click below
click below
Normal Size Small Size show me how
Bugs G-or+
ID test 1
| Question | Answer |
|---|---|
| Mycobacteria | Wax like no gram stain acid fast |
| Treponema | requires fluorescent antibody staining |
| Mycoplasma | no cell wall |
| S. aureus | G + Coag + |
| S. epidermidis | G + Coag - |
| staph lugdunesis | G + Coag - |
| staph haemolyticus | G + Coag - |
| staph saprophyticans | G + Coag - β-lactam, TMP-SMX or a fluoroquinolone |
| MSSA | anti- staphylococcal penicillin 1st generation cephalosporin dicloxacillin cephalexin |
| MRSA | Vanc TMP-SMX linezolid, daptomycin, quinupristin-dalfopristin, tigecycline, doxycycline, clindamycin ceftaroline |
| Streptococcus pyogenes GAS Beta | + Pen clindamycin or a macrolide |
| Streptococcus agalactiae GBS Beta | + Pen Vaginal colonizer |
| Streptococcus gallolyticus GDS Gamma | + Pen colonic neoplasia if found in the blood |
| Strep pneumo | + β-lactam or FQ |
| Virdidens strep (anginosus) | + B-lactam |
| Encapsulated | strep pneumo neisseria men haemophilus influ N. gonorrhoeae |
| Enterococcus | G + VRE piperacillin |
| Enterococcus faecalis | G+ Amino pen and AG or Amx |
| Enterococcus faecium | G+ Vanc, linezolid, daptomycin, and quinupristin-dalfopristin |
| Anaerobic coverage | piptazo amp-sulbactam ticar-clav amox-clav clindamycin metronidazole penems (all) cefoxitin only (cef) moxifloxacin +/- levo |
| Bacillus spp. | G + Rods B. anthracis B. cereus |
| Corynebacteria spp. | G + Rods |
| Nocardia spp. | G + Rods found in lugs Wax like no gram stain part acid fast DOC TMP-SMX |
| Listeria monocytogenes | G + Rods Soil and Water, Food DOC ampicillin or TMP-SMX |
| Actinomyces | G + Rods |
| Clostridium spp. | G + Rods anaerobe Pen C. perfringens food ill C. Diff C. tetani and C. botulinum |
| C. Diff | metronidazole or PO Vanc |
| Pneumo | step pneumo 60% haemophillus inful morazella legionella mycoplasma chlamydophila |
| Moraxella catarralis | G - pneumo |
| Acinetobacter | G - amikacin not if in blood imipenem-cila colistin amp-sulfbactam tigecycline not if in blood |
| Neisseria | G- N. gonorrhoeae N. meningitidis |
| N. gonorrhoeae | G- ceftraxone w. doxy or azi |
| N. meningitidis | G- 3rd generation cephalosporin |
| Enterobacteriaceae | G- PipTazo if not an ESBL enterobacter E. coli klebsiella Salmonella and Shigella |
| enterobacter E. coli, klebsiella | Amp C ESBL Penem |
| Peptostreptococcus | G + anaerobes |
| Propionibacterium | G + anaerobes |
| Bacteroides | G - anaerobes |
| Chlamydophila | azi 1g qd doxy 100mg BID |
| pseudomonas | ticaricillin-clav pip-tazo ceftazidime cefepime cipro levofloxcin amikacin gentamicin tobramycin aztreonam colistin imipenem-cilastatin meropenem doripenem |