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13 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Staph aureus
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PCN-ase resistant PCNs
(Cloxacillin, Dicloxacillin, Methicillin, Naficillin, Oxacillin) |
ALTERNATIVES:
cephalosporins vancomycin imipenem/meropenam clindamycin linezolid daptomycin fluoroquinolones |
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Staph epidermis
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PCN-ase resistant PCNs
(Cloxacillin, Dicloxacillin, Methicillin, Naficillin, Oxacillin) |
ALTERNATIVES:
cephalosporins vancomycin imipenem/meropenam clindamycin linezolid daptomycin fluoroquinolones |
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MRSA
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Vancomycin ± Gentamicin ± Rifampin
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ALTERNATIVES:
Linezolid Daptomycin Tigecycline (broad spec!) fluoroquinolones SMZ-TMP Synercid (Quinupristin/Dalfopristin) Doxycycline |
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MR Staph epidermis
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Vancomycin ± Gentamicin ± Rifampinv
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ALTERNATIVES:
Linezolid Daptomycin Tigecycline (broad spec!) fluoroquinolones SMZ-TMP Synercid (Quinupristin/Dalfopristin) Doxycycline |
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Strep Pyogenes (A, C, G)
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Pen V, Pen G
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ALTERNATIVES:
clindamycin erythromycin cephalosporin vancomycin clarithromycin azithromycin linezolid daptomycin |
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Strep Pyogenes (B)
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Pen G or Ampicillin
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ALTERNATIVES:
Cephalosporins Vancomycin Daptomycin Erythromycin |
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Strep Viridians group
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Pen G ± Gentamicin
|
ALTERNATIVES:
Cephalosporins Vancomycin |
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Strep bovis
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Pen G
|
ALTERNATIVES:
Cephalosporins Vancomycin |
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Anaerobic Strepto Peptococci
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Pen G
|
ALTERNATIVES:
Clindamycin cephalosporins vancomycin |
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Strep pneumoniae (pneumococcus)
PCN susceptible (< 0.1 mcg/ml) |
Pen G or V
Amoxicillin |
ALTERNATIVES:
cephalosporins erythr/azith/clarith-romycin levo/gemi/moxi-floxacin mero/imi/erta-penem SMZ-TMP clindamycin tetracycline vancomycin |
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Strep pneumoniae (pneumococcus)
PCN intermediate resistance (MIC 0.1-1 mcg/ml) |
Pen G IV 12 million units/day adult
Ceftriaxone/cefoxatime |
Levo/gemi/moxi-floxacin
Vancomycin Clindamycin |
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Strep pneumoniae (pneuomococcus)
PCN high-level resistance MIC 2+ mcg/ml |
Meningitis:
vancomycin ± ceftriaxone/cefotaxime ± rifampin Other: vancomycin + ceftriaxone or cefotaxime, levo/gemi/moxi-floxacin |
ALTERNATIVES:
Linezolid Synercide (quinupristin/dalfopristin) |
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Enterococci
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Endocarditis/Severe Infection:
Pen G or Ampicillin + gentamicin or streptomycin Uncomplicated UTI: ampicillin or amoxicillin |
ALTERNATIVES:
ENDOCARDITIS/SEVERE INF: Vancomycin + gentamicin or streptomycin linezolid daptomycin synercid (quinupristin/dalfopristin) UNCOMPLICATED UTI: Nitrofurantoin fluoroquinolones fosfomycin |
