Regimen A

Ticarcillin/clavulanic acid (Timentin) 3.1 g IV [B] Ampicillin/sulbactam (Unasyn) 3 g IV [B] Piperacillin/tazobactam (Zosyn) 3.375 g IV [B] Imipenem (Primaxin) 500-1000 mg IV [C] Meropenem (Merrem) 1 g IV [B]

Regimen B (Note two drug therapy) Cefotaxime (Claforan) 2 g IV [B] Ceftriaxone (Rocephin) 1-2 g IV [B] Ceftizoxime (Cefizox) 2 g IV [B] Cefoperazone (Cefobid) 2 g IV [B] Ceftazidime (Fortaz) 2 g IV [B] PLUS

Metronidazole (Flagy1) 1 g IV [B, contraindicated 1st trimester] OR Clindamycin (Cleocin) 600 mg IV [B]

Regimen C (Note one or two drug therapy) Ticarcillin (Ticar) 3-4 g IV [B] OR Piperacillin (Pipracil) 3-4 g IV [B] PLUS/MINUS

Metronidazole (Flagyl) 1 g IV [B, contraindicated 1st trimester]

Regimen D (Note two drug therapy) Aztreonam (Azactam) 2 g IV [B] PLUS

Clindamycin (Cleocin) 600 mg IV [B]

Organisms: Enterobacteriaceae, enterococci, Bacteroides, Clostridium Open Fractures

(Note two drug therapy for severe fractures)

3. Clindamycin (Cleocin) 600 mg IV [B]

PLUS (for severe fractures—grade II and above) 1. Gentamicin (Garamycin) 2 mg/kg IV [D] Organisms: S. aureus, S. epidermidis, gram negative rods Penetrating Abdominal Wounds See PresurgjoalAntibiotics, BowelPejrforat[gn/Periton^itjs. RESPIRATORY TRACT INFECTIONS Bronchitis

A. ADULTS (NON-SMOKERS, NO UNDERLYING DISEASE OR HISTORY OF RESPIRATORY PROBLEMS)

Notes: Antibiotics are rarely necessary. Treat with inhaled beta-agonist therapy (e.g., albuterol, metaproterenol). If no improvement after 1 week, consider treatment

1. Erythromycin 500 mg PO qid [B, except estolate contraindicated]

2. Erythromycin ethyl succinate (EES) 400 mg PO qid [B]

3. Azithromycin (Zithromax) 500 mg PO initial dose, then 250 mg PO qd for 4 days [B]

4. Clarithromycin (Biaxin) 250-500 mg PO bid [C]

5. Doxycycline (Vibramycin) 100 mg PO bid [D]

(Chlamydia pneumonia (TWAR) has resistance to erythromycin. Consider azithromycin or clarithromycin.) Course: 7-10 days (except azithromycin as noted)

Organisms: usually viral, Mycoplasma pneumoniae, S. pneumoniae, Chlamydia pneumoniae (TWAR)

B. ADULTS (SMOKER OR CHRONIC ILLNESS)

Note: In addition to antibiotics, treat with an inhaled b-agonist (e.g., albuterol, metaproterenol)

1. TMP/SMX DS (Bactrim DS, Septra DS) 1 tablet PO bid [B; D in 3rd trimester]

2. Doxycycline (Vibramycin) 100 mg PO bid [D]

3. Azithromycin (Zithromax) 500 mg PO initial dose, then 250 mg PO qd for 4 days [B]

4. Clarithromycin (Biaxin) 250-500 mg PO bid [C]

5. Amoxicillin/clavulanate (Augmentin) 250-500 mg PO tid [B]

6. Levofloxacin (Levaquin) 250-500 mg PO qd [C]

7. Sparfloxacin (Zagam) 400 mg PO initial dose, then 200 mg PO qd [C]

8. Cefuroxime axetil (Ceftin) 250-500 mg PO bid [B]

9. Cefpodoxime proxetil (Vantin) 200 mg PO bid [B]

Course: 10 days (except azithromycin as noted)

Organisms: H. influenzae, M. catarrhalis, S. pneumonia, Klebsiella sp., anaerobes, E. coli

Was this article helpful?

0 0
Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

Get My Free Ebook


Post a comment