RATED ANSWERS
What macrolide is not really used anymore? Erythromycin
- First generation (covers gram positive and negative)
- completely resistant to most staph, strep, and enterococcus.
When would you use an erythromycin? For pregnant women with atypical pathogen
- give 3 to 4 times per day (short half life)
Macrolides are only used for __________. Atypical pathogens
also for:
- Staph: MSSA
- Listeria
- M. cat
- Legionella sp.
- Chlamoydophila
- Mycoplasma
Strep resistance to Z-PAK is ___________%. 30-33%
We want to save Z-PAK for ___________ and/or for ____________. Atypical pneumonia
,OR
Patients that can not take doxycycline
What is an example of a second generation fluoroquinolone? Ciprofloxacin (Cipro)
Ciprofloxacin (Cipro) is given for? Gram-Negative
Atypical pathogens
- kills bacteria below the belt
What organisms can second generation fluoroquinolones kill? - Staph: MSSA
- M. cat
- H. influenzae
- E. coli
- Legionella
- Chlamydophila
- Mycoplasma
- Klebsiella
- Anthrax
What is an example of a third generation fluoroquinolone? Levofloxacin (Levaquin)
, Levofloxacin is given for? Gram-Positive
Gram-Negative
Atypical pathogens
DRSP
Aerobes/Anarobes
BASCIALLY everything!
Who do we want to save Levofloxacin for? Immunocompromised oncology patients
DRSP
What organisms does 3rd generation fluoroquinolones kill? Gram positive:
- Staph: MSSA
- Listeria
- Strep
Gram-negative:
- M. cat
- H. influenzae
- E. coli