ID FC 2.txt

• Indicated once fever persists for 5-7d of tx.
• U/S or CT
• Drain abscess and culture

• Empiric: vanc + gent
• Virdans: 4 weeks ceftriaxone
• Staph: Oxacillin, nafcillin, cefazolin. If prosthetic, add rifampin
• Fungal: Amphotericin and valve replacement
• Staph epidermidis or MRSA: Vanc + gent
• Enterococci: Amp+ gent
• HACEK: ceftriaxone
• Resistance: Add aminoglycoside
• Surgery if CHF, rupture, prosthetic, block, fungal, abscess, AV block, emboli which on abx

• Haemophilus aphrophilus and parainfluenza
• Actinobacilus
• Cardiobacterium
• Eikenella
• Kingella

• Amox
• If pen all, clinda, azithro, or clarithro

5-30days after tick bite. 85-90% of pts

• 60% of pts
• Oligo
• 24000 WBC in aspirate (nondistinguishing)
• Knee most common

• 10-15%
• Bell palsy
• Meningitis, encephalitis, CN palsy

• 5-10%
• AV block, Myocarditis, ventricular arrythmia

• Rash: doxy or amox
• Joint or bell: doxy or amox
• Cardiac or neuro: IV ceftriaxone
• Tick bite IDed as ixodes scapularis, attached longer than 24hrs, engorged, or endemic area: 1 dose of doxy

perinatal, anal, needle stick, oral receptive, vaginal receptive, vaginal insertive

Shingles, HSV, TB, candidasis, bacterial pna

• ELISA
• confirmed by Western
• infants - PCR or viral cx

• CD4 < 500, viral >100,000, or opportunistic infection
• -emtricitabine (NRTI), tenofovir (NRTI), and efavirenz (nonNRTI)
• -if resistant, 3 drugs with at least 2 classes of NRTIs, nonNRTIs, protease inh
• -Then entry inhibitors (enfuvirtide or maraviroc) or integrase inh (raltegravir)

• Zidovudine
• Stavudine and didanosine
• Abacavir
• protease inh
• indinavir
• tenofovir
• efavirenz
• Anemia
• periph neuropathy, pancreatitis
• hypersens, SJS
• Hyperlipid, hyperglycemia
• nephrolithiasis
• renal insufficiency
• teratogenic - use a protease inh instead

• Efavirenz is teratogenic
• Keep on other meds or start meds if indicated
• If mom is fine, tx during 2nd and 3rd trimesters
• Intrapartum +6 weeks zidovudine for baby
• If CD4 <350 or viral >1000 - Csection

• Penicillins,
• cephalosporins,
• carbapenema,
• aztreonam.

• Strep viridans,
• strep pyogenes,
• oral anaerobes,
• syphilis,
• leptospira

• All of pen plus
• ecoli,
• lyme,
• gram neg (HELPS) Hflu, Ecoli, Listeria, Proteus, Salmonella

• Otitis media
• dental
• endocarditis ppx,
• limited lyme,
• pregnant uti,
• listeria,
• enterococcal.

• Skin (cellulitis, impetigo, erysipelas),
• staph (endocarditis, meningitis, bacteremia),
• sensitive osteo or septic joint.

• Gram neg (Ecoli, proteus) and pseudomonas.
• Cholecystitis, asc cholangitis,
• pyelo,
• bacteremia,
• hospital acquired pna,
• neutropenia fever.

• Listeria,
• mrsa,
• enterococcus

• Strep a, b, c, viridans,
• Ecoli,
• klebsiella,
• proteus

• If rash, use cephalosporin.
• If anaphylaxis, use non beta lactam abx

• Cefazolin,
• cephalexin,
• cephradrine,
• cefadroxyl.
• Staph, strep, Ecoli.

• Cefotetan,
• cefoxitin,
• cefaclor,
• cefprozil,
• cefuroxime,
• loracarbef.
• 1st+ better for anaerobes and gram neg. Most good for upper resp

• 2nd gen ceph.
• Best initial for pid with doxy.
• Inc bleeding risk and disulfiram like

• Cedtriaxone,
• cefotaxime,
• ceftazidime

• 3rd gen.
• First line for pneumococcus.
• Meningitis,
• comm pna with a macrolide,
• gonorrhea,
• lyme in heart or brain.
• Neonates can't metabolize it in biliary.

• 3rd gen ceph.
• Better in neonate.
• Good for SBP

• 3rd gen cephalasporin.
• Pseudomonal

• 4th gen cephalasporin.
• Better at staph.
• Used for neutropenia fever, vent pna

• Imipenem, meropenem, ertapenem, doripenem.
• Resistant gram neg. Neutropenia fever.
• All but ertapenem cover pseudomonas.