardiobacterium Eikenella Kingella |
Ceftriaxone
(ciprofloxacin, amp/sul) |
|
|
Viridans Streptococci
|
Penicillin G/Pen VK
|
|
|
Pseudomonas aeruginosa
|
Piperacillin + Tazobactam
Ciprofloxacin Ceftazidime, Cefepime Imi/meropenem if you REALLY have to, +/- gentamicin |
|
|
Enterococcus faecalis
|
Ampicillin + Gentamicin, Pip/Tazo
Vancomycin, Linezolid |
|
|
Enterococcus faecium (VRE)
|
Linezolid, Daptomycin
(Quinupristin/Dalfopristin) |
|
|
Clostridium difficile
|
Metronidazole
(Vancomycin PO) |
|
|
E. coli
|
TMP/SMX, Nitrofurantoin, Ciprofloxacin
MDR: Ceftazidime, Cefepime if ESBL+: Meropenem |
|
|
Enteric GNR's: SPICEM bugs, ESBL +
|
Piperacillin/Tazobactam, Ertapenem
Fluoroquinolones |
|
|
Streptococcus pneumoniae (PRSP)
|
Ceftriaxone
Levo/Moxifloxacin ("respiratory FQ") |
|
|
Haemophilus influenzae
|
Amox/Clav
Azithromycin Ceftriaxone |
|
|
Above diaphragm anaerobes
|
Clindamycin
Penicillin G/VK |
|
|
Below diaphragm anaerobes (beta-lactam producing GNR's, Bacteroides, etc.)
|
Metronidazole
Amox/clav, Ampicillin/Sulbactam Tigecycline |
|
|
Neisseria meningitidis
|
Ceftriaxone
Cefuroxime, Cefotaxime |
|
|
Neisseria gonnorhoeae
|
Cefpodoxime proxetil 200mg PO stat
Azithromycin, Ceftriaxone, Cefixime |
|
|
Moraxella catarrhalis
|
Amox/Clav
Azithromycin, Clarithromycin, TMP-SMX |
|
|
Listeria monocytogenes
|
Ampicillin + Gentamicin
|
|
|
Streptococcus pneumoniae (non PRSP)
|
Penicillin G or Amoxicillin
|
|
|
Oral anaerobes
|
Ceftriaxone
Moxifloxacin |
|
|
"Atypical" pneumonia pathogens
|
Azithromycin
Doxycycline |
|
|
Bacteroides grp.
|
Metronidazole
Carbapenem or Tigecycline for crazy shit |
|
|
Stenotrophomonas (carbapenemase production)
|
Aztreonam
TMP/SMX + Luck |
|
|
Klebsiella Pneumoniae Carbapenemase producing bugs (Enteric GNR's, Pseudomonas)
|
Tigecycline
Try any NON-beta lactam heavy hitters that do GNR's (FQ, colistin, etc.) and cross your fingers |
|
|
Acinetobacter, MDR
|
Colistin
Amp/Sulbactam if you're lucky |
|
|
Meningitis, age 1mo-50yr
|
S. penumoniae
H. influenzae N. meningitidis |
|
|
Meningitis, neonates
|
K. pneumoniae
E. coli Listeria Group B Strep (S. |
|
|
Meningitis, >50yr
|
S. pneumoniae
Aerobic GNR's Listeria |
|
|
Acute Otitis Media, Acute Bacterial Sinusitis
|
Streptococcus pneumoniae
Klebsiella pneumoniae Moraxella catarrhalis |
|
|
Acute Pharyngitis
|
Streptococcus pyogenes (GABS)
|
|
|
Community Acquired Pneumonia
|
S. pneumoniae
H. influenzae K. pneumoniae S. aureus |
|
|
Hospital Acquired Pneumonia, early onset
|
S. pneumoniae
H. influenzae S. aureus Legionella |
|
|
Hospital Acquired Pneumonia, late onset
|
E. coli, Klebsiella, Enterobacter (enteric GNR's)
MRSA Acinetobacter Pseudomonas! Stenotrophomonas |
|
|
Cystitis
|
E. coli
Staph saprophyticus Proteus vulgaris |
|
|
Pyelonephritis
|
E. coli and other Enterobacteriaceae
Enterococcus Enterobacter |
|
|
Natural Valve Endocarditis, non IVDU
|
Viridans Streptococci
Strep bovis HACEK bugs |
|
|
Natural Valve Endocarditis, IVDU
|
MSSA
MRSA CoNS Enterococci |
|
|
Prosthetic Valve Endocarditis (new valve)
|
Staph epidermidis (CoNS, skin flora)
MSSA MRSA |
|
|
Impetigo (all)
Bugs and DOC? |
S. pyogenes, MSSA, CA-MRSA
Topical Mupirocin or Retapamulin PO diclox or keflex +/- TMP-SMX if MRSA a concern |
|
|
Erysipelas
Bug? DOC? |
S. pyogenes
PenG 1.2M Units IV q6h PenVK 500mg PO q6h or Zpak for outpt MRSA coverage? perhaps |
|
|
Ecthyma
Bug? DOC? |
S. pyogenes, MSSA, CA-MRSA
Dicloxacillin 500mg PO q6h + Bactrim 5mg/kg TMP PO bid |
|
|
Necrotizing Fasciitis
Empiric coverage? |
Meropenem 1gm IV 128h
Clindamycin 1.2gm IV q6h +/- MRSA coverage |
|
|
CA-MRSA
DOC |
TMP/SMX
Dose of TMP: 5mg/kg PO bid |
|
|
Human bites
Bugs? Tx? |
Eikenella corrodens
Early: PO Amox/clav Late/severe: IV Amp/sulbactam |
|
|
Dog bites
Bugs? Tx? |
alpha hemolytic strep; Capnocytophaga, P. multocida
PO Augmentin |
|
|
Cat bites
Bugs? Tx? |
Pasteurella multocida (gm - coccobacillus)
Cefuroxime Axetil, Tmp/Smx, DOxycycline, penG, augmentin, ampicillin "cats not dogs" |
|
|
Cat scratches
Bugs? Tx? |
Bartonella henselae
Zpak |
|
|
Hematogenous osteomyelitis
Bug? |
S. aureus
Salmonella in sickle cell pts |
|
|
Contiguous osteomyelitis
Bug? |
S. aureus
Pseudomonas (puncture wound inoculum) CoNS Whatever was in the adjacent infection |
|
|
Contiguous osteomyelitis + vascular insufficiency
Bug? |
Polymicrobial, often anaerobes
--> pip/tazo 3.375gm IV q6h + vancomycin to troughs of 15-20mcg/mL |
|
|
Septic arthritis
Bug? |
S. aureus (most common overall)
Neisseria gonorrhoeae (most common in sexually active pts) |
|
|
Neisseria gonnorhoeae
DOC? |
Ceftriaxone 1gm IV q24h
|
