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Antibiotics

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lawubuki's version from 2015-08-16 21:35

Section

Question Answer
acute pyelonephritisfluorquinolones (cipro or levo) by IV
pregnancy UTInitrofurantoin or cephalexin. DO NOT GIVE BACTRIM.
normal UTIbactrim. Or a fluoroquinolone.
CMV PneumonitisGanciclovir
endometritisclinda and gentamicin (polymicrobial)
endocarditis, empiric treatment*vancomycin* or gentamicin + ceftriaxone
atypical pneumoniaazithromycin
PCP pneumoniabactrim
lyme diseasedoxycycline
lyme disease, pregnant or childamoxicillin
Strep viridans susceptible to penicillinIV ceftriaxone or IV penicillin G
Nocardia pneumoniaTMP-SMX
ehrlichosisdoxycycline
Legionnaire'serythromycin
Pseudomonas coverage (2 regimens)Tobramycin + piperacillin OR gentamicin and ceftazidime
shinglesvalacyclovir or acyclovir
erysipelaspenicillin
outpt pneumoniaazithromycin or doxycycline
inpt CA pneumoniafluorquinolones (levofloxacin)
aspiration pneumoniaclindamycin
macrolideserythromycin, azithromycin, clarithromycin
complicated appendicitiscefotetan OR metronidazole + ceph or fluoro
brain abscessceftriaxone + metronidazole +/- vancomycin
sinusitusaugmentin (Amoxicillin/clavulanate); Doxycycline unless <8yo
sinusitus alternate if PCN allergyRespiratory Fluoroquinolone (Levoflox, moxiflox, gemiflox)
otitis mediaAmoxicillin; If severe use Augmentin (Amox/clav)
otitis media for PCN allergiesAzithromycin, Bactrim, IM Rocephin; cephalosporin if allergy NOT anaphylaxis
candida vulvovaginitisfluconazole
oral thrushnystatin
pertussiserythromycin to pts and contacts
meningitis neonateampicillin and gentamicin
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