Emp Abx tx

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Author:
belgarion2210
ID:
94274
Filename:
Emp Abx tx
Updated:
2011-07-17 16:18:05
Tags:
empiric abx tx specific infections
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Description:
empiric abx tx of specific infections
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  1. Abd infxn
    • GNR, anaerobes
    • 3rd gen ceph + metronidazole
  2. Aspiration Pneumonia
    • Mouth and throat anaerobes
    • 3rd gen ceph + metronidazole OR clindamycin
  3. Bites
    • GNR and anaerobes
    • Augmentin
  4. Brain abscess
    • GPC, GNR, anaerobes
    • 3rd gen ceph + Metronidazole +/- vancomycin
  5. Bronchitis
    7
    s. pneumo, H.flu, M.catarrhalis, Mycoplasma, Chlamydophila pneumo, Chlamydia psittaci, legionella

    erd gen ceph + macrolide OR fluoroquinolone
  6. Cellulitis
    S. aureus, Group A strep

    vancomycin
  7. Cholangitis
    GNR, anaerobes

    3rd gen ceph + metronidazole
  8. Dental infxn
    mouth anaerobes

    clindamycin
  9. Diabetic foot
    GNR, anaerobes +/- S. aureus

    (3rd gen ceph + metronidazole OR ampicillin sulbactam ) +/- vancomycin
  10. Endocarditis
    S. aureus, viridan strep, HACEK, coag neg staph

    3rd gen ceph + vancomycin
  11. HACEK organisms
    Slow growing gram negative bacilli that cause endocarditis

    • Haemophilus species (Haemophilus parainfluenzae,
    • Haemophilus aphrophilus, Haemophilus paraphrophilus),
    • Actinobacillus actinomycetemcomitans
    • Cardiobacterium hominis
    • Eikenella corrodens
    • Kingella
  12. Epididymitis and prostatitis
    <35 and >35
    • <35 - N. gonorrhea -- 3rd gen ceph
    • >35 - GNR -- 3rd gen ceph OR fluoroquinolone

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