Treatment – Microbiology – Flashcards
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| Strep. pyogenes (4) |
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| 1) Penicillin G (IV) 2) Penicillin V 3) Erythromycin 4) Penicillinase-resistant penicillin (when Staph also suspected) |
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| Additional drug for invasive S. pyogenes |
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| Clindamycin |
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| Strep. agalactiae |
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| Penicillin G (IV) |
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| Entero, and non-entero cocci (ffbe) |
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| 1) Ampicillin (sometimes with an amino-glycoside) Bacteria is resistant to Penicillin G and emerging resistance to vancomycin |
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| Strep. viridans |
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| Penicillin G |
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| Strep. pneumoniae (3) |
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| 1) Penicillin G 2) Erythromycin 3) Ceftriaxone *Vaccine available for elderly (23 protein) or children (heptavalent) |
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| Staph aureus (3) |
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| 1) Penicillinase-resistant penicillins 2) Vancomycin 3) Clindamycin |
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| MRSA |
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| Intravenous vancomycin (Linezolid is also effective) |
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| Staph epidermidis (1) |
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| Vancomycin |
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| Staph saprophyticus |
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| Penicillin |
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| Bacillus anthracis (3) |
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| 1) Ciprofloxacin 2) Doxycycline 3) Vaccine- ONLY FOR HIGH RISK INDIVIDUALS |
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| Bacillus cereus (4) |
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| 1) Vancomycin 2) Clindamycin 3) Resistant to beta-lactams 4) NO TREATMENT FOR FOOD POISONING |
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| Clostridium botulinum (5) |
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| 1) Antitoxin (for food-born and wound) 2) Human botulism immunoglobulin (infant) 3) Penicillin 4) Hyperbaric oxygen 5) Supportive care (resp, incubation, etc.) |
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| Clostridium tetani (5) |
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| 1) Vaccination w/ formalin-inactivated toxin (part of DPT) 2) Antitoxin: anti-toxin antibodies 3) Clean the wound 4) Penicillin 5) Supportive therapy |
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| Clostridium perfringens (3) |
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| 1) Radical surgery 2) Penicillin 3) Hyperbaric oxygen |
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| Clostridium difficile (3) |
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| 1) Metronidazole 2) Oral vancomycin 3) Terminate use of responsible antibiotic |
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| C. diphtheriae (3) |
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| 1) Antitoxin 2) Penicillin or Erythromycin 3) Vaccine: DPT |
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| L. monocutogenes (2) |
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| 1) Ampicillin 2) Trimethroprim/sulfamethoxazole |
