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Best antibac drugs
drugs of choice
| bacteria | Type of bac | infection | first choice drug | alternative drugs |
|---|---|---|---|---|
| Enterococcus | G+ cocci | endocarditis/severe infection | pen G/ampicillin AND genta/strepto | Vanco AND genta/strepto |
| Enterococcus | G+ cocci | uncomplicated UTI | amp/amoxicillin | nitrofurantoin/fluorquin |
| Staphylococcus aureus or epidermidis | G+ cocci | non-pen-ase producing | Pen G/Pen V | ceph/vanco/imipenem/clinda/fluorquin |
| Staphylococcus aureus or epidermidis | G+ cocci | pen-ase producing | pen-ase resistant (Methi/Isoxazole/Naf) | Ceph/vanco/amox + clav/ticar +clav/imipenem/clinda/fluorquin |
| Staphylococcus aureus or epidermidis | G+ cocci | methicillin-resistant (MRSA) | Vanco +/- Genta +/- Rifampin | Trimeth +sulfametho/minocyc/fluoroquin |
| Streptococcus pyogenes | G+ cocci | Group (A), C and G | Pen G/Pen V | erythro/ceph/vanco/clarithro/clinda/azithro |
| Streptococcus | G+ cocci | Group B | Pen G/Ampicillin | ceph/vanco/erythro |
| Streptococcus | G+ cocci | Strep viridans | Pen G +/- genta | ceph/vanco |
| Streptococcus pneumoniae | G+ cocci | pneumococcus | Pen G/Pen V | erythro/ceph/trimeth + sulfametho/clarithro/azithro/tetracycline/fluorquin |
| Streptococcus pneumoniae | G+ cocci | penicillin-resistant | Vanco + Ceftriaxone +/- Rifampin/Levofluoxocin | Imipenem/Clinda/streptogramins A or B |
| Neisseria gonorrhoeae | G - cocci | gonococcus | Ceftriaxone/ciprofloxacin | Cefotaxime/Pen G |
| Neisseria meningitidis | G - cocci | meningococcus | Ceftriaxone/Pen G | Cefotaxime/Cefuroxime/Chloramph/Sulfon/Fluoroquin |
| Bacillus anthracis | G+ bacilli | anthrax | Pen G (cipro?) | Cipro/erythro/Tetra |
| Clostridium perfringens | G+ bacilli | (necrotic entereritis?) | Pen G | metronidazole/clinda/imipenem/chloramph |
| Clostridium tetani | G+ bacilli | tetanus | Pen G | tetracycline |
| Clostridium difficile | G+ bacilli | pseudomembranous colitis and antibiotic associated diarrhea. | Metronidazole | Vanco (oral) |
| Corynebacterium diptheriae | G+ bacilli | diptheria | erythromycin | Pen G |
| Bacteroides | Enteric G - bacilli | cause probs out of GI | Metronidazole/Clinda | imipenem/amox + clav/ticar + clav/piperacillin/cefoxitin/amp + sulbac/chloramph/ceph |
| Enterobacter | Enteric G - bacilli | nosocomial bacteremia, lower RTI, skin and soft tissue infections, UTIs, endocarditis | imipenem | cefotaxime, ceftizoxime, ceftriaxone, ceftazidime, or cefepime/genta, tobra or amikacine/trimeth+ sulfa/carbane, ticar, mezlo or pipera/aztreonam/fluorquin |
| Escherichia coli | Enteric G - bacilli | found in colon | cefitaxime, ceftizoxime, ceftriaxone, ceftazidime, or cefepime | Amp +/- genta, tobra, or amikacin/carben, tiacr, mezlo or piperac/genta, tobra or amikacin/amox+ clav/trimeth + sulfa/imipenem/aztreonam/ fluorquin/another ceph |
| Helicobacter pylori | Enteric G - bacilli | ulcer | tetra + metro + bismuth | amox + metro + bismuth/ tetra + clarithro + bismuth/amox + clarithro |
| Klebseilla pneumoniae | Enteric G - bacilli | pneumonia, septicemia, wound and burn infections, UTI, | cefotaxime, ceftizoxime, ceftriaxone, ceftazidime, or cefepime | imipenem/genta, tobra or amikacin/ amox +clav/ticar+clav/amp+sulbac/trimeth+sulfa/aztreonam/fluorquin/mezlo or piperac/another ceph |
| Proteus mirabilis | Enteric G - bacilli | UTI, diarrhea | ampicillin | cepha/ticar, mezlo or piper/genta, tobra or amikacin/trimeth+sulfa/imipenem/aztreonam/fluoroquin/chloramph |
| Proteus, indole positive (incl vulgaris) | Enteric G - bacilli | UTI | cefotaxime, ceftizoxime, ceftriaxone, ceftazidime, or cefepime | imipenem/carbanec,ticar, mezlo or piper/genta, tobra or amikacin/trimeth + sulfa/aztreonam/fluroquin/amox + clav/ticar + clav/amp + sulbac |
| Providencia stuarti | Enteric G - bacilli | nosocomial UTI | cefotaxime, ceftizoxime, ceftriaxone, ceftazidime, or cefepime | imipenem/carbanec/ticar, mezlo or piper/genta, tobra or amikacin/trimeth + sulfa/fluroquin/ticar + clav |
| Salmonella typhi | Enteric G - bacilli | typhoid fever | Ceftriaxone /Fluroquin | Chloramph/trimeth+sulfa/amp/amox |
| other Salmonella | Enteric G- bacilli | milder symptoms | cefotaxime/ceftriaxone /fluoroquin | amp or amox/trimeth + sulfa/chloramph |
| Serratia | Enteric G - bacilli | UTI, wound infection, pneumonia | imipenem | genta or amikacin/cefotaxime, ceftizoxime, ceftriaxone, or ceftazidime/aztreonam/trimeth+sulfa/carbenac, ticar, mezlo or pipera/fluoroquin |
| Shigella | Enteric G - bacilli | diarrhea (shigellosis) | fluorquinolone | Azithro/trimeth +sulfa/amp/ceftriaxone |
| Acinetobacter | Other G - bacilli | nosocomial skin and wound infections, pneumonia, meningitis | impenem | genta, tobra or amikacin/ticar, mezlo or piper/ceftazidime/trimeth+sulfa/fluoroquin/minocycline/doxycycline |
| Brucella | Other G - bacilli | bacteremia | tetracycline + Rifampin | tetra + strepto or genta/chloramph +/- strepto/trimeth +sulfa +/- genta/rifampin + doxy/minocycline |
| Fusobacterium | Other G - bacilli | serious infections (oral cavity, gingivitis) | Pen G | metro/clinda/cefoxitin/chloramph |
| Gardnerella vaginalis | Other G - bacilli | bacterial vaginosis | oral metronidazole | topical clinda or metro/oral clinda |
| Haemophilus ducreyi | Other G - bacilli | Chancroid | azithromycin/ceftriaxone | cipro/erythromycin |
| Haemophilus influenza | Other G - bacilli | meningitis, epiglottitis, arthritis and other serious infections | cefotaxime/ceftriaxone | Cefuroxime (not for meningitis)/chloramph |
| Haemophilus influenza | Other G - bacilli | Upper RTI and bronchitis | trimeth +sulfa | amp or amox/cefuroxime/amox + clav/cefaclor/cefotaxime/ceftizoxime/ceftriaxone/a tetracycline/clarithro |
| Legionella species | Other G - bacilli | Legionnaire's, Pontiac fever | ertythro + rifampin/azithro or a fluorquin | Trimeth +sulfa/doxycyc +/- rifampin |
| Pseudomonas aeruginosa | Other G - bacilli | UTI | ciprofloxacin | carb, ticar, piper or mezlo/ceftazidime or cefepime/tobra/genta/amikacin |
| Pseudomonas aeruginosa | Other G - bacilli | other infections | ticar, mezlo or piper + tobramycin/genta or amikacin | ceftazidime, imipenem, aztreonam, cefepime + tobramycin, gentamicin or amikacin/ciprofloxacin |
| Pseudomonas mallei | Other G - bacilli | Glanders | streptomycin + a tetracycline | strepto +chloramph |
| Pseudomonas psuedomallei | Other G - bacilli | meliodosis | Ceftazidime | Chloramph + doxy + trimeth+sulfa/amox+clav/impenem |
| Actinomyces israelii | Actinomycetes | actinomycosis | Pen G | a tetra/erythro/clinda |
| Norcardia | Actinomycetes | norcardiosis (lung, brain, skin, immune system) | trimeth + sulfameth | sulfisoxazole/amikacin/minocycline/imipenem |
| Chlamydiae psittaci | Chlamydiae | psittacosis; ornithosis | a tetracyline | chloramph |
| Chlamydiae trachomatis | Chlamydiae | trachoma | azithromycin | a tetra/a sulfonamide |
| Chlamydiae trachomatis | Chlamydiae | pneumonia | erythromycin | sulfonamide |
| Chlamydiae trachomatis | Chlamydiae | urethritis cervictus | doxycycline/azithromycin | erythro/ofloxacin/amox/ |
| Chlamydiae trachomatis | Chlamydiae | lymphgranuloma venereun | a tetracyline | erythromycin |
| Mycoplasma pneumoniae | Mycoplasma | tracheobronchitis, atypical pneumonia | erythromycin, tetracycline, clarithro or azithro | fluoroquin |
| Rickettsia | Rickettsia | Rocky Mountain Spotted Fever | doxycycline | Chloramp/fluoroquin |
| Borrelia burgdorferi | Spirochetes | Lyme disease | doxycycline or amoxicillin or cefuroxime axetil | ceftriaxone/cefotaxime/Pen G/Claritromycin |
| Borrelia recurrentis | Spirochetes | relapsing fever | a tetracycline | Pen G |
| Treponema pallidum | Spirochetes | causes syphilis, STD's | Pen G | a tetracycline/ceftriaxone |
Created by:
nidhers
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