Dz, Org, and Antibiotics

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merazar15
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278507
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Dz, Org, and Antibiotics
Updated:
2014-07-09 13:38:37
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Dz Org Antibiotics
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Dz, Org, and Antibx's
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  1. Sepsis-
    org?
    antib?
    • staph, strep
    • imipenem or cefepime +/- gentamicin
  2. septic thrombophlebitis-
    suspected gram +?
    suspected gram -?
    • if +, give oxacillin or vanco
    • if -, give cefepime or imipenem
  3. Bacterial endocarditis-
    org?
    antib?
    • usually gram +, S. aureus
    • Vanco or penicillin + gentamicin
  4. Meningitis-
    org?
    antib?
    what could you add to reduce risk of poor neurologic outcome?
    • don't wait for cx's, tx empirically asap
    • Vanco + ceftriaxone
    • if immunocomp, add ampicillin to cover Listeria
    • Dexamethasone helps reduce risk
  5. Brain abscess-
    antib?
    oxacillin (or ceftriaxone, or vanco) + metronidazole
  6. Bacterial conjunctivitis-
    antib?
    • topical erythromycin
    • (or cipro)
  7. Blepharitis-
    antib?
    topical erythromycin
  8. Pharyngitis-
    org?
    antib?
    • usually viral or group A strep. Could be gonococcal.
    • Most are self-limiting.
    • Penicillin or amox (or azithro if pen allergic)
    • Ceftriaxone if gonococcal
  9. Dental infections-
    org?
    antib?
    • Anaerobes
    • Unasyn (ampicillin/sulbactam) (or pen G + metronidazole)
  10. Sinusitis-
    acute/chronic: org?
    acute/chronic: antib?
    • acute org: < 4 wks, S. pneumo, H. flu, M. cat
    • chronic org:>12 wks, S. aureus, corynebacterium
    • amox or augmentin (clindamycin if pen allergic)
  11. otitis externa-
    antib?
    ofloxacin otic (or ciprofloxacin otic)
  12. Malignant otitis externa-
    antib?
    IV cipro
  13. Otitis media-
    antib?
    amox or augmentin
  14. Mastoiditis-
    antib?
    ceftriaxone (or piperacillin/tazobactam)
  15. Laryngitis/ Epiglottis-
    org?
    antib?
    • strep pnuemo, H. flu, S. aureus, Group A
    • ceftriaxone + oxacillin (or vanco) need to make sure you cover for H. flu
  16. Acute bronchitis-
    antib?
    • antib not recommended
    • suspect pertussis, mycoplasma pneumo, chlamydia pneumo then give azithro. Give azithro to contacts too
  17. acute exacerbation of chronic bronchitis-
    antib?
    Augmentin, or azithro, or levofloxacin
  18. pneumonia, outpt-
    antib:
    • azithro or doxycycline (no cormobid)
    • augmentin or levofloxacin + azithro (comorbid)
  19. pneumonia, inpt-
    antib?
    ceftriaxone+ azithro or levofloxacin
  20. pneumonia, hospital acqu-
    antib?
    vanco + ciprofloxacin + cefepime
  21. pneumonia, atypical-
    antib?
    azithro
  22. lung abscess with MRSA-
    antib?
    vanco or linezolid
  23. pneumonia, aspiration-
    antib?
    clindamycin or piperacillin/tazobactam (zosyn)
  24. pneumocystis jiroveci-
    antib?
    TMP/SMX, +/- steroids
  25. peptic ulcer-
    antib?
    amoxicillin + clarithromycin + omeprazole
  26. bacterial enteritis-
    antib?
    if suspect campylobacter jejuni antib?
    • cipro
    • c. jejuni- eryrithromycin or azithromycin
  27. cholecystitis/ cholangitis-
    antib?
    • ampicillin/sulbactam (unasyn) or
    • piperacillin/tazobactam (zosyn)
  28. necrotizing pancreatitis/ pancreatic abscess-
    antib?
    imipenem or meropenem
  29. liver abscess-
    antib?
    ampicillin/sulbactam (unasyn)
  30. Peritonitis-
    antib?
    • cefotaxime + metronidazole    OR
    • cipro + metronidazole
  31. pseudomembranous colitits-
    antib?
    • metronidazole    OR
    • vanco
  32. Diverticulitis-
    antib?
    • cipro + metronidazole     OR
    • unasyn
  33. Necrotizing gingivitis (Vincent's Angina)-
    antib?
    • Augmentin    OR
    • Unasyn     OR
    • Clindamycin
  34. Appendicitis c/ perf-
    antib?
    • ampicillin/sulbactam (Unasyn)     OR
    • Imipenem
  35. Traveler's diarrhea (toxin-producing E.coli)-
    antib?
    • cipro     OR
    • azithro
  36. erythrasma-
    erythromycin
  37. erythema migrans (lyme)
    doxycycline
  38. acne vulgaris:
    tetracycline or doxy
  39. Furuncles and carbuncles-
    doxycycline
  40. impetigo
    doxycycline or clindamycin
  41. mastitis-
    • dicloxacillin     OR
    • augmentin
  42. erysipelas-
    penicillin (Keflex if pen allergic)
  43. cellulitis-
    • doxycycline    OR
    • clindamycin
  44. Necrotizing fasciitis-
    piperacillin/ tazobactam (zosyn)  + clindamycin + cipro
  45. animal bite-
    cat org?
    dog org?
    antib?
    • cat- pasturella
    • dog- capnocytophaea
    • augmentin     OR
    • doxycycline
  46. diabetic foot infection-
    • augmentin + levo or cipro + clindamycin
    • MRSA: vanco + ceftazidime
  47. foot ulcer-
    levofloxacin
  48. gas gangrene-
    penicillin G + clindamycin
  49. burn wound-
    • ceftriaxone  or unasyn
    • MRSA: vanco
    • Pseudomonas: imipenem or zosyn
  50. osteomyelitis-
    • bone cx it to be sure
    • unasyn    OR
    • vanco
    • pseudomonas: cipro + gentamicin
  51. septic arthritis-
    • vanco + zosyn 
    • cx joint fluid
  52. UTI-
    • Bactrim     OR
    • Cipro
  53. Pyelonephritis-
    • ceftriaxone    OR
    • cipro
  54. prostatitis-
    • cipro    OR
    • Bactrim
    • MRSA: vanco
  55. PID-
    ceftriaxone + doxycycline + metronidazole
  56. epididymitis-
    ceftriaxone + doxycycline
  57. BV-
    metronidazole
  58. Cervicitis-
    ceftriaxone + azithro
  59. fever of unknown origin-
    cefepime +/- gentamicin

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