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23 Cards in this Set
- Front
- Back
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What are the DOC for GAS? |
1. Penicillin 2. Amoxicillin-- more common clinically 3. Cephalexin |
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What should you use to tx GAS in case of allergies? |
1. Macrolides 2. Clindamycin |
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What should you use to tx symptomatic pts with multiple, recurrent episodes of GAS pharyngitis? |
1. Clindamycin 2. Amoxicillin-clavulanic acid 3. IV penicillin G IM 4. IV penicillin G with rifampin |
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What are the MCC of bacterial rhinosinusitis? |
1. S. pneumoniae 2. H. influenzae 3. M. catarrhalis |
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How do you tx bacterial rhinosinusitis? |
1. Amoxicillin-clavulanic acid 2. Cefdinir 3. SMX/TMP 4. Tetracycline, macrolide |
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What abx should be avoided in rhinosinusitis? |
1. Clindamycin |
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What is the CURB-65 criteria for pneumonia mortality? |
1. Confusion 2. BUN>19 3. Respiratory rate>30 4. BP <90 systolic, <60 diastolic 5. Age >65 |
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What are the MCC Of CAP? |
1. S. pneumoniae 2. M. pneumoniae 3. H. influenzae |
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What are the MCC of inpatient, non-ICU pneumonia? |
1. S. pneumoniae 2. M. pneumoniae 3. C. pneumoniae |
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What are the MCC of ICU pneumonia? |
1. S. pneumoniae 2. S. aureus 3. Legionella |
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How do you tx outpatient pneumonia? |
1. Healthy, no previous abx-- macrolides 2. Comorbidities-- Levofloxacin, moxifloxacin; Beta lactam+azithromycin/moxifloxacin |
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How do you tx inpatient, non-ICU CAP? |
1. B-lactam (Ceftriaxone, ampicillin/sulbactam, ertapenem)+azithromycin/levo/moxi
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How do you tx CA-MRSA pneumonia? |
1. Vancomycin or linezolid |
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What bacteria need to be covered in HAP/HCAP? |
1. Cover MRSA 2. Cover MDR gram negatives 3. Double cover for pseudomonas |
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How do you cover MRSA in HAP/HCAP? |
1. Vancomycin 2. Linezolid |
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How do you cover MDR gram negatives in HAP/HCAP? |
1. Piperacillin/tazobactam 2. Cefepime 3. Impipenem-Cilastatin, Meropenem, Doripenem
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How do you double cover for pseudomonas in HAP/HCAP? |
1. Ciprofloxacin/levofloxacin 2. Tobramycin or Gentamicin |
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What should the first antibiotic given to HAP/HCAP patients be? |
1. Piperacillin/Tazobactam and tobramycin 2. Cover for all activity in empiric tx |
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When can you not use ciprofloxacin? |
1. Respiratory infections |
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When does MRSA pneumonia commonly present? |
1. Post-influenza |
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What is the biggest thing you gain from addition of a macrolide? |
1. Atypical killing |
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How do you tx ventilator pneumonia? |
1. Early< 48 hours-- same as CAP 2. Late>48 hous--- same as HCAP |
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How do you tx ICU pneumonia? |
1. B-lactam+levaquin 2. B-lactam+azithromycin 3. Allergy: Aztreonam+levo/moxi |
