Week 4 Bacteria and Treatment

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katieyoung42  on September 18, 2010

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Week 4 Bacteria and Treatment

C. Diphtheria
Equine DAT, clear airway, penicillin or Erythromycin, prophalaxis for exposure
1/23
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C. Diphtheria Equine DAT, clear airway, penicillin or Erythromycin, prophalaxis for exposure
Arcanobacterium Penicillin or erthyromycin
Brevibacterium vancomycin, tetracycline, gentamycin
Tropheryma Whippelii 2 weeks parenteral penicillin, streptomycin and 1 year oral trimethoprim-sulfamethoxazole
Nocardia trimethoprim-sulfamethoxazole, combine with disceminated disease: amikacin or carbapenem (Imipenem)
Actinomyces Penicillin (6 mo-1year), debride
H. pylori ulcers: tetracycline, clarithromycin, amoxicillin, or metronidazole (1-2 wks) combine with proton pump inhibitor
Campylobac Jejuni Rehydrate/electrolytes; IF NECESSARY Erythromycin, azithromycin
GBS respirator, plasma exchange, corticosteroids
Vibrio Cholerae Rehydrate/electrolytes; IF NECESSARY Azithromycin
V. Parahaemolyticus Rehydration
V. Vulnificus same as v. cholerae? Azithromycin
Escherichia coli K1 cover all Gm - rods, IV antibiotics: broad spectrum cephalosporin (ceftazidime) and AG (gentamicin)
Proteus Mirabilis B-lactam (amoxicillin, cephalosporins), trimethoprsulfamethoxazole, fluoroquinolones (ciprofloxacin, levofloxacin), AG only in serious cases
K. Pnrumoniae Extended spectrum B-lactams or newer cephalosprins w/ AG
Yersinia Pestis Streptomycin DOC; Alternatives: gentamicin, doxycycline, chloramphenicol
Doxycycline for prophlaxis too
EPEC Oral rehydration, usually no ABs
EHEC Supportive care with blood transfusion, control of electrolyte/water balance, dialysis; AB may make it worse
Salmonella enteric serovars Don't treat w/ AB (self limiting)
Salmonella typhimurium fluoroquinolones
Shigellae dysenteriae Fluoroquinolones for > 17 years, new b-lactams and cephalosporins are also effective
Listeria Combination of B-lactams (penicillin or ampicillin) and an AG (gentamicin)
Legionella Pneumophilia Macrolides (azithromycin, clarithromycin) or fluoroquinolones (ciprofloxacin, levofloxacin)- possibly combine with rifampin

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