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26 Cards in this Set
- Front
- Back
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Staph Aureus
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1. Anti-Staph penicillin choice, if Staph only
- Methicillin - Naficillin - Oxacillin 2.Cephalosporin backup 3. MRSA: Vancomycin, Synercid, Linezolid. Bactrim,Zyvox, Clindamycin -Decolonize (topical tx): Mupirocin intranasally (80% effect) |
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Staphylococcus epidermidis
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1. Anti-Staph Penicillin
Nafcillin (hospital) Oxacillin (outpatient) 2. Cephalosporin (1st) 3. Hospitals have MRSE (70%) - Vancomycin |
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Staphylococcus saprophyticus
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TMP-SMX
Quinolones |
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Neisseria gonorrhoeae
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1. Cephalosporins (3rd gen)
Fluoroquinolone - treat for Chlamydia (doxycycline, Erythromycin) *resistance is increasing from plasmids Erythromycin eye drops: Prophylaxis for gonorrhea and chlamydia in neonates |
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Neisseria meningitides
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Penicillin
If penicillin resistant: Chloramphenicol Cephalosporin Minocycline, Rifampin-(eliminate carrier state) |
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Haemophilus influenzae
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Rifampin prophylactic, 3rd Gen Ceph
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Haemophilus ducreyi
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Ceftriaxone
Azithromycin erythromycin |
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Bordetella pertussis
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Antibiotics: only effective in first two stages
-Erythromycin (treat and prophylactic), Tetracycline Chloramphenicol |
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Campylobacter
jejuni |
AbX (doesn’t reduce symptoms):
Erythromycin Ciprofloxacin |
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Helicobacter
pylori |
Omeprazole (proton pump inhibitors)
Tetracyclines Metronidazole Amoxicillin (any combo) bismuth salts |
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Streptococcus
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Treat all with penecillin
Treat enterococcus with penicillin + aminoglycoside synergist |
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Clostridium tetani
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Antibiotics
-Metronidazole |
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Clostridium botulinum
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1. Food Poisoning
-Food preservation -Boiling only kills toxin -100 C for 5 hrs kills spores -NO antibiotics 2. Wound -tissue debridgement and penicillin stomach levage high anemas debridgement & penicillin |
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Clostridium difficile
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Discontinue Antibiotic
Supportive therapy for fluid and electrolyte loss |
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Bacillus cereus
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TREAT ENTEROTOXIN NOT BACTERIA
Gastroenteritis= self-limiting give fluids, electrolytes Others: -Vancomycin -Clindamycin -Gentamicin -Ciprofloxacin NO Penicillins/ Cephalosporins (Betalactamases) |
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Listeria monocytogenes:
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Treat w/:
Ampicillin & Erythromycin (must penetrate into host cell to effect) or TMP-SMX |
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Corynebacterium diptheriae
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Penicillin, or Erythromycin
Horse antibodies = antitoxin |
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Nocardia asteroids
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sulfonamides (TMP-SMX/ Bactrim) or amikacin,
+ beta-lactam |
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Streptococcus
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Treat all with penecillin
Treat enterococcus with penicillin + aminoglycoside synergist |
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Clostridium tetani
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Antibiotics
-Metronidazole |
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Clostridium botulinum
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1. Food Poisoning
-Food preservation -Boiling only kills toxin -100 C for 5 hrs kills spores -NO antibiotics 2. Wound -tissue debridgement and penicillin stomach levage high anemas debridgement & penicillin |
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Clostridium difficile
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Discontinue Antibiotic
Supportive therapy for fluid and electrolyte loss |
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Bacillus cereus
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TREAT ENTEROTOXIN NOT BACTERIA
Gastroenteritis= self-limiting give fluids, electrolytes Others: -Vancomycin -Clindamycin -Gentamicin -Ciprofloxacin NO Penicillins/ Cephalosporins (Betalactamases) |
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Listeria monocytogenes:
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Treat w/:
Ampicillin & Erythromycin (must penetrate into host cell to effect) or TMP-SMX |
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Corynebacterium diptheriae
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Penicillin, or Erythromycin
Horse antibodies = antitoxin |
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Nocardia asteroids
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sulfonamides (TMP-SMX/ Bactrim) or amikacin,
+ beta-lactam |
