Top Banner
Gram Negative Gram Positive Stre p Stap h MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroid es Salmonella Shigella H. Flu Klebsiella E. Coli Serratia Pseudomonas Acinetobactor Citrobactor Enterobactor Aerobes Oral Anaerobes Bacteroid es Fragilis – Gut Melanogenicus Respiratory Two Drug Bugs
32

Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Dec 24, 2015

Download

Documents

Abel Grant
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Gram Negative Gram Positive

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Aerobes

Oral AnaerobesBacteroidesFragilis – Gut

Melanogenicus –

Respiratory

Two Drug Bugs

Page 2: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Gram Negative Gram Positive

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Aerobes

Oral AnaerobesBacteroides

Penicillin(Pen G, Pen VK)

Page 3: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Gram Negative Gram Positive

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Ampicillin / Amoxicillin

Synthetic Penicillins

Augmentin / Unasyn(w/ beta lactamase inhibitor)

Beta Lactamase

Beta Lactamase

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Page 4: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Gram Negative Gram Positive

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Ampicillin / Amoxicillin

Synthetic Penicillins

Nafcillin / Methicillin//Dicloxacillin

Beta Lactamase

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Page 5: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

Proteus Mirabilis

H. Flu

Klebsiella

E. Coli

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Aerobes

Oral Anaerobes

Gram Negative Gram PositiveAnti-Pseudomonal Penicillins

Zosyn / Timentin(w/ beta lactamase inhibitor)

Beta Lactamase

Spotty lines mean spotty coverage, look up individual coverages for SPACE bugs other than Pseudomonas

Penicillin(Pen G, Pen VK)

Piperacillin

Page 6: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Cephalexin, cefazolin, cefadroxil

First Generation Cephalosporins

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Page 7: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Cephalexin, cefazolin, cefadroxil

Second Generation Cephalosporins

Cefuroxime, Cefotetan, cefoxitin

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Cefoxitin and Cefotetan only

Page 8: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Cephalexin, cefazolin, cefadroxil

Third Generation Cephalosporins

Ceftriaxone, Cefotaxime, Cefdinir

Serratia

Pseudomonas

Acinetobactor

Citrobactor

EnterobactorCeftazidime

Page 9: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Cephalexin, cefazolin, cefadroxil

Fourth Generation Cephalosporins

Cefipime (Maxipime)

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Page 10: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Meropenem, Imipenem, Ertapenem

Carbapenems

Serratia

Pseudomonas

Acinetobactor

Citrobactor

EnterobactorErtapenem= No Pseudomonas

Page 11: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Aztreonam

Monobactams

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Page 12: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Gentamicin, Tobramycin, Amikacin

Aminoglycosides

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Page 13: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Meropenem, Imipenem, Ertapenem

Carbapenems

Serratia

Pseudomonas

Acinetobactor

Citrobactor

EnterobactorErtapenem= No Pseudomonas

Page 14: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Cephalexin, cefazolin, cefadroxil

Simple Fluroquinolones

Ciprofloxacin, Ofloxacin, Norfloxacin

Serratia

Pseudomonas

Acinetobactor

Citrobactor

EnterobactorCiproflxoci9n best FQ for Pseudomonas

Fluroquinolones also cover atypicals like Chlamydia, Legionella and Mycoplasma

Page 15: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Cephalexin, cefazolin, cefadroxil

Simple Fluroquinolones

Ciprofloxacin, Ofloxacin, Norfloxacin

Serratia

Pseudomonas

Acinetobactor

Citrobactor

EnterobactorCiproflxoci9n best FQ for Pseudomonas

Fluroquinolones also cover atypicals like Chlamydia, Legionella and Mycoplasma

Page 16: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Cephalexin, cefazolin, cefadroxil

“Respiratory” Fluroquinolones

Levofloxacin

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Fluroquinolones also cover atypicals like Chlamydia, Legionella and Mycoplasma** Resistance develops quickly

**

Page 17: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Cephalexin, cefazolin, cefadroxil

“Broad Spectrum” Fluroquinolones

Moxifloxacin

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Fluroquinolones also cover atypicals like Chlamydia, Legionella and Mycoplasma** Resistance develops quickly

Page 18: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Cephalexin, cefazolin, cefadroxil

Macrolides

Eythromycin, Clarithromycin, Azithromycin

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Macrolides also cover atypicals like Chlamydia, Legionella and Mycoplasma, Toxoplasmosis

Page 19: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Cephalexin, cefazolin, cefadroxil

Ketolides

Telithromyicin

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Macrolides also cover atypicals like Chlamydia, Legionella and Mycoplasma, Toxoplasmosis

Page 20: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Cephalexin, cefazolin, cefadroxil

Tetracyclines

Tetracycline, Doxycycline, Minocycline

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Tetracyclines also cover atypicals like Chlamydia, Legionella and Mycoplasma,

Moderate Activity against anerobes

Lots of Resistance!!

CA-MRSA

Page 21: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Tigecycline

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Tigecylcine also covers atypicals like Chlamydia, Legionella and Mycoplasma,

Page 22: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Klebsiella/E coli resistance increasing

Trimethoprim / Sulfa

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

First Line drug for Community Acquired MRSAAlso covers Pneumocystis Carinii

CA-MRSA

Page 23: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Vancomycin

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

CA-MRSA

Page 24: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Clindamycin

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

CA-MRSA

Page 25: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Metronidazole

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Also Covers Trichomonas

CA-MRSA

Page 26: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Oral Anaerobes

Linezolid

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

CA-MRSA

Daptomycin

Page 27: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Page 28: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Page 29: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Page 30: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Page 31: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Aerobes

Oral Anaerobes

Gram Negative Gram Positive

Page 32: Gram Negative Gram Positive Strep Staph MRSA MRSE VRE Anaerobes Clostridium Difficile Bacteroides Salmonella Shigella H. Flu Klebsiella E. Coli Serratia.

Strep Staph

MRSA

MRSE VRE

Anaerobes

Clostridium Difficile

Bacteroides

Salmonella

Shigella

H. Flu

Klebsiella

E. Coli

Serratia

Pseudomonas

Acinetobactor

Citrobactor

Enterobactor

Aerobes

Oral Anaerobes

Gram Negative Gram Positive