Micro Drugs

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Streptococcal pharyngitis: Penicillin V or IM penicillin G. Secondary: cephalosporins or macrolides Streptococcal impetigo: 1 st generation cephalosporin Scarlet fever: Penicillin V or IM penicillin G. Secondary: cephalosporins or macrolides Necrotizing Fasciitis: surgical debridement. Combo therapy: B-lactam, lincosamide, and, aminoglycoside Acute streptococcal glomerulonephritis: sodium restriction, diuretics, and anti-convulsants. Rheumatic fever: prevented by penicillin treatment of Strep A infections GBS Meningitis: Penicillin G; Secondary: macrolides, cephalosporins, vancomycin Strep Endocarditis: penicillin and gentamicin Strep pneumo pneumonia: Macrolides Strep pneumo Meningitis: cephalosporin and steroid…books say penicillin G Bacillus antrhacis: Fluoroquinolones. Macrolides and tetracyclines also effective. Bacillus cereus: Fluid replacement as needed. (Long duration infection. Short duration intoxication) C. botulinum: in adults antitoxin and supportive care. C. tetani: Tetanus immune globulin then penicillin G or metronidazole C. diff: Vancomycin or metronidazole C. perfringens: Gas gangrene: high dose penicillin G given IV. Enteritis necrotican: pencillin G or chloramphenicol C. diptheriae: antitoxin and marcolides/penicillin G

Transcript of Micro Drugs

Streptococcal pharyngitis: Penicillin V or IM penicillin G. Secondary: cephalosporins or macrolidesStreptococcal impetigo: 1st generation cephalosporin Scarlet fever: Penicillin V or IM penicillin G. Secondary: cephalosporins or macrolidesNecrotizing Fasciitis: surgical debridement. Combo therapy: B-lactam, lincosamide, and, aminoglycosideAcute streptococcal glomerulonephritis: sodium restriction, diuretics, and anti-convulsants. Rheumatic fever: prevented by penicillin treatment of Strep A infectionsGBS Meningitis: Penicillin G; Secondary: macrolides, cephalosporins, vancomycinStrep Endocarditis: penicillin and gentamicinStrep pneumo pneumonia: MacrolidesStrep pneumo Meningitis: cephalosporin and steroidbooks say penicillin GBacillus antrhacis: Fluoroquinolones. Macrolides and tetracyclines also effective. Bacillus cereus: Fluid replacement as needed. (Long duration infection. Short duration intoxication)C. botulinum: in adults antitoxin and supportive care. C. tetani: Tetanus immune globulin then penicillin G or metronidazoleC. diff: Vancomycin or metronidazoleC. perfringens: Gas gangrene: high dose penicillin G given IV. Enteritis necrotican: pencillin G or chloramphenicolC. diptheriae: antitoxin and marcolides/penicillin G