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49 Cards in this Set
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CAP: non-severe
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S. pneumonia, H. influenzae, Mycoplasma or Chlamydia
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Levoquin or Zithromax/Rocephin |
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CAP: severe
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Gram negative rods PLUS S. pneumoniae, H. influenzae, mycoplasma or chlamydia
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Levoquin OR Zithromax and Zosyn OR Cefepime |
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Suspected aspiration pneumonia
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Anaerobes
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Clindamycin/Zosyn |
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Hospital Acquired Pneumonia
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Gram negatives, E. coli, Enterobacter, Pseudomonas, Klebsiella
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Pseudomonas, Gram negatives: Zosyn OR Cefepime OR Cipro +/- tobramycin MRSA: Zyvox |
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HAP: Staph aureus
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Nafcillin
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Blastomycosis
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Itraconazole (Amphotericin B for life-threatening infection)
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Histoplasmosis
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Itraconazole (Amphotericin B for meningeal infections)
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Cryptococcus
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Amphotericin B +/- 5-flucytosine
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Chronic suppression of cryptococcus in HIV patients
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Fluconazole
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Candida albicans (superficial)
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PO: Fluconazole
Topical: miconazole, nystatin, clotrimazole, ketoconazole |
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Candida esophagitis
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Fluconazole
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Candida albicans - deep seated infection
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Amphotericin B
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Cholecystitis
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Coliforms and enterococci
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Cefoxitin OR Zosyn |
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Cholangitis
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Enterics, enterococci, anaerobes
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Cefoxitin OR Zosyn |
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Diverticulitis
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Enterics, anaerobes
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Cefoxitin OR clindamycin OR zosyn or flagyl + tobramycin |
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Intra-abdominal infection
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Enterics, anaerobes, enterococci
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Zosyn OR Clindamycin OR Flagyl + Tobramycin/Ancef |
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Cystitis
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E. coli, Staph saprophyticus
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Bactrim, Cefadroxil, Nitrofurantoin, Fosfomycin, Quinolone (Cipro) |
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Pyelonephritis (community)
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E. coli, Proteus
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Bactrim OR Tobramycin OR Cipro/Levoquin |
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Pyelonephritis - nosocomial (underlying GU disease)
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Gram negatives including E. coli, Pseudomonas, Enterococcus
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Ampicillin + tobramycin OR Ancef + ampicillin |
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Prostatitis: acute
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Under 35 years old: Neisseria gonorrhoeae or Chlamydia
Over 35 years old: Enterobacteriaceae |
Under 35 years old: Ceftriaxone OR Cipro + Doxycycline Over 35 years old: Bactrim OR Cipro |
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Prostatitis: chronic
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Enterobacteriaceae, Enterococcus
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Bactrim OR Cipro |
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Cellulitis (non-diabetic)
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Streptococcus or Staphylococcus
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Nafcillin (oral dicloxacillin), Clindamycin or Cefazolin in non-anaphylactic PCN allergy Suspect MRSA - Vancomycin |
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Decubitus ulcer/diabetic ulcer
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Staphylococcus, Streptococcus, Gram negatives, anaerobes
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PO: Augmentin IV: Zosyn OR Clindamycin OR Flagyl + Tobramycin |
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Necrotizing fasciitis
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Streptococcus, Staphylococcus, Gram negative aerobes, anaerobes
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PCN + Clindamycin + Tobramycin (or Cipro) OR Zosyn OR Merapenam |
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Human/animal bites
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Pasteurella multocida, Streptococcus, Staphylococcus
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IV: Cefuroxime PO: Augmentin |
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Osteomyelitis: acute (hematogenous)
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Staph aureus (common)
Gram negatives (less common) |
S. aureus: nafcillin + rifampin OR nafcillin + tobramycin Gram negatives: ciprofloxacin or ceftriaxone |
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Diabetic foot or contiguous ulcer
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Gram negatives
Gram positives Anaerobes |
Zosyn +/- tobramycin |
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Septic arthritis: sexually active young adult
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Neisseria gonorrhoeae, gonococcus
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Ceftriaxone OR Ciprofloxacin + doxycycline |
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Septic arthritis: adult
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Staph aureus
Group A streptococcus Gram negative aerobes |
Nafcillin +/- tobramycin +/- rifampin OR ceftriaxone +/- rifampin |
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Septic arthritis: with prosthesis
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Staph epidermidis
Staph aureus Gram negatives |
Vancomycin OR ceftriaxone (+ rifampin if S. aureus) |
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Meningitis: ages 18-50 (community)
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S. pneumoniae
N. meningitis H. influenzae |
Ceftriaxone + vancomycin + ampicillin (+ dexamethasone) |
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Meningitis (immunosuppressed)
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Community acquired pathogens
Listeria monocytogenes Fungal Mycobacterial |
Ampicillin +ceftriaxone + vancomycin |
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Viral encephalitis/meningoencephalitis
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Herpes simplex
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Acyclovir |
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Acute sinusitis
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S. pneumoniae
H. influenzae M. catarrhalis |
Amoxicillin OR cefuroxime OR Augmentin |
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Chronic sinusitis
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S. pneumonia
H. influenzae M. catarrhalis + S. aureus |
Augmentin or Clindamycin |
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Hospital acquired sinusitis
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Gram negative aerobes
S. aureus Anaerobes |
Levoquin OR Azithromycin + Zosyn OR cefepime |
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Exudative pharyngitis
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Group A strep
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Penicillin *watch for mono!* |
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Vesicular/ulcerative pharyngitis
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Coxsackie or Herpes simplex virus
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Acyclovir |
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Epiglottitis
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Group A strep OR H. influenzae
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Cefuroxime OR ceftriaxone |
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Periorbital/Orbital cellulitis
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Strep species
Staph species H. influenzae Anaerobes |
Cefuroxime OR ceftriaxone (consider fungal etiology if immunosuppressed) |
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Otitis media
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S. pneumoniae
H. influenzae M. catarrhalis |
Amoxicillin OR Augmentin OR cefuroxime |
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Acute mastoiditis
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S. pneumoniae
S. pyogenes S. aureus |
Cefuroxime |
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Chronic mastoiditis
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Polymicrobial: pseudomonas, S. aureus, anaerobes
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Tobramycin + Zosyn (requires surgery) |
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Urethritis/Cervicitis/Prostatitis
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N. gonorrhoeae
Chlamydia |
Ceftriaxone OR Ciprofloxacin + doxycycline OR Zithromax |
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PID
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N. gonorrhoeae
Chlamydia Bacteroides Enteric gram negatives |
Outpatient: Ceftriaxone + doxycycline Inpatient: Cefotetan +doxycycline |
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Herpes simplex
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HSV
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Acyclovir, valcyclovir |
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Chancroid
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Haemophilus ducreyi
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Ceftriaxone OR erythromycin OR azithromycin |
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Syphillis
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Treponema pallidum
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Benzathine PCN |
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Neurosyphillis
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T. pallidum
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Penicillin G |
