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CF exacerbation
Peds CF exacerbation treatment
Question | Answer |
---|---|
empiric po tx for MSSA | cefuroxime, amox/clav, sulfmethoxazole/trimethoprim |
empiric po tx for PSA | ciprofloxacin |
empiric iv tx for MSSA | cefuroxime or oxacillin or cefepime |
empiric iv tx for MRSA | vanco +/- rifampin |
empiric iv tx for PSA | double coverage: aminoglycoside (gent, tob, amikacin) + ceftazidime or cefepime, pip/taz or tic/clav, imipenem/cliastatin or meropenem (2nd line), cipro (last line) |
tx for CF exacerbation with B cepacia and/or S maltophilia | combination of 2-3 drugs: aminoglycosides, B-lactams (pip/tazo, ceftazidime, carpapenem), cloramhenicol, colistatin, fluoroquinolones, sulfamethoxazole/trimethoprim |
CF exacerbation w/ history of MSSA/no PSA colonization | cefuroxime or nafcillin or oxacillin |
CF exacerbation w/ history of MSSA and PSA colonization | double PSA coverage: cefepime + aminoglycoside |
CF exacerbation w/ history of MRSA/no PSA colonization | vanco +/- rifampin |
CF exacerbation w/ history of MRSA and PSA colonization | vanco +/- rifampin plus double PSA coverage aminoglycoside + B-lactam (ceftazidime) |