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19 Cards in this Set
- Front
- Back
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group A strep, streptococcus pyogenes
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1. penicillin G; 2. penicillin V; 3. erythromycin. For invasive s. pyogenes infections, such as necrotizing fascitis or streptococcal toxic shock syndrome, add clindamycin
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group B strep, streptococcus agalactiae
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penicillin G
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group D strep
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1. ampicillin, sometimes combined with an aminoglycoside; 2. resistant to penicillin G; 3. emerging resistance to vancomycin.
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streptococcus viridans
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penicillin G
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streptococcus pneumoniae
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1. penicillin G; 2. erythromycin; 3. ceftriaxone; 4. vaccine those who are elderly or asplenic
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staphylococcus aureus
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1. penicillinase-resistant penicillins; 2. vancomycin; 3. clindamycin
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staphylococcus epidermidis
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vancomycin (s. epidermidis is resistant to multiple antibiotics)
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staphylococcus saprophyticus
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penicillin
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bacillus anthracis
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1. penicillin G; 2. erythromycin; 3. vaccine for high risk individuals
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bacillus cereus
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1. vancomycin; 2. clindamycin; 3. resistant to beta lactam antibiotics; 4. no treatment for food poisoning
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clostridium botulinum
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1. antitoxin; 2. penicillin; 3. hyperbaric oxygen; 4. supportive therapy including intubation and ventilatory assistance
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clostridium tetani
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1. Tetanus toxoid; 2. antitoxin; 3. clean the wound; 4. penicillin or metronidazole; 5. supportive therapy which may require ventilatory assistance
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clostridium perfringens
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1. radical surgery; 2. penicillin & clindamycin; 3. hyperbaric oxygen
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clostridium difficile
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1. metronidazole; 2. oral vancomycin; 3. terminate use of responsible antibiotic
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cornyebacterium diphtheriae
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1. antitoxin; 2. penicillin or erythromycin 3. vaccine DPT
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listeria monocytogenes
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1. ampicillin; 2. trimethoprim / sulfamethoxazole
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neisseria meningitidis
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1. vaccine against capsular antigens: A, C, Y and W-135; 2. penicillin G; 3. ceftriaxone (or other 3rd generation cephalosporins); 4. rifampin used prophylatically for close contacts of infected persons
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neisseria gonorrheae
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1. 3rd generation cephalosporin such as ceftriaxone (add doxycycline to cover incubating c. trachomatis and syphillis; 2. second line (ex. syphillis): a. fluoroquinolones b. spectinomycin; 3. for ophthalmia neonatorum: a. erythromycin eye drops b. systemic treatment with ceftriaxone
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branhamella catarrhalis
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1. azithromycin or clarithromycin; 2. amoxicillin with clavulanate; 3. oral second or third generation cephalosporin; 4. trimethoprim / sulfamethoxazole
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