keywords:
Bookmark and Share



Front Back
Treatment of CAP nonhospitalized patient with no antibiotics used in past 3 months and no comorbidities
Macrolide or doxycycline
Treatment for CAP nonhospitalized patient with comorbidities or antibiotic use in past 3 months
1. Macrolide or doxycycline plus either amoxicillin (1g TID), augmentin (2g BID), or cephalosporin
2. Fluoroquinolone (moxi, levo, gemi)
Treatment for CAP hospitalized patient with moderately severe disease
1. Fluoroquinolone (moxifloxacin, gemifloxacin, or levofloxacin)
2. Macrolide (or doxycycline)  ampicillin, ceftrixaone, or cefotaxime
Treatment for CAP hospitalized patient in ICU
Fluoroquinolone or azithromycin plus ampicillin/sulbactam or ceftriaxone or cefotaxime
What is the duration of treatment for CAP
5 days minimum and afebrile for 48 to 72 hours
What is the treatment of HAP in patients with more than 5 days in hospital or has risk factor for MDR
Aminoglycoside or fluoroquinolone plus cefepime, ceftazidime, imipenem, meropenem, or zosyn for pseudomonal coverage

Add Vancomycin or linezolid for MRSA
How long is HAP treated?
7 - 8 days unless it is pseudomonas, acinetobacter or concomitant bloodstream infection. Those exceptions require 14 days
What is the treatment of HAP in patients with less than 5 days in hospital
Unasyn, fluroquinolone, ertapenam, or ceftriaxone
What are the risk factors for MDR HAP
1. Immunosuppressed
2. Hospitalization in unit with high resistance
3. Risk factors of HCAP
4. Antibiotic within 90 days
What patients should influenza be treated
1. Older than 65 or younger than 2
2. Immunosuppressed patients
3. Chronic disease patients
4. Morbidly obese
5. Residents of nursing home and other long-term facility
Influenza treatment must be initiated how soon?
Within 48 hours of symptom onset
What is the difference between bacterial and viral sinusitis symptoms
Bacterial symptoms last longer than 5-10 days, have fever by day 3-4, and persistant purulent nasal discharge
What are the therapies available for bacterial sinusitis
1. High dose augmentin (first line)
2. Doxycycline
3. Cefixime
4. Cefpodoxime with clindamycin

Use intranasal saline irrigation and intranasal corticosteroids as adjunctive therapy for patients with allergic rhinitis
What is the initial treatment for septic shock?
Crystolloid fluid and broad spectrum antibiotic
What can be added to pneumonia treatment if Mrsa is suspected
Vancomycin or linezolid
If a pediatric patient is normotensive but is septic do you still need fluid resuscitation
Yes, crystolloid at 20 mg/kg
How do you classify UTI?
If patient has flank pain/fever it is pyelonephritis. If the patient has polyuria/urgency it is cystitis.

If the patient isany of the following it is complicated:
  • Male sex
  • Hospital acquired
  • Pregnancy
  • Anatomical abnormality of the urinary tract
  • Childhood urinary tract infection
  • Recent antimicrobial use
  • Diabetes mellitus
  • Indwelling urinary catheter
  • Recent urinary tract instrumentation
  • Immunosuppression
x of y cards