Intraabdominal Infections

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  1. Common Organisms in Appendicitis: Gram Positive
    • • Streptococcus sp
    • • Enterococcus sp
    • • Staphylococcus sp
  2. Common Organisms in Appendicitis: Gram Negative
    • • Escherichia coli
    • • Klebsiella sp
    • • Enterobacter sp
    • • Proteus sp
    • • Pseudomonas sp
    • • Acinetobacter sp
    • • Citrobacter sp
  3. Common Organisms in Appendicitis: Anaerobes
    • • Bacteroides sp
    • • Peptostreptococcus sp
    • • Fusobacteria
    • • Clostridium sp
    • • Prevotella sp
  4. Prophylaxis Tx Prior to Appendectomy
    Cefazolin
  5. Empiric Tx (Single Agents in Pediatrics)
    • • Carbapenems
    • → Imipenem
    • → Meropenem
    • → Ertapenem
    • • Carboxypenicillins
    • → Ticarcillin / clavulanate
    • • Ureidopenicillins
    • → Piperacillin / tazobactam
  6. Empiric Tx (Combination Agents in Pediatrics I)
    • • 3rd or 4th generation cephalosporins
    • → Ceftriaxone
    • → Cefotaxime
    • → Ceftazidime
    • → Cefepime
    • • PLUS
    • → Metronidazole
  7. Empiric Tx (Combination Agents in Pediatrics II)
    • • Aminoglycoside
    • → Gentamicin
    • → Tobramycin
    • • PLUS
    • → Metronidazole
    • • OR
    • → Clindamycin
    • • MAY include ampicillin/sulbactam
  8. Empiric Tx (Single Agents in Mild-moderate in Adults)
    • • Cephamycin
    • → Cefoxitin
    • • Carbapenem
    • → Ertapenem
    • • Carboxypenicillins
    • → Ticarcillin / clavulanate
    • • Fluoroquinolone
    • → Moxifloxacin
    • • Glycylcycline
    • → Tigecycline
  9. Empiric Tx (Combination Agents in Mild-moderate in Adults)
    • • 1st /2nd /3rd generation cephalosporin
    • → Cefazolin
    • → Cefuroxime
    • → Ceftriaxone
    • → Cefotaxime
    • • OR Fluoroquinolone
    • → Ciprofloxacin
    • → Levofloxacin
    • • PLUS
    • → Metronidazole
  10. Empiric Tx (Single Agents in High Risk & Severity in Adults)
    • • Carbapenem
    • → Imipenem
    • → Meropenem
    • → Doripenem
    • • OR Ureidopenicillin
    • → Piperacillin/tazobactam
  11. Polymicrobial Infection Tx
  12. Anaerobic Infection Tx
  13. Pseudomonal Infection Tx
    • • Carbapenem
    • • Piperacillin / tazobactam
    • • Ceftazidime / metronidazole
    • • Cefepime / metronidazole
  14. P. aeruginosa Resistant to Ceftazidime Tx
    • • Carbapenem
    • • Piperacillin / tazobactam
    • • Aminoglycoside
  15. Enterococcal Infection Tx
    • • Ampicillin / sulbactam
    • • Vancomycin
  16. VRE Tx
    • • Quinupristin-dalfopristin
    • • Linezolid
    • • Daptomycin
    • • Tigecycline

Card Set Information

Author:
ebmalonzo
ID:
316253
Filename:
Intraabdominal Infections
Updated:
2016-02-21 18:36:13
Tags:
Intraabdominal
Folders:
ID 1
Description:
ID 1 (Final): Intraabdominal Infections
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