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20 Cards in this Set
- Front
- Back
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Pseudomonas aeruginosa (GNR)
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cefepime
ceftazidime* zosyn (pip/taz)* Timentin (tic/clav)* Aztreonam* Carbapenems(imi-, meropenem) Quinolones (cipro) Aminoglycosides(amikacin,tobra polymixin b (Colistin) * induce space bugs |
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SPACE / SPICE bugs (GNR)
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Serratia
Pseudomonas aeruginosa Acinetobacter (Indole+ Proteus Citrobacter Enterobacter |
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SPACE / SPICE bugs treatment
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Inducible beta lactamase on monotherapy with ceftaz, astreonam, Zosyn, Timentin.
Carbapenem +- (quinolone or aminoglycoside) TMP/SFZ for Enterobacter Cefepime (not 2nd line) |
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Extended Spectrum beta lactamase producing (ESBL)
gram negative rods |
E.Coli
Klebsiella |
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Extended Spectrum beta lactamase producing (ESBL)
gram negative rods treatment |
Carbapenem +- (quinolone or aminoglycoside)
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Stenotrophomonas maltophilia (GNR)
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breakthru (resistant) to carbapenem coverage of SPACE bugs
TMP/SMZ +- (timentin, quinolone, aminoglycoside) |
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Zosyn vs Cefepime
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Zosyn
+ anaerobic coverage prevents VRE promotes SPACE bugs Cefepime - anaerobic coverage promotes VRE doesn't induce SPACE bugs |
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Anaerobes (above the diaphram)
treatment covers anaerobic staph and strep |
Clindamycin
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Anaerobes (below the diaphram)
treatment covers Bacteroides but not anaerobic staph and strep |
metronidazole
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Other anaerobic treatments
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beta lacta / beta lactamaze inhibitor combos(Amp/sulbactam
Pip/tazobactam, Tic/clav) carbapenems moxifloxacin |
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Methicillin sensitive staph areus (MSSA)
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oxacillin, naficillin
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Group A streptococcus (GAS)
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PCN
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Covers both staph aureas and group A streptococcus
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Unasyn
Ancef Vancomycin Levaquin agents above +- Gent or Rifampin for synergy |
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Enterococcus
E. faecalis 90% E. faecium 10% |
Ampicillin/Gentamycin
Vancomycin/gentamycin |
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Penicillin resistant pneumococcus (PRP)
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ceftriaxone + macrolide (azithromycin)
Quinolone (moxi, gati, levo, not cipro) |
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MRSA (GPC)
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organ/blood Vancomycin (IV only)
superficial Doxycycline (PO) TMP/SMZ (PO) Zyvox (PO) $$$ |
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VRE treatment
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Zyvox PO/IV
Synercid IV (not E.fecalis) Daptomycin IV |
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VRE bugs (GPC)
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E. Faecium 90%
E. faecalis 10% <1 % E. gallinarium, E. cassiflavus, E. avium |
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Gram postive Rods treated by vancomycin
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Corynebacterium JK and non JK
JK pull all lines Bacillus spp. |
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Gram positive Rods treated by PCN
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Listeria
Lactobacillus Propionobacter Erysipeothrix Clostridium |
