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26 Cards in this Set
- Front
- Back
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Vibrio Cholerae
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Self-limiting, cholera cot, IV/oral rehydration, Tetracycline
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Vibrio Vulnificus
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Tetracyclines, aminoglycosides
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Helicobacter pylori
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Macrolide or tetracycline + Metronidazole
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Campylobacter jejuni
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Tetracyclines, macrolides, quinolones
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Campylobacter fetus
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Tetracyclines, macrolides, quinolones
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Clostridium Perfringens
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Self-limiting for food poisoning; surgical debridement of soft tissue, high dose penicillin therapy
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Clostridium Botulinum
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BIG IV, Methronidazole + penicillin ONLY for infant and wound; ventilatory support
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Clostridium difficile
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Discontinue antibiotics (Cephlosporins, clindamycin, penicillin), use metronidazole and vancomycin (doesn't kill spores, so may relapse)
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Clostridium Tetani
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Debridement of wound, metronidazole, passive immunization with TIG, vaccination with tetanus toxoid
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Corynebacterium Diptheriae
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Passive immunization with equine antitoxin; active immunization with toxoid; penicillin/erythromycin; support for cardiac and respiratory failure
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Bordetella Pertussis
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Primarily supprotive; use macrolides (erythryomycin, azithromycin, clarithromycin)
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Bacillus Anthracis
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Ciprofloxacin (quinolone), doxycycline (tetracycline), penicillin; prophylaxisis with combination of Cirpo/Doxy/Amox/Penicillin; do both for 60 days
Vaccine only for military, with noted side effects |
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Bacillus Cereus (the coconut incident)
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Symptomatic (disease is self-limiting); quinolones, gentamycin (aminoglycoside), vancomycin for the young and elderly
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Staphylococcus Aureus (toxigenic)
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Supportive measures for multi-organ dysfunction, secondary antibiotics
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Streptococcus pneumoniae
(give vaccine) |
Penicillin effective. In case of resistance, use cephalosporins, erythromycin, clindamycin, fluoroquinolones. Vancomycin as last resort for meningitis
PPV23: T-independent response, with purified carbohydrate. For adultsand high risk groups Prevnar: T-dependent response, with conjugated diptheria toxin protein. For kids < 2 |
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Streptococcus Pyogenes
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Treat acute infection right away with Penicillin.
ARF: Anti-inflamatorry drugs and prophylactic antibiotics. (no vaccine). Treat through puberty, or fo 3-5 years as an adult. |
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Streptococcus Viridans
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High dose IV antibiotics; individuals at high risk are given prophylactic antibiotics at time of dental procedures.
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Streptococcus agalactiae
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Penicillin G (IV) 4 hours before delivery for high risk babies, and intrapartum
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Enterococcus faecalis/faecium (VRE)
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New treatments for E. Faecium: Quinupristin/dalfopristin (Synercid) - streptogramins; Linezolid (Oxazolidinone, Zivox); Daptomycin (Cubicin) cyclic lipopeptide antibiotic
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Staphlylococcus aureus (Extracellular)
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For uncomplicated infection: remove foreign body, drain pus and clean wound. Antibiotics (Penicillin G, Methicillin).
For serous MRSA: Mupirosin, Oxazolidinone, Daptomycin, Vanomycin, Streptogramin, Sulfonamide (MODVSS) Clindamycin, For MDR: Vancomycin (but be aware of MDR in VRSA!) |
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Staphylococcus epidermidis/ Staphyococcus saprophyticus
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Vancomycin +/- Rifampin
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Haemophilus influenza
(with vaccine) |
Less severe sinusitis + otitis media: Amoxicillin. More severe meningitis and epiglottitis: broad spectrum cephalosporins (cefotaxime, ceftriaxone) + dexamethasone (anti-inflammatory steroids). Also need tracheostomy for severe epiglottitis
Conjugate vaccines: HbOC (with mutant diphtheria protein); PRP-T (with tetanus toxoid); PRP-OMP (with meningococcal group B outer membrane protein) |
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Haemophilus Ducreyi
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Erythromycin
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Neisseria Gonorrhea
(how about for opthalmia?) |
For gonorrhea: fluoroquinolones (quinolone); if there is resistance, use ceftriaxone (cephalosporin)
For opthalmia only: 1% silver nitrate, 0.5% erythromycin ointment, 1% tetracycline ointment. No vaccine candidate. Case finding, or contact tracing |
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Neisseria Meningitidis
(with vaccine) |
Penicillin G, broad spectrum cephalosporin (Ceftriaxone), dexamethasone (anti-inflammantory steroid) for meningeal inflammation. Rifampin as chemoprophylaxis
Meningcoccal poylsaccharide vaccine (MPSV4), meningococcal conjugate vaccine (MCV4). Both for A, C, Y and W-135, but none for Type B meningitis. |
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Moraxella Catarrhalis
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Amoxicillin/clavulanate or cephalosporin
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