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Manejo Bacterias

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Question
Answer
Estafilococo aureus (Negativo para Betalactamasa)   Primera elección: Penicilina Alternativo: Cefalosporinas de primera generación, Vancomicina, Clindamicina  
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Estafilococo aureus (Positivo para Betalactamasa)   Primera elección: Nafcilina/Oxacilina Alternativa:Cefalosporinas de primera generación, Vancomicina, Clindamicina  
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Estafilococo aureus (Resistentes a meticilina)   Primera elección: Vancomicina Alternativa: Trimetoprim/Sulfametoxazol, Linezolida, Daptomicina, Quinupristin/Dalfopristin  
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Estafilococo epidermidis   Primera elección: Vancomicina +/- Rifampicina Alternativa: Rifampicina + (Trimetoprim/Sulfametoxazol o Quinilona)  
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Enterococo spp.   Primera elección: Penicilina +/- Aminiglucósido (Estreptomicina o Gentamicina) Alternativa: Vancomicina +/- Aminoglucósido (Estreptomicina o Gentamicina)  
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Estreptococo pneumoniae (Sensible a penicilina)   Primera elección: Penicilina Alternativa: Ceftriaxona, Cefotaxime, Quinolona 4ta (Gemifloxacina y Moxifloxacina), Quinolona 3ra (Levofloxacina), Macrólido (Eritromicina), Linezolida  
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Estreptococo pneumoniae (Resistente a penicilina)   Primera elección: Vancomicina + Ceftriaxona o Cefotaxime. O Quinolonas antineumocóccicas  
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Estreptococo viridans   Primera elección: Penicilina Alternativa: Cefalosporinas 1/3, Vancomicina  
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Estreptococo pyogenes (Grupo A)   Primera elección: Penicilina y clindamicina Alternativa: Eritromicina y Cefalosporina 1ra  
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Estreptococo agalactiae (Grupo B)   Primera elección: Penicilina +/- Aminoglucósido(Estreptomicina o Gentamicina) Alternativa: Vancomicina  
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Bacilus sp   Primera elección: Vancomicina Alternativa: Imipenem, quinilona, clindamicina  
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Listeria sp   Primera elección: Ampicilina Alternativa: Trimetoprim/Sulfametoxazol  
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Nocardia sp   Primera elección: Sulfadiacina, Trimetoprim/Sulfametoxazol Alternativa: Minociclina, Imipenem, Amikacina, Linezolida  
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