Bugs to Drugs Comprehensive Guide
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Cocci
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Aerobic
(Cluster) |
↣ Staph. aureus
↣ Staph. epidermidis ↣ Staph. saprophyticus |
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Aerobic
(Pair/Chain) |
↣ Strep. pneumoniae
↣ Strep. pyogenes (Grp A) ↣ Strep. agalactiae (Grp B) ↣ Viridans streptococci ↣ Enterococcus faecium ↣ Enterococcus faecalis |
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Anaerobic
|
↣ Peptococcus
↣ Peptostreptococcus |
|
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Bacilli
|
Aerobic
|
↣ Corynebacterium
↣ Listeria (facultative aerobic & anaerobic) ↣ Lactobacillus ↣ Gardnerella ↣ Bacillus |
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Anaerobic
|
↣ Clostridium
↣ Lactobacillus ↣ Actinomyces ↣ Propionibacterium |
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Community-acquired PNA (CAP)
|
(+) Strep. pneumoniae
(–) Haemophilus influenzae (–) Moraxella catarrhalis (A) Mycoplasma pneumoniae (A) Legionella species (A) Chlamydia pneumoniae |
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Hospital-acquired PNA (HAP)
Ventilator-acquired PNA (VAP) |
(+) MRSA
(–) Pseudomonas aeruginosa (–) Acinetobacter species (–) Enterobacteriaceae family |
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Aspiration
|
(–) Enterobacteriaceae family
(+/–) Anaerobic organisms |
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Cellulitis
|
Folliculitis
|
|
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Furuncles, Carbuncles, Abscesses
|
S. aureus is the most common cause
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Diffuse cellulitis (Erysipelas)
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Group A Strep (GAS; S. pyogenes) is the most common cause
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Impetigo
|
Strep pyogenes -or- S. aureus are the most common cause
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Necrotizing SSTIs
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Streptococcus pyogenes (GAS)
Mixed infection (Gram +/- and anaerobes Clostridium species |
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Diabetic Foot Infections
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Begin as skin ulceration, can spread into deeper tissue and bone
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S. aureus
Strep species Enterobacteriaceae Anaerobes |
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Surgical Site Infections
|
(Develop >48 hrs post-op)
|
Staph. aureus
Strep species |
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Immunocompromised
|
HIV, hematology/oncology
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Common or unusual bacteria
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Bacilli
|
Anaerobic
|
↣ Bacteroides
↣ Prevotella ↣ Fusobacterium |
|
Aerobic
(Fermenters) |
Enterobacteriaceae:
↣ Proteus ↣ E. coli ↣ Klebsiella ↣ Enterobacter ↣ Serratia ↣ Salmonella ↣ Shigella ↣ Citrobacter Other (Vibrio/Aeromonas) |
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Aerobic
(Non-fermenters) |
↣ Pseudomonas
↣ Acinetobacter ↣ Stenotrophomonas ↣ Burkholderia |
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Aerobic
(Fastidium) |
↣ Haemophilus influenzae
↣ Helicobacter pylori ↣ Campylobacter ↣ Bartonella ↣ HACEK group |
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Cocci
|
↣ Neisseria
↣ Moraxella |
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Uncomplicated UTIs
|
(–) PEK (E. coli, Klebsiella pneumoniae, Proteus)
(+) Enterococci (+) Staph. saprophyticus |
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Complicated UTIs
|
The above pathogens + MDR pathogens in those with frequent UTIs and nosocomial UTIs (S. aureus, Pseudomona)
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