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42 Cards in this Set
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Enterococcus faecalis
Serious Infection (endocarditis, meningitis, pylenonephritis with bacteremia) |
DOC: Ampicillin (or penicillin G) + (gentamicin or streptomycin)
ALT:Vancomycin + (gentamicin or streptomycin) Linezolid, Daptomycin, Tigecycline |
(GRAM POSITIVE COCCI)
|
|
E. Faecium
Recommend consultation with infectious disease specialist |
DOC:Linezolid, Synercid, Daptomycin, Tigecycline
***more resistant than E. Faecalis |
GRAM POSITIVE COCCI)
|
|
Staphylococcus aureus/epidermis
Methicillin (oxacillin)-sensitive |
DOC: Penicillinase-Resistant
ALT: FGC, Bactrim, clindamycin, Unasyn, amox-clav |
(GRAM POSITIVE COCCI)
|
|
Streptococcus (groups A, B, C, G and Bovis)
|
DOC:Penicillin G or V or ampicillin
ALT:Erythromycin, FGC, (erythro/azithro/clarithromycin) |
(GRAM POSITIVE COCCI)
|
|
Streptococcus Pneumoniae
Penicillin-sensitive (MIC < 0.1mcg/mL) |
DOC: Penicillin G or V or ampicillin
ALT: Erythromycin, FGC, doxcycline, azithromycin, clarithromycin |
(GRAM POSITIVE COCCI)
|
|
Streptococcus, viridians group
|
DOC: Penicillin G ± gentamicin
ALT: TGC, (erythro/azithro/clarithromycin), or vancomycin ± gentamicin |
(GRAM POSITIVE COCCI)
|
|
Streptococcus Pneumoniae
Penicillin-intermediate (MIC <0.1-1.0 mcg/mL) *recommend consultation |
DOC: High dose penicillin
(12 million units/day for adults) or Ceftriaxone or cefotaxime ALT: TGFQ—Levo/Moxi/Gemifloxacin telithromycin, or vancomycin |
(GRAM POSITIVE COCCI)
|
|
Streptococcus Pneumoniae
Penicillin-resistant (MIC >1.0 mcg/mL) |
DOC: Vancomycin ± Rifampin
ALT: TGC, telithromycin, (Levo/Moxi/Gemifloxacin)—TGFQ |
(GRAM POSITIVE COCCI)
|
|
Enterococcus faecalis
UTI |
DOC:Ampicillin, amoxicillin
ALT:Fosfomycin or nitrofurantoin |
(GRAM POSITIVE COCCI)
|
|
Staphylococcus aureus/epidermis
Methicillin (oxacillin)-resistant |
DOC:Vancomycin ±
(gentamcin or Rifampin) ALT:Bactrim, doxycycline, clindamycin, linezolid, Synercid, daptomycin or tigecycline |
(GRAM POSITIVE COCCI)
|
|
Clostridium perfringens
|
DOC: Penicillin G ± clindamycin
ALT: Metronidazole, clindamycin, doxcycline, cefazolin, (imi/mero/ertapenem) |
(GRAM POSITIVE BACILLI)
|
|
Clostridium Difficile
|
DOC: Oral metronidazole,
oral vancomycin |
(GRAM POSITIVE BACILLI)
|
|
Moraxella (Branhamella) catarrhalis
|
DOC: Amox-clav, Unasyn
ALT: Bactrim, doxycycline (erythr/clarithromycin), SGC, TGC, or TGC PO |
(GRAM NEGATIVE COCCI)
|
|
Neisseria gonorrhoae
Disseminated gonococcal infection (give concomitant treatment for Chlamydia trachomatis) |
DOC: Ceftriaxone or cefotaxime
ALT: Oral followup: Cefodoxime, Cipro/levofloxacin |
(GRAM NEGATIVE COCCI)
|
|
Neisseria Meningitides
|
DOC: Penicillin G
ALT: TGC |
(GRAM NEGATIVE COCCI)
|
|
Neisseria gonorrhoae
Uncomplicated Infection |
DOC: Ceftriaxone or cefotaxime or cefpodoxime
ALT: (Cipro/Levofloxacin) |
(GRAM NEGATIVE COCCI)
|
|
Chlamydia pneumonia
|
DOC: Doxycycline
ALT: (Erythro/Azithro/Clarithromycin) Telithromycin or FQ |
(MISCELLANEOUS MICROORGANISMS)
|
|
C. Trachomatis
|
DOC: Doxcycline or azithromycin
ALT: Levo/ Ofloxacin |
(MISCELLANEOUS MICROORGANISMS)
|
|
Mycoplasma pneumonia
|
DOC: Erythr/azithro/clarithromycin
ALT: Doxycycline or FQ |
(MISCELLANEOUS MICROORGANISMS)
|
|
Treponema Pallidum
Neurosyphilis |
DOC: Penicillin G
ALT: Ceftriaxone |
(SPIROCHETES)
|
|
Treponema Pallidum
Primary or secondary |
DOC: Benzathine penicillin G
ALT: Doxycycline or ceftriaxone |
(SPIROCHETES)
|
|
Borrelia burgdorferi
Choice depends on stage of disease |
DOC:(Ceftriaxone/Cefotaxime) or cefuroxime axetil,
doxycycline, amoxicillin, high-dose penicillin, or azithromycin |
(SPIROCHETES)
|
|
Acinetobacter spp
|
DOC:Imi/Meropenem ± AG (amikacin)
ALT:Ciprofloxacin, Unasyn, colistin, or tigecycline |
(GRAM NEGATIVE BACILLI)
|
|
Bacteroides fragilis
(and others) |
DOC:Metronidazole
ALT:BLIC, clindamycin, cephamycins, or cabapenem |
(GRAM NEGATIVE BACILLI)
|
|
Enterobacter spp
|
DOC:(Imi/Mero/Ertapenem) or cefepime ± AG
ALT:(Cipro/Levofloxacin) tigercycline, (Zosyn, ticarcillin-clav) |
(GRAM NEGATIVE BACILLI)
|
|
Escherichia coli
Meningitis |
DOC:TGC or meropenem
|
(GRAM NEGATIVE BACILLI)
|
|
Escherichia coli
Systemic Infection |
DOC: TGC
ALT: Ampicillin-sulbactam, FGC, BL/BLI, FQ, imipenem, meropenem |
(GRAM NEGATIVE BACILLI)
|
|
Escherichia coli
UTI (most oral agents: check sensitivities) |
DOC: Ampicillin, amox-clav, doxycyline, or cephalexin
ALT: AG, FGC, nitrofurantoin, FQ |
(GRAM NEGATIVE BACILLI)
|
|
Gardnerella vaginalis
|
DOC: Metronidazole
ALT: Clindamycin |
(GRAM NEGATIVE BACILLI)
|
|
Haemophilus influenzae
Meningitis |
DOC: Cefotaxime or ceftriaxone
ALT: Meropenem or chloramphenicol |
(GRAM NEGATIVE BACILLI)
|
|
Haemophilus influenzae
Other infections |
DOC: BLIC, (if B-lactamase-negative) Ampicillin or amoxicillin
ALT:Bactrim, cefuroxime, (Azithro/Clarithromycin) or FQ |
(GRAM NEGATIVE BACILLI)
|
|
Klebsiella pneumonia
|
DOC: TGC (UTI only—AG)
ALT: Cefuroxime, FQ, BLIC, (Imi/Mero/Ertapenem) |
(GRAM NEGATIVE BACILLI)
|
|
Legionella spp
|
DOC: Erythromycin ± Rifampin or FQ
ALT: Bactrim, clarithromycin, azithromycin, or doxycycline |
(GRAM NEGATIVE BACILLI)
|
|
Pasteurella multocida
|
DOC: Penicillin G, ampicillin, amoxicillin
ALT: Doxycycline, BLIC, Bactrim or ceftriaxone |
(GRAM NEGATIVE BACILLI)
|
|
Proteus Mirabilis
|
DOC: Ampicillin
ALT: Bactrim, most antibiotics except PRP |
(GRAM NEGATIVE BACILLI)
|
|
Proteus (indole-positive) (including Providencia retgeri, Morganella morganii, and Proteus vulgaris)
|
DOC: TGC, or FQ
ALT: BLIC, aztreonam, imipenem, or TGC PO |
(GRAM NEGATIVE BACILLI)
|
|
Providencia stuartii
|
DOC: TGC or FQ
ALT: Bactrim, aztreonam, (Imi/Mero/Ertapenem) |
(GRAM NEGATIVE BACILLI)
|
|
Pseudomonas aeruginosa
|
DOC: Cefepime, ceftaxidime, Zosyn, or
ticarcillin-clav + AG ALT: (Cipro, levofloxacin), aztreonam, (Imi/Meropenem) or colistin |
(GRAM NEGATIVE BACILLI)
|
|
Salmonella typhi
|
DOC: (Cipro/Levofloxacin) (Ceftriaxone, or cefotaxime)
ALT: Bactrim |
(GRAM NEGATIVE BACILLI)
|
|
Serratia marcescens
|
DOC: Piperacillin-tazobactam, ticarcillin-clav, or TGC ± gentamicin
ALT: Bactrim, cipro, levo, aztreonam, (Imi/mero/ertapenem) |
(GRAM NEGATIVE BACILLI)
|
|
Stenotrophomonas (Xanthomonas) maltophilia
Generally very resistant to all antimicrobials |
DOC: Bactrim
ALT: check sensitivities to ceftazidime, ticarcillin-clav, doxycycline and minocycline |
(GRAM NEGATIVE BACILLI)
|
|
Pseudomonas aeruginosa
UTI only |
DOC: AG
ALT: Ciprofloxacin, Levofloxacin |
(GRAM NEGATIVE BACILLI)
|