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Infectious Diseases
| Question | Answer |
|---|---|
| meningitis organisms for newborn to 1 month | group B strep; gram negs (E. Coli), listeria |
| meningitis treatment for newborn to 1 month | amino+ amp or ceftriaxone or cefotaxime |
| meningitis 1 month - 29 years organisms | h. influenza, n. meningidis, strep pneumonia |
| meningitis treatment for 1 month-29 years | cefotaxime or cetriaxone AND vanco |
| meningitis organisms for 30-60 years | strep pneumonia, n. meningitis |
| meningitis treatment for 30-60 years | ceftriaxone/cefotaxime + vancomycin |
| meningitis organisms for > 60 years | s. pneumonia, gram negative, listeria |
| meningitis treatment for > 60 years | amp + amino/vanco; or cefotaxime or ceftriaxone |
| most common organisms in endocarditis | streptococcus, staph aureus |
| treatment for pen-susceptible streptococci endocarditis | Pen G; Pen G + Gent; Ceftriaxone; Vanco |
| treatment for strep relatively resistant to pen endocarditis | Pen G; Pen G + Gent; Vanco |
| treatmenet for staphyloccocus without prosthetic material (meth sensitive) endocarditis | Nafcillin/Oxacillin (3-5 days of gent may be added); Cefazoline with or without gent; Vanco |
| treatment for staphalococcus without prosthetic material (meth resistant) endocarditis | Vanco |
| organisms in acute/chronic bronchitis | strep pneumonia, h. influenza, m. catarhalis, chlamydia pneumonia, mycoplasma pneumonia |
| acute treatment for bronchitis | macrolides or drugs used for chronic |
| chronic treatment for bronchitis | amoxicillin, augmentin, bactrim, macrolides, doxycycline, cefaclor, cefuroxime, cefprozil |
| neonatal organisms in pneumonia | listeria, group B, e. coli |
| neonatal treatment for pneumonia | amp+ gent; cefotax + gent |
| 1-3 months organisms in pneumonia | C. trachomatis, Bordetella |
| 1-3 months treatment for pneumonia | erythro, clarithro, cefuroxime |
| 3 months to 5 years organisms in pneumonia | s. pneumonia, c. trachomatis |
| 3 months-5 years treatment pneumonia | clarithro, cefuroxime, cefotaxime |
| 5-18 years organisms in pneumonia | mycoplasma, s. pneumonia, c. pneumonia |
| 5-18 years treatment for penumonia | clarithro, erythro, cefuroxime |
| adult community acquired organisms in pneumonia | s. pneumonia, h. influenza, klebsiella, m. pneumonia |
| adult CA pneumonia treatmment | ambulatory: macs or quinalones; hospital: cefotax/ceftriax +/- mac or quinolone |
| adult HA organisms in pneumonia | SPACE, staph aureus |
| adult HA pneumonia treatment | amino + one of the following: cefotax, cetriaxome, cefepime, timentin, zosyn, imipenem, meropenem, vanco |
| adult, aspiration organisms in pneumonia | mouth anaerobes |
| adult aspiration in pneumonia treatment | uncomplicated: Pen G/Clinda; HA: timentin, zosyn |
| latent TB treatment - isoniazid sensitive | Isoniazid x 9 months |
| latent TB treatment - isoniazid resistant | Rifampin + pyrazinamide x 2 months |
| active TB disease | isoniazid + rifampin + pyrazinamide x 2-4 months |
| common organisms in skin and soft tissue infections | staph and strep |
| cellulitis organisms | Group B, Staph |
| cellulitis treatment | dicloxacillin, cefadroxil, cephalexin, erythro |
| diabetic foot infection organisms | proteus, E. Coli, S. aurues, B. frag, anaerobic, strepto cocci |
| diabetic foot infection treatment | clindamycin or cephalexin, severe: timentin, vanco |
| decubitis ulcer organisms | gram negative, pseudomonas, anaerobes |
| decubitis ulcer treatment | clinda or cephalexin; severe-timentin or vanco |
| acute uncomplicated cystitis organisms | E. Coli, staph, saprophyticus |
| acute cystitis treatment | bactrim x 3 days; quinolone x 3 days |
| acute pyelonephritis organisms | e. coli, proteus, klebsiella, entercoccus |
| acute pyelonephritis treatment | quinolone x 14 days; bactrim x 14 days; if severe, IV quinolone, extended pen + amino |
| prostatitis organisms | e. coli, proteus, klebsiella |
| prostatitis treatment | quinolone x 4-6 weeks; bactrim x 4-6 weeks |
| uncomplicated adult syphylis treatment | Benz Pen G 2.4 million units IM |
| uncomplicated adult gonorrhea treatment | ceftriaxone or spectinomycin |
| infant born of untreated mother with syphilis treatment | Pen G |
| infant born of untreated mother gonorrhea treatment | cefotaxamine |
| dissemenated syphilis treatment | secondary/latient: Benz Pen G; tertiary: Pen G |
| disseminated gonorrhea treatment | ceftriaxone |
| diagnosis of sepsis requires 2/3 | T>38 or T<36; HR>90; RR>20; PaCO2<32;WBC>12000 or <4000; Immature bands>10% |
| treatment of sepsis | look at sensitivities; if life threatening, use cefotax, cetriax, cefepime, timentin, zosyn, imipenem, meropenem + amino, vanco |
| Rocky Mountain Spotted fever | rickettisii; Doxycycline |
| Lyme Disease | Borellia Borgdorferri; Doxycyline |
| Erhlichosis | Ehrlichia Phagocytophilia; Doxycycline |
| Tularemia | Francisella Tularensis; Gent/Tobra |
Created by:
cytoskeletor
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