Term
| PREFERRED Treatment of Pyelonephritis |
|
Definition
Ciprofloxacin 500mg BID or 1,000mg ER QD x 7 days
Levofoxacin 750mg QD x 5 days +/- One time dose of IV
> 10% resistance you should give FQs and One time dose of NON-FQ . Give CefTRIAXone or Aminoglycosides |
|
|
Term
| ALTERNATIVE treatment for Pyelonephritis |
|
Definition
| Bactrim DS x 7 days with a Ceftriaxone 1g IV single dose or Aminoglycosides |
|
|
Term
| PREFERRED treatment of SEVERE Hospitalization Pyelonephritis AND Healthcare associated pyelonephritis |
|
Definition
FQS - CIpro or Levofloxacin
3rd Generation Cephalosporins EXCEPT for HA-Pyelonephritis
Anti-Pseudomonal Beta-lactam
Pipeacillin/Tazobactam, Ticarcillin/Clavulanate, Ceftazidine, Cefepime
Aztreonam,
Imipenem,Meropenem,Doripenem
+/- Aminoglycosides |
|
|
Term
| PRIMARY Treatment for Pregnant women with UTI |
|
Definition
|
|
Term
| ALTERNATIVE treatment for Pregnant women with UTI |
|
Definition
| Nitrofurantoins and Aminoglycosides |
|
|
Term
| PREFERRED treatment for Prostatitis in males |
|
Definition
|
|
Term
|
Definition
Anti-Staph BL (Nafcllin, Dicloxacillin Etc.)
BL/BLi Combo
Cephalosporins
Carbapenems (Last Choice) |
|
|
Term
| MRSA Treatment Community Acquired |
|
Definition
Clindamycin
Bactrim
Tetracyclines - Doxycycline and Minocycline |
|
|
Term
|
Definition
Vancomycin
Linezolid
Daptomycin |
|
|
Term
|
Definition
Penicillin (MOST Reliable)
Clindamycin (99.5%)
Macrolides if Resistance is <10% |
|
|
Term
| Treat Staph and Strept infection |
|
Definition
Clindamycin - Covers both
Bactrim (MRSA) + Beta-Lactam (Strep)
Doxycycline/ Minocycline (MRSA) + Beta-Lactam (Strep)
Vancomycin/ Daptomycin/ Linezolid BOTH |
|
|
Term
| Topical Antimicrobial therapies for Gram + |
|
Definition
| Mupirocin, Clindamycin, Erythromycin, CHorhexidine, Benzoyl Peroxide |
|
|
Term
| Empiric Therapy for a Abscess (Aureus) |
|
Definition
Bactrim
Doxycyline/Minocycline
Clindamycin |
|
|
Term
| Empiric Therapy for Nosocomial Abscess |
|
Definition
Vancomycin
Linezolid
Daptomycin |
|
|
Term
| NON-purulent Cellulitis and Erysipelas PREFERRED |
|
Definition
Nafcillin, Oxacillin, Dicloxacillin, Augmentin
Cefazolin, Cephalaexin |
|
|
Term
| NON-purulent Cellulitis and Erysipelas ALTERNATIVE |
|
Definition
Clindamycin
Bactrim + Beta-lactam
Doxycycline/Minocycline + BL |
|
|
Term
| PURULENT Cellulitis and Erysipelas PREFERRED (Severe infection) |
|
Definition
Clindamycin
Bactrim
Doxycycline |
|
|
Term
| PURULENT Cellulitis and Erysipelas NOSOCOMIAL |
|
Definition
Vancoycin
Linezolid
Daptomycin |
|
|
Term
| Clostridial Myonecrosis (Gas Gangrene) |
|
Definition
|
|
Term
|
Definition
Piperacilin/Tazobactam (Gram Neg/Pseudomonas Coverage) - Gentamicin (Pseudomonas) - Vancomycin (MRSA), Clindaycin (Anaerobic:Gram+/MRSA) Coverage
SIMPLIFIED : Piperacillin/Tazobactam + Gentamicin + Vancomyin + Clindamycin.
Lots of antibiotics because infection can be caused from GI tract so you have polymicrobial infections normally. Also I want to save my balls so I use 4 antibiotics |
|
|
Term
| Animal Bite AND Humant Bite PREFERRED ORAL |
|
Definition
| Augmentin (Amoxicillin/Clav) |
|
|
Term
| Animal Bite AND Human Bite PREFERRED PARENTERAL |
|
Definition
|
|
Term
| Operation, Fever within 48 hours and erythematous changes |
|
Definition
| NO Treatment, Not likely to be an infection, not enough time to produce bacteria colonies in body |
|
|
Term
| Operation, Temperature >38.5 w/ Pulse rate >100. Clean wound, trunk, neck extremity |
|
Definition
| Start Cefazolin OR Oxacillin OR Clindamycin |
|
|
Term
| Operation, Temperature > 38.5 w/ HR > 100, Wound of perineum or operation on GI tract or female genital tract. |
|
Definition
Cefotetan, FQ, Ampicillin/Sulbactam + Clindamycin
Treating Gram + infection on GI operation because you don't want Gram+ in the normal GI flora. |
|
|
Term
| Agents to use in a CLEAN procedure prophylaxis |
|
Definition
Cefazolin ONE dose prior to surgery PREFERRED
Vancomyin for BL and Allergic patients (If you can't use Cefazolin) |
|
|
Term
| Agents to use in a GI or GU prophylaxis procedure |
|
Definition
Cefotetan, Cefoxitin (only 2nd gens that will cover anaerobes) PREFERRED
Ampicillin/Sulbactam
Ertapenem
BL allergy use Flagyl/Clindamycin + FQS/Aminoglycosides/Aztreonam |
|
|
Term
| Treatment for Nosocomial Diarrhea |
|
Definition
Flagyl 250-500mg QID x 7-10 days
Vancomycin 125-500mg QID x 7-10 days |
|
|
Term
| Bacteria that cause Blood/Mucus stools |
|
Definition
|
|
Term
| Bacteria that Cause Blood in stools |
|
Definition
Campylobacter jejuni
Enterohemorrhagic Coli (SEVERE Bloody diarrhea)
Yersinia Enterocolitica |
|
|
Term
| Bacteria/Viruses that Cause NO Blood/Mucus in stools |
|
Definition
|
|
Term
|
Definition
Septra x 3 days
FQs x 3 Days
Ceftriaxone
Azithromycin |
|
|
Term
|
Definition
Septra 5-7 Days
FQs 5-7 Days |
|
|
Term
|
Definition
| Cipro OR CefTRIAXone for 10-14 days |
|
|
Term
|
Definition
Cipro 500mg BID x 5 days
Erythromycin 500mg BID x 5 days |
|
|
Term
|
Definition
Septra x 3 days
Fluoroquinolones x 3 days |
|
|
Term
| Yersinia (SEVERE Infection Only) |
|
Definition
Septra
FQ
Doxycycline
Aminoglycoside |
|
|
Term
| Clostridium Perfringens treatment |
|
Definition
|
|
Term
| Clostridium Botulinum Treatment |
|
Definition
| Report to state health department, Use Antitoxin Botulinum |
|
|
Term
| Prophylaxis of Peritonitis |
|
Definition
| Cefazolin - Prophylaxis, so your trying to keep Gram + bacteria from getting into the GI tract while you take out the appendix? |
|
|
Term
| Treatments choices for Peritonitis |
|
Definition
Ampicillin/Sulbactam
Carboxypenicillins (Anti-Staph) - Ticarcillin/Clavulanate
Carbapenems - Imipenem, Meropenem
Cephalosporins II, III, IV + Flagyl
FQs + Flagyl
Aminoglycoside + Flagyl/Clindamycin |
|
|
Term
|
Definition
Quinupristin-Dalfopristin
Daptomycin
Linezolid
Tigecycline |
|
|
Term
| EMPIRIC therapy of Bacterial Meningitis for Infants < 1 month |
|
Definition
|
|
Term
| EMPIRIC therapy of Bacterial Meningitis for Infants < 2 y/o |
|
Definition
|
|
Term
| EMPIRIC therapy of Bacterial Meningitis for Adults |
|
Definition
| CefTRIAXone/Cefotaxime + Vancomycin |
|
|
Term
| EMPIRIC therapy of Bacterial Meningitis Adults > 50y/o, Immunocompromised or alcoholics |
|
Definition
| Ceftriaxone + Ampicillin + Vancomycin (3 Antibiotics, helps make up for immune deficiency) |
|
|
Term
| Drugs of Choice for N. Meningitidis |
|
Definition
Penicillin Sensitive:
Penicillin 4 mu Q4H
Ampicillin 2gm Q4H
Intermediate/Resistant:
CefTRIAXone 2gm Q12
Cefotaxime 2gm Q6H
All treatment x 7 days |
|
|
Term
| Alternative drugs for N.Meningitidis |
|
Definition
Penicillin Sensitive:
CefTRIAXone 2gmQ12H
Cefotaxime 2gm Q12H
Chloramphenicol 1-1.5gm Q6H
Intermediate Resistance/Resistant
Chloramphenicol 1-1.5gm Q6H
Moxifloxacin 400mg Q24H
Chloramphenicol 1-1.5gm
All treatment x 7 days |
|
|
Term
| Drugs of Choice for S. Pneumoniae Bacterial Meningitidis |
|
Definition
Sensitive Strain: Penicillin
Intermediate Strains: Ceftriaxone 2gm Q12H, Cefotaxime 2gm Q6H
Penicillin Resistant Strain: Ceftriaxone 2gm, Vancomycin 30-60mg/kg/day x Q8H
All treatment x 10-14 days |
|
|
Term
| Alternative drugs for S.Pneumoniae Bacterial meningitidis |
|
Definition
Sensitive Strain
Ceftriaxone 2gm Q12H
Cefotaxime 2gm Q6H
Chloramphenicol 1-1.5gm Q6H
Intermediate:
Meropenem 2gm Q8H
Cefepime 2gm Q8H
Penicillin Resistant Strain
Cefotaxime/Ceftriaxone + Moxifloxacin
All treatment x 10-14 days |
|
|
Term
| Drug of Choice for L. Monocytogenes Bacterial Meningitidis |
|
Definition
Ampicillin 2gm Q4H +/- Gentamicin
Treatment is x 3 weeks |
|
|
Term
| Alternative drugs for L. Monocytogenes Bacterial Meningitids |
|
Definition
Meropenem 2gm Q8H
Bactrim 5mg/kg Q6-12H
Treatments are x 10-14 days |
|
|
Term
| Drugs of choice for S.Agalactiae (GBS) Bacterial Meningitis |
|
Definition
Ampicillin 2gm Q4H +/- Gentamicin (Same as Monocytogenes)
All treatments are 14-21 days (2-3 weeks) |
|
|
Term
| Alternative Drugs for S. Agalactiae (GBS)Bacterial Meningitis |
|
Definition
Ceftriaxone 2gm Q12H
Cefotaxime 2gm Q6H
Chloramphenicol 1-1.5gm Q6H
(Same as Alternative for S. Pneumoniae)
Treatment is 14-21 days (2-3 weeks) |
|
|
Term
| Drugs of Choice H. Influenzae Beta Lactamase NEGATIVE Bacterial Meningitis |
|
Definition
Ampicillin 2gm Q4H
Treatment is x 7 days |
|
|
Term
| Alternative treatment for H. Influenzae Beta Lactamase NEGATIVE Bacterial Meningitis |
|
Definition
Ceftriaxone 2gm Q12H
Cefotaxime 2gm Q6H
Chloramphenicol 1-1.5 gm Q6H
Meropenem 2gm Q8H
Cefepime 2 gm Q8H
All treatment is x 7 days |
|
|
Term
| Drugs of choice for H. Influenzae Beta Lactamase POSITIVE Bacterial Meningitis |
|
Definition
Ceftriaxone 2gm Q12 H
Cefotaxime 2gm Q6H
Treatment is x 7 Days |
|
|
Term
| Alternative Drugs for H. Influenzae Beta Lactamase POSITIVE Bacterial Meningitis |
|
Definition
Chloramphenicol 1-1.5gm Q6H
Meropenem 2gm Q8H
Cefepime 2gm Q8H
Treatment is x 7 days |
|
|
Term
| Drugs of Choice for MSSA Bacterial Meningitis |
|
Definition
Nafcillin 2gm Q4H
Oxacillin 2gm Q4H
(Anti-Staph Penicillins)
Treatment is 14-21 days (2-3 Weeks) |
|
|
Term
| Alternative drugs for MSSA Bacterial Meningitis |
|
Definition
Vancomycin
Meropenem 2gm Q8H
Linezolid 600mg Q12H
Treatment is 14-21 days |
|
|
Term
| Drugs of Choice for MRSA Bacterial Meningitis |
|
Definition
Vancomycin
Oxacillin 2gm Q4H
Treatment is 14-21 days |
|
|
Term
| Alternative drugs for MRSA Bacterial Meningitis |
|
Definition
Linezolid 600mg Q12H
Bactrim 5mg/kg Q6-12H
Treatment is 14-21 Days |
|
|
Term
| Drugs of Choice S.epidermidis Bacterial Meningitis |
|
Definition
Vancomycin
Treatment is 14-21 days |
|
|
Term
| Alternative Drugs of Choice S. epidermidis bacterial meningitis |
|
Definition
Linezolid
Treatment is 14-21 days |
|
|
Term
| Drug of Choice Enterobacteriaceae Bacterial Meningitis |
|
Definition
Ceftriaxone 2gm Q12H
Cefotaxime 2gm Q6H
Treatment is 14-21 days |
|
|
Term
| Alternative drugs of choice Enterobacteriaceae Bacterial meningitis |
|
Definition
Meropenem 2gm Q8H
Cefepime 2gm Q8H
Moxifloxacin 400mg Q24H
Ciprofloxacin 400mg Q8-12H
Treatment is 14-21 Days |
|
|
Term
| Drugs of Choice Pseudomonas Aeruginosa Bacterial Meningitis |
|
Definition
Ceftazidime/Cefepime +/- Tobramycin
Treatment is 14-21 days |
|
|
Term
| Alternative drugs of choice Pseudomonas Aeruginosa Bacterial Meningitis |
|
Definition
Meropenem 2gm Q8H
Cefepime 2gm Q8H
Moxifloxacin 400mg Q24H
Ciprofloxacin Q8-12H
Treatment is 14-21 days |
|
|
Term
| PREFERRED Treatment of Osteomyelitis Contiguous |
|
Definition
|
|
Term
| ALTERNATIVE Treatment of Osetomyelitis Contiguous |
|
Definition
Linezolid +/- Rifampin(Great bone penetration)
Daptomycin +/- Rifampin (Great bone penetration) |
|
|
