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  #1  
Old 04-19-2014
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Save It! Empiric antibiotic treatments!

Ok guys, I can't find a post with a collection of all empiric treatments for ID. It seems that different books have different information! I'm trying to make a sense of all of this...

I'll start with some:

Community acquired Pneumonia outpatient setting:
Macrolide (or fluoroquinolone if already treated with macrolide)

Community acquired Pneumonia inpatient setting:
fluoroquinolone (or ceftriaxone + macrolide)

Endocarditis:
Gentamicin + Vancomycin

Meningitis in adults:
Gentamycin + Ceftriaxone

UTI:
Tmp-smx or nitrofurantoin (fluoroquinolone are 2nd choice)
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Old 04-19-2014
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I dont have a source but for meningitis in adults i would use Vanco+Ceftriaxone

In neonates i would use Ampicilin+Amikacin.

Meningitis in IMMUNOCOMPROMISED : Ceftriaxone , vanco AND ampicilin (important for those pesky gram positive rods)

Anyways

Bites (dogs, human) : Amoxicilin +Clavunate

Cat bites suspecting Bartonella : Azithromycin.

Strep Pharingitis : Penicillin V or Amoxicicilin.

C Difficile Oral Metronidazole or Vaco oral (if resistent)

Gonorrhea : Ceftriaxone

Clamidya Azithromycin or Doxicycline.

Most zoonosis (lyme) Doxicycline .

worm infections : the bends

Toxoplasmosis : sulfadizine+pyrsomething lol

Malaria : Mefloquine (prophylaxis and tx since most of the world is cloroquine resistant) + Primaquine (if Ovale or Vivax suspected)

CAP Pneumonia : Macrolide, Quinolone .

Fever+Neutropenia : Piperacilin+Tazobactam, Cefepime, other anti pseudomona drug?

Cryptococcus meningitis : Anphotericine B (intra techal)

Aspergillious Itraconazole

Candida is Fluconazole

Sinusitis is Amoxicilin+Clavunate (since therres a raising beta lactamase population)

Syphilis is PENICILIN! of course. If allergic use Doxicicline. If pregnant then desensitize (someone check this, my memory is a little foggy)



This is all from my memory, and pretty disorganized lol. sorry for the spelling
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Old 04-19-2014
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Quote:
Originally Posted by drivenby View Post
I dont have a source but for meningitis in adults i would use Vanco+Ceftriaxone

In neonates i would use Ampicilin+Amikacin.

Meningitis in IMMUNOCOMPROMISED : Ceftriaxone , vanco AND ampicilin (important for those pesky gram positive rods)

Anyways

Bites (dogs, human) : Amoxicilin +Clavunate

Cat bites suspecting Bartonella : Azithromycin.

Strep Pharingitis : Penicillin V or Amoxicicilin.

C Difficile Oral Metronidazole or Vaco oral (if resistent)

Gonorrhea : Ceftriaxone

Clamidya Azithromycin or Doxicycline.

Most zoonosis (lyme) Doxicycline .

worm infections : the bends

Toxoplasmosis : sulfadizine+pyrsomething lol

Malaria : Mefloquine (prophylaxis and tx since most of the world is cloroquine resistant) + Primaquine (if Ovale or Vivax suspected)

CAP Pneumonia : Macrolide, Quinolone .

Fever+Neutropenia : Piperacilin+Tazobactam, Cefepime, other anti pseudomona drug?

Cryptococcus meningitis : Anphotericine B (intra techal)

Aspergillious Itraconazole

Candida is Fluconazole

Sinusitis is Amoxicilin+Clavunate (since therres a raising beta lactamase population)

Syphilis is PENICILIN! of course. If allergic use Doxicicline. If pregnant then desensitize (someone check this, my memory is a little foggy)



This is all from my memory, and pretty disorganized lol. sorry for the spelling

Thank you. very helpful!

Regarding meningitis UW says:

  • age 2-50: vancomycin + cephalosporin (3rd gen)
  • >50: vancomycin + cephalosporin + ampicillin (3rd gen)
  • immunocompromised: vancomycin + cefepime + ampicillin
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  #4  
Old 04-20-2014
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Also regarding malaria, I agree but keep in mind that for mexico & argentina one could use Cloroquine (sensitive regions). Just in case we'll have someone from mexico....
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Old 04-21-2014
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According to wiki :

Epididimitis : Third generation cephalosporin+ Azythromicin to cover CLAMYDIA AND GONORRHEA, for a very long time too like weeks.

Doxicicline can be used, Quinolones are not useful.
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Old 05-06-2014
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Quote:
Originally Posted by drivenby View Post
I dont have a source but for meningitis in adults i would use Vanco+Ceftriaxone

In neonates i would use Ampicilin+Amikacin.

Meningitis in IMMUNOCOMPROMISED : Ceftriaxone , vanco AND ampicilin (important for those pesky gram positive rods)

Anyways

Bites (dogs, human) : Amoxicilin +Clavunate

Cat bites suspecting Bartonella : Azithromycin.

Strep Pharingitis : Penicillin V or Amoxicicilin.

C Difficile Oral Metronidazole or Vaco oral (if resistent)

Gonorrhea : Ceftriaxone

Clamidya Azithromycin or Doxicycline.

Most zoonosis (lyme) Doxicycline .

worm infections : the bends

Toxoplasmosis : sulfadizine+pyrsomething lol

Malaria : Mefloquine (prophylaxis and tx since most of the world is cloroquine resistant) + Primaquine (if Ovale or Vivax suspected)

CAP Pneumonia : Macrolide, Quinolone .

Fever+Neutropenia : Piperacilin+Tazobactam, Cefepime, other anti pseudomona drug?

Cryptococcus meningitis : Anphotericine B (intra techal)

Aspergillious Itraconazole

Candida is Fluconazole

Sinusitis is Amoxicilin+Clavunate (since therres a raising beta lactamase population)

Syphilis is PENICILIN! of course. If allergic use Doxicicline. If pregnant then desensitize (someone check this, my memory is a little foggy)



This is all from my memory, and pretty disorganized lol. sorry for the spelling

correction
neonatal sepsis but no suspicious of meningitis= ampicilin and amikacin
neonatal sepsis with suspicious for meningitis= ampicilin + 3rd gen cephalosporin
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Old 05-06-2014
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postpartum endometritis= genta and clinda
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