Page 1
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
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
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
Aerobes
Oral Anaerobes
Ampicillin / Amoxicillin
Synthetic Penicillins
Nafcillin / Methicillin//Dicloxacillin
Beta Lactamase
Serratia
Pseudomonas
Acinetobactor
Citrobactor
Enterobactor
Page 5
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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