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ID Final Review

Rapid Review

QuestionPreferred Treatment"Second-Line" Treatment
What is the treatment for gonorrhea if the patient is 90 kg? Ceftriaxone 500 mg IM x 1 dose
What is the treatment for primary syphilis? Benzathine PCN G 2.4 million units IM x 1 dose
What is the alternative for primary syphilis? Doxycycline 100 mg PO BID x 14 days
What is the treatment for late latent syphilis? Benzathine PCN G 7.2 million units (divided into 3 doses of 2.4 million units)
What is the alternative for late latent syphilis? Doxycycline 100 mg PO BID x 28 days
What is the treatment for gonorrhea and chlamydia coinfection if the patient is 90 kg? Ceftriaxone 500 mg IM x 1 dose + Doxycycline 100 mg PO BID x 7 days
What is the treatment for gonorrhea and chlamydia coinfection for a pregnant patient (90 kg)? Ceftriaxone 500 mg IM x 1 dose + Azithromycin 1 gram PO x 1
What is the empiric treatment for acute bacterial meningitis? Vancomycin + Ceftriaxone +/- Ampicillin +/- Dexamethasone
What is the treatment for strep pneumoniae meningitis if PCN susceptible? Penicillin or Ampicillin x 10-14 days + Dexamethasone x 4 days (adults only)
What is the treatment for strep pneumoniae meningitis if PCN intermediate? Ceftriaxone 2g IV x 10-14 days + Dexamethasone x 4 days (adults only)
What is the treatment for strep pneumoniae meningitis if PCN resistant? Ceftriaxone 2g IV x 10-14 days + Vancomycin + Dexamethasone x 4 days (adults only)
What is the treatment for Neisseria meningitis if PCN < 0.06 mg/L? PCN continuous infusion x 7 days
What is the treatment for Neisseria meningitis if PCN > 0.05 mg/L? Ceftriaxone 2 g IV x 7 days
What is the treatment for H. influenzae meningitis if beta lactamase (+)? Ceftriaxone 2 g IV x 7 days + Dexamethasone x 4 days (1 month - 13 years only)
What is the treatment for H. influenzae meningitis if beta lactamase (-)? Ampicillin x 7 days + Dexamethasone x 4 days (1 month - 13 years only)
What is treatment for Listeria meninigitis? Ampicillin x 21 days (at least) AND Gentamicin x 10 days
What is the treatment for acute bacterial meningitis prophylaxis? Rifampin 600 mg PO q 12 h x 2 days
What is the treatment for acute bacterial influenzae meningitis prophylaxis (1 month - 12 years)? Rifampin 20 mg/kg/day x 4 days
What is the treatment for acute bacterial influenzae meningitis prophylaxis? Rifampin 600 mg daily PO x 4 days
What is the first-line treatment for cystitis UTI? Bactrim 160/800 mg q 12 h x 3 days
What is the first-line treatment for pyelonephritis UTI? Ciprofloxacin 500 mg q 12 h x 7 days Levofloxacin 750 mg PO x 5 days
What is the first-line treatment for pyelonephritis UTI if FQ resistance is < 10%? Bactrim 160/800 mg q 12 h x 7 days
What is the alternative treatment for cystitis UTI? Augmentin 500/125 mg PO q 8 h x 5-7 days
What is the alternative treatment for pyelonephritis UTI? Augmentin 875/125 mg PO q 12 h x 7 days + Ceftriaxone 1g IM x 1 dose
What is the first-line treatment for cystitis UTI if sulfonamide resistance is > 20%? Macrobid 100 mg q 12 h x 5 days
What is the first-line treatment for ESBL cystitis UTI? Fosfomycin 3-gram packet x 1 dose
What is the treatment for acute prostatitis? Ciprofloxacin x 2-4 weeks Bactrim DS x 2-4 weeks
What is the treatment for chronic prostatitis? Levofloxacin x 6-12 weeks
What is the treatment for chlamydia? Doxycycline 100 mg PO BID x 7 days Azithromycin 1 g x 1 dose preferred for pregnancy
What is the treatment for bacterial vaginosis? Metronidazole 500 mg PO BID x 7 days Clindamycin 2% cream x 7 days
What is the alternative treatment for bacterial vaginosis? Clindamycin 300 mg PO BID x 7 days Clindamycin ovules intravaginally nightly x 3
What is first-line treatment for pharyngitis? PCN VK x 10 days Amoxicillin x 10 days
What is first-line treatment for pharyngitis if the patient has type I PCN allergy? Azithromycin x 5 days Clindamycin x 10 days (C.diff)
What is first-line treatment for pharyngitis if the patient has type IV PCN allergy? Cephalexin x 10 days
What is first-line treatment for acute otitis media? Amoxicillin 90 mg/kg/day divided in 2 doses Augmentin
What is the treatment for acute otitis media if not improved after 2-3 days (treatment failure)? Augmentin (if not used) or Ceftriaxone 50 mg/kg IM x 3 days
What is the treatment for acute otitis media if the patient has a mild PCN allergy? Cefdinir 14 mg/kg Ceftriaxone 50 mg/kg IM x 1-3 days
What is first-line treatment for acute otitis media if < 2 years? Amoxicillin 90 mg/kg/day divided in 2 doses x 10 days
What is first-line treatment for acute otitis media if 2-5 years? Amoxicillin 90 mg/kg/day divided in 2 doses x 7 days
What is first-line treatment for acute otitis media if > 6 years? Amoxicillin 90 mg/kg/day divided in 2 doses x 5-7 days
What is the treatment for acute rhinosinusitis if the patient has an PCN allergy? Doxycycline x 5-7 days
What is the first-line treatment for acute rhinosinusitis? Amoxicillin x 5-7 days
What is the pediatric (1-18 years) treatment for acute bronchitis? Honey
What is the treatment for infective endocarditis dental prophylaxis? Amoxicillin 2 g PO 30-60 min before procedure
What is the treatment for an initial episode of CDI? Fidaxomicin 200 mg PO BID x 10 days
What is the alternative treatment for an initial episode of CDI? Vancomycin 125 mg PO QID x 10 days
What is the alternative non-severe treatment for an initial episode of CDI? Metronidazole 500 mg PO TID x 10-14 days
What is the treatment for the first reoccurrence of CDI if metronidazole was used as the initial treatment? Vancomycin 125 mg PO QID x 10 days
What is the treatment for the reoccurrences of CDI? Fidaxomicin 200 mg PO BID x 10 days Vancomycin taper with pulse therapy
What is the treatment for fulminant CDI? Vancomycin 500 mg PO QID
What is the treatment for fulminant CDI if ileus present? Vancomycin (rectal) + Metronidazole 500 mg IV q 8 h
What is the preferred treatment for watery diarrhea (ETEC)? Ciprofloxacin
What is the preferred treatment for watery diarrhea (vibrio cholerae 01)? Doxycycline
What is the preferred treatment for dysenteric diarrhea (campylobacter)? Azithromycin
What is the preferred treatment for dysenteric diarrhea (shigella)? Ciprofloxacin or Ceftriaxone Amoxicillin
What is the preferred treatment for dysenteric diarrhea (salmonella)? Ciprofloxacin or Ceftriaxone Ampicillin
What is the preferred treatment for dysenteric diarrhea (yersenia)? TMP/SMX (Bactrim)
What is the alternative treatment for dysenteric diarrhea (shigella)? Amoxicillin
What is the alternative treatment for dysenteric diarrhea (salmonella)? Ampicillin
What is the treatment for a mild cellulitis non-purulent infection? PCN VK or Cephalexin for at least 5 days Dicloxacillin or Clindamycin
What is the treatment for a mild cellulitis non-purulent infection if the patient has a beta lactam allergy? Clindamycin 300 mg PO QID
What is the treatment for a mild abscess purulent infection? Incision and drainage + TMP/SMX DS Incision and drainage + doxycycline
What is the treatment for a severe purulent infection? Vancomycin x 7-14 days Daptomycin or Linezolid
What is the treatment for a severe non-purulent infection (necrotizing fasciitis)? Vancomycin + Pip/Tazo + Clindamycin Daptomycin + Meropenem + Clindamycin
What is the preferred treatment for MAC? Clarithromycin x 1 year Azithromycin + Ethambutol x 1 year
What is the preferred PO treatment for onychomycosis? Terbinafine PO Itraconazole PO or Fluconazole PO
What is the preferred treatment for Aspergillus? Voriconazole AmB, Posaconazole, Isaconazole
What is the preferred treatment for Cryptococcus? AmB + 5-FC
What is the treatment for infective endocarditis (Viridians)? PCN or Ceftriaxone
What is the treatment for infective endocarditis (MSSA)? Nafcillin or Cefazolin
What is the treatment for infective endocarditis (MRSA)? Vancomycin
What is the treatment for infective endocarditis (Enterococci)? PCN or Ampicillin + Gentamicin Ampicillin + high-dose Ceftriaxone
What is the treatment for infective endocarditis (Viridians) if the patient has a beta lactam allergy? Vancomycin monotherapy
What is the preferred treatment for Traveler's Diarrhea? Azithromycin
What is the prophylaxis treatment for MAC? Azithromycin 1200 mg WEEKLY
What is the treatment for pneumonia PJP/PCP? TMP/SMX 15-20 mg/kg/day +/- prednisone x 21 days +/- methylprednisolone
What is the treatment for toxoplasma encephalitis? Pyrimethamine + Leucovorin + Sulfasalazine SZD x 6 weeks
What is the prophylaxis treatment for toxoplasma encephalitis? TMS/SMX 160/800 mg daily
What is the prophylaxis treatment for PJP/PCP? TMS/SMX DS daily
What is the alternative prophylaxis treatment for MAC? Azithromycin 600 mg 2x weekly Clarithromycin 500 mg BID
What is the alternative prophylaxis treatment for PJP/PCP? Dapsone Atovaquone +/- Pyrimethamine + Leucovorin
What is the prophylaxis treatment for toxoplasma encephalitis? Dapsone or Atovaquone TMP/SMX DS 3x week or SS daily
What is the treatment for an uncomplicated yeast infection? Fluconazole 150 mg x 1 dose
What is the treatment for severe pyelonephritis? Ceftriaxone x 5-7 days
What is the treatment for a recurrent yeast infection? Fluconazole 150 mg x 2-3 doses, then 100-200 mg PO x1 week
What is the treatment for a complicated yeast infection? Fluconazole 150 mg x 3 doses (Days 1,4,7)
What is an OTC topical treatment option for yeast infections? Monistat 1 Cure or Miconazole 1 Simple Therapy (Ticonazole)
What is RX topical treatment option for yeast infections? Butoconazole (Gynazole-1)
What is an RX option for athlete's foot (tinea pedis)? Naftifine cream/gel Econazole cream/foam or Ketoconazole cream
What is an OTC option for athlete's foot (tinea pedis)? Butenafine Clotrimazole, Miconazole, Tolnaftate
What is the preferred topical treatment for onychomycosis? Ciclopirox Efinaconazole, Tavaborole
What is the preferred treatment for Histoplasma/Blastomyces? Itraconazole or AmB Fluconazole
What is the preferred treatment for Coccidiomycosis? Fluconazole high dose Itraconazole
What is the preferred treatment for Coccidiomycosis if the patient is critically ill? Start with AmB, then step down to Fluconazole
What is the preferred treatment for Mucormycosis? Cut it out + LAmB, then step down to Posaconazole or Isavuconazole
What is the preferred treatment for invasive CNS candidemia? AmB or Fluconazole
What is the preferred treatment for invasive candidemia? Echinocandins x 5-7 days, then step down to Fluconazole PO LAmB, Voriconazole, Fluconazole
What is the initial treatment for oral thrush? Swish and swallow Nystatin x 7-14 days
What is the severe treatment for oral thrush? Fluconazole 100-200 mg PO x 7-14 days
What is the fluconazole refractory treatment for oral thrush? Voriconazole, Posaconazole, Itraconazole x 28 days
What is the fluconazole refractory treatment for esophageal candida? Voriconazole, Posaconazole, Itraconazole x 14 days
What is the initial PO treatment for esophageal candida? Fluconazole 200-400 mg PO x 14-21 days
What is the initial IV treatment for esophageal candida? Fluconazole 400 mg (6 mg/kg/day), then switch to PO Echinocandins IV
What is the fluconazole recurrent treatment for esophageal candida? Fluconazole 100-200 mg 3x weekly
What is the empiric treatment for a patient with a post-op intra-abdominal infection from perforated diverticulitis? Pip/Tazo OR cefepime + metronidazole OR meropenem OR imipenem cilastatin
What is the empiric treatment for a patient with intra-abdominal infection most likely from a urinary tract infection (UA positive nitrites, LE, pyuria)? Meropenem (for ESBL coverage) + tobramycin or levofloxacin
What is the empiric treatment for a patient with intra-abdominal infection most likely from ventilator-associated pneumonia with bacteremia? Vancomycin + Pip/Tazo or Cefepime + Tobramycin or Levofloxacin
What is the treatment for active TB? RIPE x 2 months Rif + INH x 4-7 months (6-9 months total)
What is the gram (-) empiric treatment of bacteremia? Amoxicillin +/- clavulanate, cephalexin, TMP/SMX, FQs x 7-14 days (switch to PO when stable)
What is the treatment of s. pyogenes bacteremia? IV PCN + IV clindamycin or linezolid x 7-10 days
What is the s. pneumoniae treatment of bacteremia? IV ceftriaxone
Created by: jolikes2play
 

 



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