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Pediatrics

  1. Meningococcemia
    • Nisseria Meningittis
    • - Hospital admission
    • - broad spec antibiotics : Vancomycin, Gentimicin
    • - Manage Shock
  2. HIV treatment in children
    • NRTI -- nucleoside reverse transcriptase inhibitor
    • NNRTI -- non-nucleoside reverse transcriptase inhibitor
    • Protease inhibitor
  3. Toxoplasmosis treatment (intracellular protozoan)
    Pyrimethamine & Sulfadiazzine (both inhibit folic acid synthesis -- need to replace)
  4. Cryptococcosis (Fungal infection) treatment
    - Ampho B & flucytosine
  5. Pneumocystis Carini pnemonia (PCP) -- fungal classification
    1st line - TMP sulfa

    • 2nd line - pentamidine
    • TMP-SMZ + dapsone
    • atovaquone
    • primaquine + clindamycin
  6. Atypical Mycobacterial infections treatment

    1) avium
    2) intracellulare
    3) kansasii
    • - Clarithromycin or Azithromycin plus 1) ethambutol
    • 2) Rifabutin
    • 3) Rifampin
    • 4) Ciprofloxacin
    • 5) Amikacin
  7. CMV infection
    No treatment

    life threatening infection give IV foscarnet or ganciclovir

    transplant recipients are given oral ganciclovir CMV prophylaxis
  8. Varicella (chickenpox) immunocompetent
    Oral antihistamines
  9. VZV pneumonia & immunocompetent varicella
    Acyclovir

    Varicella immune globulin
  10. Rebeola (measles) treatment
    • Supportive
    • Immunoglobulin is available
  11. Lyme Disease Treatment
    Amoxicillin or Doxycycline
  12. Typhoid Fever (salmonella typhi) Treatment
    Amoxicillin or TMP-SMZ
  13. Rocky mountain spotted fever (RMSF) -- Riketttsia rickettsii
    Tetracycline ( protein synthesis inhibitor)

    Chloramphenicol-----inhibiting bacterial protein synthesis, chloramphenicol has a very broad spectrum of activity: it is active against Gram-positive bacteria (including most strains of MRSA), Gram-negative bacteria and anaerobes.[
  14. Coccidiodiomycosis (fungal) treatment
    Oral Itraconazole

    Severe = IV Amphotocerin B
  15. Histoplasmosis (fungal) treatment
    Oral Itraconazole

    Severe = IV Amphotocerin B
  16. Schistosomiasis treatment (protozoal)
    Praziquantel
Author
shamaine24
ID
1847
Card Set
Pediatrics
Description
ID treatemtns
Updated

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