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5 Cards in this Set

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OUTPATIENT: Healthy/No Risk factors
Macrolides (erythromicin, clarithromycin, or azithromycin)
Doxycycline (adds anaerobic coverage)
OUTPATIENT: with Risk factors
FQ: Moxifloxaxin, Gemifloxacin, Levofloxacin (750 mg)
Beta Lactam (Amoxicllin 1gbid or augmentin 2gbid)
+ Macrolide (*can sub mac for doxy)
Remember Cipro does not cover strep or atypicals
Inpatient: Non-ICU
FQ: Moxifloxaxin, Gemifloxacin, Levofloxacin
Beta Lactam + Macrolide
Beta-Lactams: Cefotaxime(3rd), Ceftriaxone(3rd), Ampicillin, Ertapenem in some pts
FQ + B-lactam (Cefotaxime(3rd), Ceftriaxone(3rd), Ampicillin/Sulbactam)
B-lactam + Macrolide(azithromycin)
PCN Allergy: FQ + Aztreonam
Aztreonam has no cross-reactivity
ICU with Pseudomonas Risk Factors
Beta Lactam (pip/tazo, cefepime, meropenem/imipenem)+ FQ (Cipro or Levo)
Beta Lactam (pip/tazo, cefepime, meropenem/imipenem)+ Aminoglycoside + Azithromycin + anti-pneumococcal FQ (Levo, Moxi, or Gemi)
Ertapenem has no Pseudomonas activity
Cipro has no pneumococcal activity