Respiratory abx
normal, no risk factors tx of pneumonia
unasyn and azithro
- levovloxacin if beta lactam allergy
- doxy if qtc prolonged
mild-moderate abd infection concern abx
ceftriaxone
flagyl for all abd stuff except biliary
non purulent cellulitis
keflex or cefadroxil (mass health covered)
critically ill community acquired pneumonia
cefepime
- can consider tobramycin if super sick
- allergy: levofloxacin
severe septic pt with likely abd source. what abx?
zosyn!
hard to get approval
purulent cellulitis
bactrim (tmp smx)
vanc if severe or MRSA risk factors
community acquired pneumonia going home
augmentin, maybe add azithro if concern for atypical coverage
GU sepsis abx
ceftriaxone
prob would just treat as GI/abd and also give flagyl if you cant tell GU vs lower GI/abd
when to use ceftriaxone for cellulitis
only if systemically ill, not just regular cellulitis
CAP with multidrug resistant risk factors
cefepime, tobramycin
do you start abx for appendicitis?
yes in real life, no at BMC right now because of some RCT
severe foot infection
ceftriaxone and flagyl
zosyn if soaking feet in water and would need ID approval
MRSA coverage for pneumonia with vanc allergy?
linezolid
abd infection with allergy for mild/moderate infection? severe infection?
mild/moderate with pcn allergy: aztreonam + vanc + flagyl
severe: tobra
aztreonam MOA: monobactam, pcn binding protein
nec fasc
zosyn, clinda, vanc
clinda dose - 900mg, why clinda, remember clinda