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WorksheetsPharm Lecture 1 and 2 - Allergy
Total questions: 52
Worksheet time: 35mins
Which agents(s) can be used to treat an infection caused by Bacteroides sp.?
Metronidazole
Cetriaxone
Meropenem
Azithromycin
Piperacillin/tazobactam
Which of the following is an appropriate treatment use of Clindamycin?
Enterococcus urinary tract infection
Peptostreptococcus dental abscess
Klebsiella pneumonia
Clostridium difficile-associated diarrhea
Which agents will cover Streptococcus pneumoniae?
Penicillin
Vancomycin
Aztreonam
Clindamycin
Ceftriaxone
Macrolides
bactericidial
bacteriostatic
AUC:MIC dependent
concentration dependent
Fluroquinolones
bactericidial
bacteriostatic
AUC:MIC dependent
concentration dependent
best absorption of fluoroquinolones
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
Once a day dosing
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
MRSA coverage
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
MSSA coverage only
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
anaerobe coverage
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
atypical coverage
macrolides
fluoroquinolones
UTI
Ciprofloxacin
Levofloxacin
Moxifloxacin
UTI uses
Macrolides
Fluoroquinolones
Treatment/prophylaxis in bioterrorism
Ciprofloxacin
Levofloxacin
Moxifloxacin
First line options for UTI
Nitrofurantoin
TMP/SMX
Levofloxacin
Ciprofloxacin
Acute bacterial sinusitis (ABS) for first-line therapy for empiric treatment
fluoroquinolones
beta-lactams
acute bacterial exacerbation of chronic bronchitis (ABECB) first-line recommended agents
aminopenicillins
doxycycline
TMP/SMX
levofloxacin
moxifloxacin
Community acquired pneumonia (CAP) [S. pneumoniae, H. influenzae, atypicals]
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
Hospital-acquired pneumonia (HAP) or ventilator-associated pneumonia (VAP) [gram neg pathogens, Psudomonas aeruginosa most concerning]
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
UTIs
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
GI infections (alternative treatment to traveler's diarrhea)
Ciprofloxacin (plus metronidazole)
Levofloxacin (plus metronidazole)
Moxifloxacin
Delafloxacin
Skin and Skin Structure infections
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
rarely used for empiric therapy ( bc of their limited activity against MRSA)
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
only for gram-negative skin infections
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
safe in pregnancy and lactation
macrolides
fluoroquinolines
muscoskeletal risk in pregnancy/lactation, children/neonates, and elderly
macrolides
fluoroquinolones
cardiac arrhythmias risk in elderly
macrolides
fluroquinolones
safe in children and neonates
macrolides
fluroquinolones
no issues in obesity
macrolides
fluroquinolones
Streptococcus pyogenes (Group A)
Azithromycin
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
Streptococcus pneumoniae
Azithromycin
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
Haemophilus influenzae
Azithromycin
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
Moraxella catarrhalis
Azithromycin
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
Staphylococcus aureus (LRT infection)
Beta-lactam
Vancomycin
Azithromycin
Levofloxacin
Atypical bacteria
Azithromycin
Any FQ
Bortatella pertussis
Azithromycin
Any FQ
Upper respiratory bugs
Azithromycin
Ciprofloxacin
Levofloxacin
Moxifloxacin
Delafloxacin
Metronidazole
bactericidial
bacteriostatic
AUC:MIC dependent
concentration dependent
Metronidazole MOA
protein-synthesis inhibitor
DNA synthesis inhibitor
Free radical production (cytotoxic)
Fluoroquinolones MOA
protein-synthesis inhibitor
DNA synthesis inhibitor
Free radical production (cytotoxic)
Macrolides MOA
protein-synthesis inhibitor
DNA synthesis inhibitor
Free radical production (cytotoxic)
Clindamycin MOA
protein-synthesis inhibitor
DNA synthesis inhibitor
Free radical production (cytotoxic)
Trichomonas vaginalis drug of choice
Clindamycin
Metronidazole
Azithromycin
Ciprofloxacin
Clindamycin
bactericidial
bacteriostatic
AUC:MIC dependent
concentration dependent
Top 200 drug
Azithromycin
Ciprofloxacin
Clindamycin
Metronidazole
Metronidazole coverage
Aerobes, gram + only
Anaerobes, gram +
Anaerobes, gram -
Clindamycin coverage
Aerobes, gram + only
Anaerobes, gram +
Anaerobes, gram -
SSTI including necrotizing fasciitis and acne vulgarius
clindamycin
metronidazole
alternative to cefazolin for surgical prophylaxis in patients w severe PCN allergy
clindamycin
metronidazole
no adjustment in renal or hepatic failure
clindamycin
metronidazole
best above the diaphragm
clindamycin
metronidazole
best below the diaphragm
clindamycin
metronidazole
