Shared Flashcard Set

Details

Infectious Diseases
ID Guidelines & Meds/Doses/Etc.
26
Health Care
Graduate
05/01/2008

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Cards

Term
CAP Guidelines
Definition
IDSA/ATS Guidelines for CAP in Adults, 2007
Term
CAP outpatient treatment
Definition
Macrolide: Moxifloxacin 400mg qd x7-14d
Term
CAP outpatient w/ comorbidities treatment
Definition
Beta-lactam + Macrolide
Amox/clav 2g BID + Clarithromycin 250mg q 12 OR 1000mg ER QD

OR Fluoroquinolone - Levofloxacin 750mg x7-10d
Term
CAP inpatient (non-ICU)
Definition
beta-lactam s/a cephalosporin + macrolide
Ceftriaxone 1-2g QD-bid + Clarithromycin 250mg q 12 OR 1000mg ER QD

OR fluoroquinolone alone
levofloxacin 750mg x5d
Term
CAP inpatient (ICU)
Definition
beta-lactam (3rd gen ceph or beta-lactam w/ beta-lactamase inhibitor) + macrolide OR + fluoroquinolone
Ceftriaxone 1-2g QD-bid OR Unasyn (amp/sul) 1.5-3g q6h + azithromycin IV 500mg qd x7-10d OR levofloxacin 750mg x5d
Term
Name the antipseudomonal antibiotics
Definition
piperacillin/tazobactam
ticarcillin
ceftazidime
cefepime
meropenem
imipenem/cilistatin
dorapenem
aztreonam
amikacin
tobramycin
(gentamicin)
ciprofloxacin + other fq's
Term
TB guidelines
Definition
Treatment of Tuberculosis, 2003 (IDSA, ATS, CDC)
Term
TB therapy (one choice)
Definition
First 8 weeks (all QD or 5d/wk if DOT)
INH 300mg (5mg/kg/d up to 300mg)
RIF 600mg (10mg/kg/d up to 600mg)
PZA 2000mg
EMB 1600mg - drop if resistance or after 2mos

next 18 weeks:
INH 300mg
RIF 600mg
Term
Sepsis guidelines
Definition
Surviving sepsis campaign guidelines, 2008
Term
Sepsis treatment
Definition
IV antibacterial therapy for 14+ days or 4-6 weeks if endocarditis

Vancomycin 10-15 mg/kg IV q12-24h, monitor for trough 5-15mg (15-20 if severe)

Reassess in 48-72 hours; appropriate cultures for directed therapy
Term
HIV/AIDS guidelines
Definition
Guidelines for the use of antiretroviral agents in HIV-1 infected adults & adolescents, 2008
Term
NRTI 2-drug backbones
Definition
Tenofovir/emtricitabine (Truvada)
Zidovudine/lamivudine (Combivir)
Term
PI-based regimen
Definition
NRTI 2 drug backbone
+ atazanavir +l/d ritonavir
OR + fosamprenavir +l/d ritonavir BID
OR + lopinavir/ritonavir (Kaletra) BID
Term
NNRTI based regimen
Definition
NRTI 2-drug backbone
+ Efavirenz
(Atripla = tenofovir + emtricitabine + efavirenz)
Term
Name the PI drugs
Definition
those that end in "-avir"
EXCEPT abacavir
Term
Name the NRTI drugs
Definition
those that end in "-ine"
+abacavir
+tenofovir
Term
Name the NNRTI drugs
Definition
Delaviridine
Efavirenz
Nevirapine
Term
Brain abscess guidelines
Definition
Guidelines for subdural empyema & brain abscess treatment
Term
Brain abscess treatment
Definition
surgical drainage
Ceftriaxone 2g IV q12h
Cefotaxime 2 q 4-6h
Metronidazole 7.5mg/kg IV q6h for bacteroides fragelis
x4-8wks
Term
Acute Otitis Externa Guidelines
Definition
Clinical practice guidelines: acute otitis externa, 2006
Term
Bacterial AOE treatment
Definition
Ofloxacin 10 gtts to affected ear qd x7d
Ciprofloxaxin/dexamethasone 4gtts bid to affected ear x7days
Systemic ABX for malignant AOE
Term
Fungal AOE treatment
Definition
Have dr. put in ketoconazole cream or ointment then check at 1-2 days (for rxn & efficacy) and 1 week, rpt if necessary
Term
Meningitis guidelines
Definition
Practice guidelines for the management of bacterial meningitis. IDIS guidelines. 2004
Term
Meningitis empirical therapy for <1mo
Definition
Ampicillin 100-400mg/kg/d divided q6h plus cefotaxime 100-200mg/kq/d q8-12h OR ampicillin plus an aminoglycoside 2.5mg/kg q12h
Term
Meningitis empirical therapy for 1mo-50yr
Definition
Vancomycin 15mg/kq q6h for kids/500-750 q6h for adults plus a third-generation cephalosporin (ceftriaxone 2-4g/d divided q12-24h)
dexamethasone 0.15mg/kg q6h x2-4d w/ first dose of ABX
Term
Meningitis empirical treatment >50yo
Definition
Vancomycin 500-750mg q6h plus ampicillin 150-250mg/kg/d divided every 3-4h, max 6-12g/d plus a third-generation cephalosporin (ceftriaxone 2-4g divided q12-24h)
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