CNS infections

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Author:
Anonymous
ID:
201043
Filename:
CNS infections
Updated:
2013-02-16 20:26:21
Tags:
CNS ID
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Description:
CNS infections
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  1. Empiric
    Neonates
    • Amp +
    • cefotaxime
  2. Empiric
    1mo-60yo
    • ceftriaxone or cefotaxime +
    • vanc
  3. Empiric
    > 60yo
    • ceftriaxone or cefotaxime +
    • vanc +
    • Amp
  4. Empiric
    Neurosurgery
    • Vanc +
    • ceftazidime, cefepime or meropenem
  5. Empiric
    Open head trauma
    • cetriaxone or cefotaxime +
    • vanc
  6. Empiric
    Immunocompromised
    • Vanc +
    • Amp +
    • cefepime or meropenem
  7. PSSP
    MIC < 0.06
    • Pen G
    • amp
    • ceftriaxone, cefotaxime
    • chloramphenicol
  8. PISP
    MIC 0.12-0.1
    • ceftriaxone, cefotaxime
    • cefepime
    • meropenem
    • linezolid
    • moxifloxacin
  9. PRSP
    MIC >2
    • Vanc + ceftriaxone
    • vanc + cefotaxime
    • ceftriaxone or cefotaxime + moxie
    • meropenem
    • linezolid
  10. Group B strep
    • Amp +/- gent
    • PCN +/- gent
    • ceftriaxone, cefotaxime
    • chloramphenicol
  11. MSSA
    • Nafcillin
    • oxacillin
    • vanc
    • meropenem
    • linezolid
  12. MRSA
    • vanc
    • bactrim
    • linezolid
  13. Listeria
    • Amp +/- gent
    • PCN +/- gent
    • bactrim
    • vanc + gent
  14. Neisseria Meningitidis
    pen susceptible
    • Pen G
    • Ampicillin
    • ceftriaxone, cefotaxime
    • chloramphenicol
  15. Neisseria meningiditis
    pen resistant
    • Ceftriaxone
    • cefotaxime
    • chloramphenicol
    • meropenem
    • FQ
  16. H. flu
    b-lactamase negative
    • amp
    • ceftriaxone, cefotaxime
    • chloramphenicol
  17. H. Flu
    B-lactamase positive
    • ceftriaxone, cefotaxime
    • cefepime
    • FQ
    • chloramphenicol
  18. Enterobacteriaceae
    • ceftriaxone (can select for stably depressed)
    • cefotaxime
    • cefepime
    • FQ
    • meropenem
    • aztreonam
  19. p. aeruginosa
    • cefepime + tobra
    • Ceftazidime + tobra
    • mero + tobra
    • pip/tazo ¬†tobra
    • colistin
  20. prophylaxis
    neisseria meningitidis
    • rifampin
    • cipro
    • ceftriaxone
  21. Prophylaxis 
    H.flu
    • Rifampin
    • Minocycline
  22. Cryptococcal
    HIV -
    • ampho B + flucytosine then fluconazole
    • Ampho B + flucytosine
    • ampho B
    • liposomal ampho B
  23. Cryptococcal
    HIV +
    • Ampho B +/- flucytosine then fluconazole
    • fluconazole
    • fluconazole + flucytosine
  24. Herpes simplex
    Acyclovir
  25. Varicella zoster
    acyclovir
  26. CMV
    Ganciclovir + foscarnet
  27. EBV
    supportive
  28. Brain Abcess d/t otitis media
    • ceftriaxone or cefotaxime +
    • metro
  29. Brain Abcess d/t sinusitis
    • ceftriaxone or cefotax +
    • metro
  30. Brain Abcess d/t dental infection
    pcn +metro
  31. Brain Abcess d/t penetrating trauma or postneurosurgical
    vanc + ceftriaxone or ceftaxime
  32. Brain Abcess d/t penetrating trauma or postneurosurgical
    w/ risk of psudomonas
    vanc + cefepime of ceftazidime

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