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Mycobacterium terrae

Mycobacterium terrae ^[1]

1. In vitro susceptibility

All six of the isolates from a single center and 90% or more of an additional 22 isolates of M. terrae complex were susceptible to Ciprofloxacin and Sulfonamides. Recently, 11 isolates of M. terrae complex were also shown to be susceptible to Linezolid

2. Antimicrobial therapy

Based on in vitro susceptibility results

Mycobacterium szulgai

Mycobacterium szulgai ^[2]^[3]

1. in vitro susceptibility

M. szulgai is susceptible in vitro to most antituberculous drugs including Quinolones and newer Macrolides

2. Infection

2.1 Pulmonary infection

Three- or four-drug regimen based on susceptibility that includes 12 months of negative sputum cultures while on therapy

2.2 Extrapulmonary infection

Combination anti-tuberculous medications based on in vitro susceptibilities for 4-6 months

Mycobacterium smegmatis

Mycobacterium smegmatis ^[4]

1. Mild disease

Preferred regimen: Doxycycline PO AND Trimethoprim sulfamethoxazole PO

2. Severe disease

Preferred regimen: Amikacin IV OR Imipenem IV

Mycobacterium mucogenicum

Mycobacterium mucogenicum ^[5]

In vitro susceptible agents: Aminoglycosides, Cefoxitin, Clarithromycin, Minocycline, Doxycycline, Quinolones, Trimethoprim/sulfamethoxazole, and Imipenem

Mycobacterium malmoense

Mycobacterium malmoense^[6]

1. In vitro

Susceptible: Ethambutol, Ethionamide, Kanamycin, and Cycloserine
Resistant: INH, Streptomycin, Rifampin, and Capreomycin

2. Pulmonary M. malmoense infection

Preferred regimen: INH AND Rifampin AND Ethambutol ± Quinolones AND Macrolides

Mycobacterium immunogenum

Mycobacterium immunogenum ^[7]

In vitro

Susceptible: Amikacin and Clarithromycin
Resistant: Ciprofloxacin, Doxycycline, Cefoxitin, Tobramycin, and Sulfamethoxazole
Note: The optimal therapy for this organism is unknown; however, successful therapy is likely difficult due to the extensive antibiotic resistance of the organism

Mycobacterium leprae

Mycobacterium leprae ^[8]

1. Multibacillary Leprosy (Skin smear positive)

1.1 Adult

Preferred regimen: Dapsone 100 mg/day PO AND Rifampin 600 mg PO 4 times per week AND Clofazimine 50 mg PO qd for 12-24 months
Note: Clofazimine should be supplemented by loading dose 300 mg PO monthly

1.2 Pediatric

1.2.1 < 35 kg

Preferred regimen: Dapsone 1-2 mg/kg/day PO AND Rifampin 450 mg PO for 12-24 months

1.2.2 < 20 kg

Preferred regimen: Dapsone 1-2 mg/kg/day PO AND Rifampin 300 mg PO for 12-24 months

1.2.3 < 12 kg

Preferred regimen: Dapsone 1-2 mg/kg/day PO AND Rifampin 150 mg PO for 12-24 months

2. Paucibacillary Leprosy (Skin Smear negative)

Preferred regimen: Rifampin 600 mg PO once a month for 6 months AND Dapsone 100 mg PO qd for 6 months

3. Erythema Nodosum Leprosum (ENL)

3.1 Mild

Preferred regimen: Rest affect limb, analgesics, follow-up twice a week, check for iridocyclitis; Chloroquine OR Aspirin may be useful

3.2 Severe (numerous nodules + fever, ulcerating/pustular ENL, visceral involvement, nodules + neuritis, recurrent ENL)

Preferred regimen: Prednisolone 30-40 mg/day PO for 1-2 weeks THEN taper over 12 weeks
Alternative regimen (1): (If unresponsive to corticosteroids or if risk of corticosteroids prevent administration) Start Clofazimine 100 mg PO tid for maximum of 12 weeks THEN 100 mg PO bid for 12 weeks THEN 100 mg qd for 12-24 weeks
Alternative regimen (2): (if not contraindicated) Thalidomide 200-400 mg/day PO, reduced to 50-100 mg/day after 1-2 weeks

4. Reversal Reaction

Preferred regimen: Prednisolone start with 40 mg/day PO THEN taper by 10 mg twice a week for 12 weeks

Mycobacterium xenopi

Mycobacterium xenopi ^[9]

1. The cornerstone of therapy for M. xenopi

Preferred regimen: Clarithromycin AND Rifampin AND Ethambutol
Note: Therapy should be continued until the patient has maintained negative sputum cultures while on therapy for 12 months

2. Pulmonary disease

Preferred regimen: INH AND Rifabutin OR Rifampin AND Ethambutol AND Clarithromycin ± Streptomycin
Note: A quinolone, preferably Moxifloxacin, could be substituted for one of the antituberculous drugs

3. Extrapulmonary disease

Note: Therapy for extrapulmonary disease would include the same agents as for pulmonary disease

Mycobacterium ulcerans

Mycobacterium ulcerans ^[10]

1. Preulcerative lesions

Excision and primary closure, Rifampin monotherapy, or heat therapy

2. Established ulcers

Most antimycobacterial agents are ineffective for the treatment of the ulcer; Surgical debridement combined with skin grafting is the usual treatment of choice

3. Control complications of the ulcer

Preferred regimen: Clarithromycin AND Rifampin

Swine influenza

Swine influenza ^[11]

1. Condition1: Patients who have severe or progressive clinical illness

Preferred regimen: Oseltamivir 150 mg PO bid
Note(1): Treatment duration depends on clinical response
Note(2): Where the clinical course remains severe or progressive, despite 5 or more days of antiviral treatment, monitoring of virus replication and shedding, and antiviral drug susceptibility testing is desirable
Note(3): Antiviral treatment should be maintained without a break until virus infection is resolved or there is satisfactory clinical improvement
Note(4): Patients who have severe or progressive clinical illness, but who are unable to take oral medication may be treated with Oseltamivir administered by nasogastric or orogastric tube

2. Condition2: In situations where oseltamivir is not available, or not possible to use, patients who have severe or progressive clinical illness

Preferred regimen: Zanamivir inhaled
Note: Zanamivir IV should be considered where available and is recommended for those with serious or progressive illness. If not available, Peramivir IV may be considered

3. Condition3: Severely immunosuppressed patients

Antiviral chemoprophylaxis would be considered by using Oseltamivir OR Zanamivir

Mycobacterium simiae

Mycobacterium simiae ^[12]

Preferred regimen: Clarithromycin AND Moxifloxacin AND Trimethoprim/sulfamethoxazole

Mycobacterium foruitum

Mycobacterium foruitum ^[13]

1. In vitro isolates

Susceptible agents: Amikacin (100%), Ciprofloxacin and Ofloxacin (100%), Sulfonamides (100%), Cefoxitin (50%), Imipenem (100%), Clarithromycin (80%), and Doxycycline (50%)

2. Disease

2.1 M. fortuitum lung disease

At least two agents with in vitro activity against the clinical isolate should be given for at least 12 months of negative sputum cultures

2.2 Serious skin, bone, and soft tissue M fortuitum disease

At least two agents with in vitro activity against the clinical isolate should be given for a minimum of 4 months; For bone infections, 6 months of therapy is recommended

Mycobacterium scrofulaceum

Mycobacterium scrofulaceum ^[14]

Susceptibility data are lacking and standard treatment regimens for M. scrofulaceum are controversial, emphasizing the need to perform susceptibility testing on confirmed disease-producing isolates of M. scrofulaceum

Mycobacterium marinum

Mycobacterium marinum ^[15]

1. In vitro M. marinum isolates

Susceptible: Rifampin, Rifabutin, Ethambutol, Clarithromycin, Sulfonamides, and Trimethoprim sulfamethoxazole
Intermediately susceptible: Streptomycin, Doxycycline, and Minocycline
Resistant: Isoniazid and Pyrazinamide
Note: Two active agents for 1 to 2 months after resolution of symptoms, typically 3 to 4 months in total

2. Infection

2.1 skin and soft tissue infections

Preferred regimen (1): Clarithromycin AND Ethambutol
Preferred regimen (2): Ethambutol AND Rifampin
Note: Azithromycin can replace Clarithromycin

2.2 osteomyelitis or deep structure infection

Preferred regimen: Clarithromycin AND Ethambutol AND Rifampin

Mycobacterium kansasii

Mycobacterium kansasii ^[16]

1. pulmonary disease

Preferred regimen: Rifampin 10 mg/kg/day (Maximum, 600 mg) PO AND Ethambutol 15 mg/kg/ day PO AND Isoniazid 5 mg/kg/day (Maximum 300 mg) PO AND Pyridoxine 50 mg/day PO
Note: Treatment duration for M. kansasii lung disease should include 12 months of negative sputum cultures

2. Rifampin-resistant M. kansasii disease

Preferred regimen: Clarithromycin OR Azithromycin OR Moxifloxacin OR Ethambutol OR Sulfamethoxazole OR Streptomycin
Note(1): Use three-drug regimen
Note(2): Patients undergoing therapy for M. kansasii lung disease should have close clinical monitoring with frequent sputum examinations for mycobacterial culture throughout therapy

3. Disseminated M. kansasii disease

Note: The treatment regimen for disseminated disease should be the same as for pulmonary disease

Mycobacterium gordonae

Mycobacterium gordonae ^[17]

Preferred regimen: Ethambutol OR Rifabutin OR Clarithromycin OR Linezolid OR Fluoroquinolones

Mycobacterium genavense

Mycobacterium genavense ^[18]

Susceptibility: Amikacin, Rifamycin, Fluoroquinolones, Streptomycin, and Macrolides
Note(1): Ethambutol has limited activity
Note(2): Optimal therapy is not determined, but multidrug therapies including Clarithromycin appear to be more effective than those without Clarithromycin

Mycobacterium haemophilum

Mycobacterium haemophilum ^[19]

1. In vitro

Susceptible: Amikacin, Clarithromycin, Ciprofloxacin, Rifampin, and Rifabutin
Less susceptible: Doxycycline and Sulfonamides

2. Infection

2.1 Disseminated disease

Preferred regimen: Clarithromycin AND Rifampin AND Rifabutin AND Ciprofloxacin

Mycobacterium chelonae

Mycobacterium chelonae ^[20]
1. Localized infections

Preferred regimen: Clarithromycin 500 mg PO bid
Alternative regimen: Azithromycin

2. Disseminated or extensive disease

2.1 monotherapy

Preferred regimen: Clarithromycin 500 mg PO bid for 6 months

2.2 multidrug therapy

preferred regimen: Clarithromycin 500 mg PO bid AND Tobramycin 5 mg/kg IV q24h OR Imipenem 0.5-1 g IV q6h OR Linezolid 600 mg IV/PO q12h/bid for 4-8 weeks
Alternative regimen: Moxifloxacin 400 mg PO qd AND Linezolid 600 mg PO bid
Note(1): During initial treatment, multidrug therapy may prevent development of acquired resistance
Note(2): Total treatment duration is 6 months

3. Keratitis (LASIK-related)

Preferred regimen: Clarithromycin 500 mg PO bid AND Tobramycin 0.3% 2 gtts q4h AND Gatifloxacin 0.3% 1 gtt q4h OR Moxifloxacin 0.5% 1 gtt q4h

Mycobacterium celatum

Mycobacterium celatum ^[21]

Preferred regimen: Clarithromycin AND Ethambutol AND Ciprofloxacin ± Rifabutin

Mycobacterium avium complex

1. Treatment of MAC pulmonary disease ^[22]

1.1 Patients with nodular/bronchiectatic disease

Preferreday regimen: Clarithromycin 1,000 mg three times weekly OR Azithromycin 500–600 mg three times weekly AND Ethambutol 25 mg/kg three times weekly AND Rifampin 600 mg three times weekly
Note: Patients should be treated until culture negative on therapy for 1 year

1.2 Patients with fibrocavitary or severe nodular/bronchiectatic disease

Preferreday regimen: Clarithromycin 500–1,000 mg/day OR Azithromycin 250–300 mg/day OR Rifampin 600 mg/day OR Rifabutin 150–300 mg/day AND Ethambutol 15 mg/kg/day
Note(1): Amikacin OR Streptomycin threetimes-weekly can be used early in therapy
Note(2): Patients should be treated until culture negative on therapy for 1 year

2. Disseminateday MAC disease

Preferreday regimen: Clarithromycin 1,000 mg/day OR Azithromycin 250 mg/day AND Ethambutol 15 mg/kg/day ± Rifabutin 150–350 mg/day

Mycobacterium bovis

Mycobacterium bovis ^[23]

Note: Is intrinsically resistant to Pyrazinamide (PZA). The treatment of M. bovis is extrapolated from experience with the treatment of PZA-resistant M. tuberculosis
1. Pulmonary and most extrapulmonary disease

Preferred regimen: Isoniazid AND Rifampin AND Ethambutol for 2 months, followed by Isoniazid AND Rifampin for 7 months

2. Meningitis

Preferred regimen: Isoniazid AND Rifampin AND Ethambutol for 2 months, followed by Isoniazid AND Rifampin for 10 months

Mycobacterium abscessus

1.Limited, localized extrapulmonary disease ^[24]

Preferred regimen: Clarithromycin 500 mg PO bid ± Amikacin 10-15 mg/kg/day IV or 25 mg/kg three times weekly for 4 months

Alternative regimen (1): Amikacin AND Cefoxitin 12 g/day PO for two weeks
Note: until clinical improvement in severe cases

Alternative regimen (2): Amikacin AND Imipenem 500 mg IV q6-8h for two weeks
Note(1): Until clinical improvement in severe cases
Note(2): Osteomyelitis should be treated for as least 6 months; Infected foreign bodies should be removed

2.Pulmonary or serious extrapulmonary disease

Preferred regimen: Clarithromycin 500 mg PO bid AND Amikacin 15 mg/kg/day IV AND Cefoxitin 2g IV q4h OR Imipenem 1g IV q6h for at least 2-4 months
Note: If limited by adverse effects, then switch to Clarithromycin 500 mg PO bid or 1000 mg XR qd OR Azithromycin 250 mg PO qd
Alternative regimen(1): Tigecycline 100 mg IV loading dose, then 50 mg IV q12h
Note: could be substituted as one of the injectables
Alternative regimen(2): Linezolid 600 mg PO bid or 600 mg PO qd AND Clarithromycin
Note: Could replace parental tx if not tolerated or feasible

Mycobacterium tuberculosis

1. Standard Regimens for new patients ^[25]

1.1 Adult

1.1.1 Initial phase

Preferred regimen: Isoniazid 300 mg PO (5 mg/kg/day) qd for 8 weeks AND Rifampicin 600 mg PO (10 mg/kg/day) qd for 8 weeks AND Pyrazinamide 2 g PO (25 mg/kg/day) qd for 8 weeks AND Ethambutol 1.6 g PO (15 mg/kg/day) qd for 8 weeks
Alternative regimen (1): Isoniazid 300 mg/day PO for 2 weeks (5 mg/kg/day) AND Rifampicin 600 mg/day PO for 2 weeks (10 mg/kg/day) AND Pyrazinamide 2 g/day PO for 2 weeks (25 mg/kg/day) AND Ethambutol 1.6 g PO for 2 weeks (15 mg/kg/day), followed by Isoniazid 300 mg/day PO twice weekly for 6 weeks (5 mg/kg/day) AND Rifampicin 600 mg/day PO twice weekly for 6 weeks (10 mg/kg/day) AND Pyrazinamide 2 g/day PO twice weekly for 6 weeks AND Ethambutol 1.6 g PO for 2 weeks (15 mg/kg/day)
Alternative regimen (2): Isoniazid 300 mg/day PO thrice weekly for 8 weeks (5 mg/kg/day) AND Rifampicin 600 mg/day PO thrice weekly for 8 weeks (10 mg/kg/day) AND Pyrazinamide 2g/day PO thrice weekly for 8 week (25 mg/kg/day) AND Ethambutol 1.6 g PO thrice weekly for 8 weeks (15 mg/kg/day)

1.1.2 Continuation phase

Preferred regimen (1): Isoniazid 300 mg PO (5 mg/kg/day) qd AND Rifampicin 600 mg PO (10 mg/kg/day) qd for 18 weeks
Preferred regimen (2): Isoniazid 300 mg PO twice weekly (5 mg/kg/day) AND Rifampicin 600 mg/day PO twice weekly (10 mg/kg/day) for 18 weeks
Alternative regimen (1): Isoniazid 300 mg/day PO biweekly for 18 weeks (5 mg/kg/day) AND Rifampicin 600 mg/day PO biweekly for 18 weeks (10 mg/kg/day)
Alternative regimen (2): Isoniazid 300 mg/day PO thrice weekly for 18 weeks (5 mg/kg/day) AND Rifampicin 600 mg/day PO thrice weekly for 18 weeks (10 mg/kg/day)

1.2 Pediatric

1.2.1 Initial phase

Preferred regimen: Isoniazid 10 mg/kg PO (Maximum, 300 mg/day) AND Rifampicin 15 mg/kg PO (Maximum, 600 mg/day) AND Pyrazinamide 35 mg/kg PO (Maximum, 2 g/day) AND Ethambutol 20 mg/kg PO (Maximum, 1.6 g/day), each for 8 weeks

1.2.2 Continuation phase

Preferred regimen: Isoniazid 10 mg/kg PO (Maximum, 300 mg/day) AND Rifampicin 15 mg/kg PO (Maximum, 600 mg/day), each drug daily for 18 weeks

2. MDR Tuberculosis ^[26]

2.1 Adult

Preferred regimen: 4 agents combination

Agent 1: Pyrazinamide 20–30 mg/kg OR Ethambutol 15–25 mg/kg OR Rifabutin 5 mg/kg
Agent 2: Capreomycin 15 mg/kg OR Kanamycin 15 mg/kg OR Amikacin 7.5-10 mg/kg OR Streptomycin 12–18 mg/kg
Agent 3: Levofloxacin 500-1000 mg OR Moxifloxacin 400 mg OR Ofloxacin 400 mg
Agent 4: Ethionamide 15-20 mg/kg OR Protionamide 15-20 mg/kg OR Cycloserine 10-15 mg/kg OR Terizidone 10-20 mg/kg OR Para-aminosalicylic acid 8-12 g/day IV q8-12h

2.2 Pediatric

Preferred regimen: 4 agents combination

Agent 1: Pyrazinamide 20-30 mg/kg (Maximum: 600 mg) OR Ethambutol 15-20 mg/kg OR Rifabutin 5 mg/kg
Agent 2: Capreomycin 15-30 mg/kg (Maximum: 1000 mg) OR Kanamycin 15-30 mg/kg (Maximum: 1000 mg) OR Amikacin 15-22.5 mg/kg (Maximum: 1000 mg) OR Streptomycin 12-18 mg/kg AND
Agent 3: Levofloxacin 7.5-10 mg/kg OR Moxifloxacin 7.5-10 mg/kg OR Ofloxacin 15-20 mg/kg/day q12h (Maximum: 800 mg)
Agent 4: Ethionamide 15-20 mg/kg/day q12h (Maximum: 1000 mg) OR Protionamide 15-20 mg/kg/day q12h (Maximum: 1000 mg) OR Cycloserine 10-20 mg/kg (Maximum: 1000 mg) OR Terizidone 10-20 mg/kg (Maximum: 1000 mg) OR Para-aminosalicylic acid 150 mg/kg/day q8-12h(Maximum: 12,000 mg)

3. XDR Tuberculosis ^[27]

3.1 Adult

Preferred regimen: 3 agents combination

Agent 1: Pyrazinamide 20–30 mg/kg OR Ethambutol 15–25 mg/kg OR Rifabutin 5 mg/kg
Agent 2: Ethionamide 15-20 mg/kg OR Protionamide 15-20 mg/kg OR Cycloserine 10-15 mg/kg OR Terizidone 10-20 kg/mg OR Para-aminosalicylic acid 8-12 g/day q8-12h
Agent 3: Clofazimine 50 mg/d AND 300 mg once a month OR Amoxicillin/clavulanate 500 mg/125 mg q12h OR Linezolid 300-600 mg OR Imipenem 500mg q6h OR Clarithromycin 500-1000 mg q12h OR Thioacetazone 2.5 mg/kg OR Isoniazid (high-dose) 16–20 mg/kg

3.2 Pediatric

Preferred regimen: 3 agents combination

Agent 1: Pyrazinamide 20-30 mg/kg (Maximum: 600 mg) OR Ethambutol 15 mg/kg OR Rifabutin 5 mg/kg

Agent 2: Ethionamide 15-20 mg/kg (Maximum: 1000 mg) OR Protionamide 15-20 mg/kg (Maximum: 1000 mg) OR Cycloserine 10-20 mg/kg (Maximum: 1000 mg) OR Terizidone 10-20 mg/kg (Maximum: 1000 mg) OR Para-aminosalicylic acid 150 mg/kg/day q8-12h

Agent 3: Clofazimine 50 mg/d AND 300 mg once a month OR Amoxicillin/clavulanate OR Linezolid 300-600 mg OR Imipenem 500mg q6h OR Clarithromycin 500-1000 mg q12h OR Thioacetazone 2.5 mg/kg OR Isoniazid (high-dose) 16–20 mg/kg

Bacteroides fragilis

Bacteroides fragilis ^[28]

1. Monotherapy

Preferred regimen (1): Imipenem

Preferred regimen (2): Ertapenem

Preferred regimen (3): Meropenem

Preferred regimen (4): Doripenem 0.5-1.0 g IV q6h

Preferred regimen (5): Piperacillin-tazobactam 3.375 g IV q6h

Preferred regimen (6): Ampicillin-sulbactam 1-2 g IV q6h

Preferred regimen (7): Tigecycline 100 mg IV THEN 50 mg IV q12h

2. Combination therapy

Preferred regimen: Metronidazole 0.75-1.0 g IV q12h AND Cefotaxime 1.5-2 g IV q6h OR Aztreonam 1-2 g IV q8h OR Ceftriaxone 1 g IV q12h

Acinetobacter baumannii

Acinetobacter baumannii ^[29]

Preferred regimen (1): Imipenem 0.5-1 g IV q6h

Preferred regimen (2): Ampicillin/sulbactam 3 g q4h

Preferred regimen (3): Cefepime 1-2 g IV q8h

Preferred regimen (4): Colistin 2.5 mg/kg IV q12h

Preferred regimen (5): Tigecycline 100 mg IV THEN 50 mg IV q12h

Preferred regimen (6): Amikacin 7.5 mg/kg q12h IV or 15 mg/kg/day IV

Alternative regimen (1): Ceftriaxone 1-2g IV every day

Alternative regimen (2): Cefotaxime 2-3g IV q6-8h

Alternative regimen (3): Ciprofloxacin 400 mg IV q8-12h or 750 mg PO bid

Alternative regimen (4): TMP-SMX 15-20 mg (TMP)/kg/day IV q6-8h or 2 DS PO bid

Vibrio vulnificus

Vibrio vulnificus ^[30]

Note: If V. vulnificus is suspected, treatment should be initiated immediately because antibiotics improve survival
Preferred regimen: Doxycycline 100 mg PO/IV bid for 7-14 days AND Ceftazidime 1-2 g IV/IM q8h
Note: A single agent regimen with a fluoroquinolone such as Levofloxacin, Ciprofloxacin or Gatifloxacin, has been reported to be at least as effective in an animal model as combination drug regimens with Doxycycline and a Cephalosporin
Pediatric regimen: Doxycycline AND Fluoroquinolones; trimethoprim-sulfamethoxazole AND an Aminoglycoside

Vibrio parahaemolyticus

Vibrio parahaemolyticus ^[31]

1. Mild to Moderate

Treatment is not necessary in most cases of V. parahaemolyticus infection
There is no evidence that antibiotic treatment decreases the severity or the length of the illness
Patients should drink plenty of liquids to replace fluids lost through diarrhea

2. Severe or prolonged illnesses

Preferred regimen: Tetracycline OR Ciprofloxacin

Vibrio cholerae

1. WHO ^[32] ^[33]

Note: Antibiotic treatment for cholera patients with severe dehydration only
Adults

Preferred regimen: Doxycycline 300 mg po single dose
Alternative regimen: Tetracycline 12.5 mg/kg PO qid for 3 days

Pediatric

Under 12 years old

Preferred regimen: Erythromycin 12.5 mg/kg PO qid for 3 days

Over 12 years old

Preferred regimen: Doxycycline 300 mg po single dose
Alternative regimen: Tetracycline 12.5 mg/kg PO qid for 3 days

2. Pan American Health Organization ^[34]

Note: Antibiotic treatment for cholera patients with moderate or severe dehydration
2.1 Adult

Preferred regimen: Doxycycline 300 mg po single dose
Alternative regimen (1): Ciprofloxacin 1 g PO single dose
Alternative regimen (2): Azithromycin 1 g PO single dose

2.2 Pediatric

2.2.1 Children over 3 year, who can swallow tablets

Preferred regimen (1): Erythromycin 12.5 mg/kg/ PO qid for 3 days
Preferred regimen (2): Azithromycin 20 mg/kg PO in a single dose
Alternative regimen (1): Ciprofloxacin suspension or tablets 20 mg/kg PO single dose
Alternative regimen (2): Doxycycline suspension or tablets 2-4 mg/kg PO single dose
Note: Although doxycycline has been associated with a low risk of yellowing of the teeth in children, its benefits outweigh its risks

2.2.2 Children under 3 year, or infants who cannot swallow tablets

Preferred regimen (1): Erythromycin suspension 12.5 mg/kg/ PO qid for 3 days
Preferred regimen (2): Azithromycin suspension 20 mg/kg PO single dose
Alternative regimen (1): Ciprofloxacin suspension 20 mg/kg PO single dose
Alternative regimen (2): Doxycycline syrup 2-4 mg/kg PO single dose

2.3 Pregnancy

Preferred regimen (!): Erythromycin 500 mg/ PO qid for 3 days
Preferred regimen (2): Azithromycin 1 g PO single dose

Treponema pallidum

1. Syphilis Among non-HIV-Infected Persons ^[35]

1.1 Primary and Secondary Syphilis

Preferred regimen: Benzathine penicillin G 2.4 MU IM single dose
Pediatric regimen: Benzathine penicillin G 50,000 U/kg (Maximum, 2.4 MU) IM single dose

1.2 Latent Syphilis

1.2.1 Early Latent Syphilis

Preferred regimen: Benzathine penicillin G 2.4 MU IM in a single dose
Pediatric regimen: Benzathine penicillin G 50,000 U/kg (Maximum, 2.4 MU) IM single dose

1.2.2 Late Latent Syphilis or Latent Syphilis of Unknown Duration

Preferred regimen: Benzathine penicillin G 7.2 MU total, administered as 3 doses of 2.4 MU IM each at 1 week intervals
Pediatric regimen: Benzathine penicillin G 50,000 U/kg IM (Maximum, 2.4 MU), administered as 3 doses at 1 week intervals (total 150,000 U/kg up to the adult total dose of 7.2 MU)

1.3 Tertiary Syphilis

Preferred regimen: Benzathine penicillin G 7.2 MU total, administered as 3 doses of 2.4 MU IM each at 1 week intervals

1.4 Neurosyphilis and ocular syphilis

Preferred regimen: Aqueous crystalline penicillin G 18-24 MU per day, administered as 3-4 MU IV q4h or continuous infusion, for 10-14 days
Alternative regimen: Procaine penicillin 2.4 MU IM q24h AND Probenecid 500 mg PO qid for 10-14 days

2. Syphilis Among HIV-Infected Persons

2.1 Primary and Secondary Syphilis Among HIV-Infected Persons

Preferred regimen: Benzathine penicillin G 2.4 MU IM single dose

2.2 Latent Syphilis Among HIV-Infected Persons

2.2.1 early latent

Preferred regimen: Benzathine penicillin G 2.4 MU IM single dose

2.2.2 late latent

Preferred regimen: Benzathine penicillin G 2.4 MU once a week for 3 weeks

2.3 Neurosyphilis Among HIV-Infected Persons

Preferred regimen: Aqueous crystalline penicillin G 18-24 MU per day, administered as 3-4 MU IV q4h or continuous infusion, for 10-14 days
Alternative regimen: Procaine penicillin 2.4 MU IM q24h AND Probenecid 500 mg PO qid for 10-14 days

3. Syphilis During Pregnancy

Pregnant women should be treated with the penicillin regimen appropriate for their stage of infection

4. Congenital Syphilis in neonates

4.1 condition1: Infants with proven or highly probable disease and (1) an abnormal physical examination that is consistent with congenital syphilis;（2）a serum quantitative nontreponemal serologic titer that is fourfold higher than the mother's titer; or（3）a positive darkfield test of body fluid(s).

Preferred regimen (1): Aqueous crystalline penicillin G 100,000-150,000 U/kg/day, administered as 50,000 U/kg/dose IV q12h during the first 7 days of life and q8h thereafter for a total of 10 days

Preferred regimen (2): Procaine penicillin G 50,000 U/kg/dose IM q24h for 10 days
Note: If more than 1 day of therapy is missed, the entire course should be restarted. Data are insufficient regarding the use of other antimicrobial agents (e.g., ampicillin). When possible, a full 10-day course of penicillin is preferred, even if ampicillin was initially provided for possible sepsis. The use of agents other than penicillin requires close serologic follow-up to assess adequacy of therapy. In all other situations, the maternal history of infection with T. pallidum and treatment for syphilis must be considered when evaluating and treating the infant.

4.2 condition2: Infants who have a normal physical examination and a serum quantitive nontreponemal serologic titer the same or less than fourfold the maternal titer and the (1) mother was not treated, inadequately treated, or has no documentation of having received treatment; (2) mother was treated with erythromycin or another nonpenicillin regimen; or (3) mother received treatment <4 weeks before delivery.

Preferred regimen (1): Aqueous crystalline penicillin G 100,000-150,000 U/kg/day, administered as 50,000 U/kg/dose IV q12h during the first 7 days of life and q8h thereafter for a total of 10 days

Preferred regimen (2): Procaine penicillin G 50,000 U/kg/dose IM q24h for 10 days

Preferred regimen (3): Benzathine penicillin G 50,000 U/kg/dose IM single dose
Note: If the mother has untreated early syphilis at delivery, 10 days of parenteral therapy can be considered

4.3 condition3: Infants who have a normal physical examination and a serum quantitative nontreponemal serologic titer the same or less than fourfold the maternal titer and the (1) mother was treated during pregnancy, treatment was appropriate for the stage of infection, and treatment was administered >4 weeks before delivery and (2) mother has no evidence of reinfection or relapse.

Preferred regimen: Benzathine penicillin G 50,000 U/kg/dose IM single dose

4.4 condition4: Infants who have a normal physical examination and a serum quantitative nontreponemal serologic titer the same or less than fourfold the maternal titer and the (1) mother's treatment was adequate before pregnancy; and (2) mother's nontreponemal serologic titer remained low and stable before and during pregnancy and at delivery (VDRL <1:2; RPR <1:4).

No treatment is required
Benzathine penicillin G 50,000 U/kg IM single dose might be considered, particularly if follow-up is uncertain.

5. Congenital Syphilis in infants and children

Preferred regimen: Aqueous crystalline penicillin G 50,000 U/kg q4–6h for 10 days

Leptospira

Leptospira ^[36]

Preferred regimen: Doxycycline 200 mg PO once a week

Borrelia recurrentis

1. Tick-Borne Relapsing Fever ^[37]

Preferred regimen: Doxycycline 100 mg PO bid for 5-10 days
Alternative regimen: Erythromycin 500 mg PO qid for 5-10 days
Note: If meningitis/encephalitis present, use Ceftriaxone 2 g IV q12h for 14 days

2. Louse-Borne Relapsing Fever

Preferred regimen: Tetracycline 500 mg PO single dose
Alternative regimen: Erythromycin 500 mg PO single dose

Borrelia burgdorferi

Lyme disease ^[38]

1. Early Lyme Disease

1.1 Erythema migrans

1.1.1 Adult

Preferred regimen (1): Doxycycline 100 mg PO bid for 10-21 days
Preferred regimen (2): Amoxicillin 500 mg PO tid for 14-21 days
Preferred regimen (3): Cefuroxime axetil 500 mg bid for 14-21 days
Alternatie regimen (1): Azithromycin 500 mg PO qd for 7–10 days
Alternatie regimen (2): Clarithromycin 500 mg PO bid for 14–21 days (if the patient is not pregnant)

Alternatie regimen (3): Erythromycin 500 mg PO qid for 14–21 days

1.1.2 Pediatric

1.1.2.1 children <8 years of age

Preferred regimen (1): Amoxicillin 50 mg/kg/day PO q8h (Maximum of 500 mg per dose)

Preferred regimen (2): Cefuroxime axetil 30 mg/kg/day PO q12h（Maximum, 500 mg per dose)

1.1.2.2 children ≥8 years of age

Preferred regimen (1): Doxycycline 4 mg/kg/day PO q12h（Maximum, 100 mg per dose）
Preferred regimen (2): Azithromycin 10 mg/kg PO qd (Maximum, 500 mg qd)

Preferred regimen (3): Clarithromycin 7.5 mg/kg PO bid (Maximum, 500 mg per dose)

Preferred regimen (4): Erythromycin 12.5 mg/kg PO qid (Maximum, 500 mg per dose)

1.2 When erythema migrans cannot be reliably distinguished from community-acquired bacterial cellulitis

Preferred regimen: Amoxicillin-Clavulanate 500 mg PO tid
Pediatric regimen: Amoxicillin-Clavulanate 50 mg/kg/day q8h (Maximum, 500 mg per dose)

1.3 Lyme meningitis and other manifestations of early neurologic Lyme disease

1.3.1 Adult

Preferred regimen: Ceftriaxone 2 g IV q24h for 10–28 days
Alternative regimen (1): Cefotaxime 2 g IV q8h
Alternative regimen (2): Penicillin G 18–24 MU q4h (for patients with normal renal function)
Alternative regimen (3): Doxycycline 200–400 mg/day PO bid for 10–28 days

1.3.2 Pediatric

Preferred regimen (1): Ceftriaxone 50–75 mg/kg IV single dose (Maximum, 2 g)
Preferred regimen (2): Cefotaxime 150–200 mg/kg/day IV q6-8h (Maximum, 6 g per day)
Alternative regimen (1): Penicillin G 200,000–400,000 units/kg/day IV q4h (for normal renal function) (maximum, 18–24 MU per day)
Alternative regimen (2): Doxycycline 4–8 mg/kg/day PO bid (maximum, 100–200 mg per dose) (≥8 years old)

1.4 Lyme carditis

Preferred regimen: Ceftriaxone 2 g IV q24h for 10–28 days
Note: patients with advanced heart block, a temporary pacemaker may be required; expert consultation with a cardiologist is recommended; Use of the pacemaker may be discontinued when the advanced heart block has resolved; An oral antibiotic treatment regimen should be used for completion of therapy and for outpatients, as is used for patients with erythema migrans without carditis (see above)

1.5 Borrelial lymphocytoma

Preferred regimen: The same regimens used to treat patients with erythema migrans (see above)

2. Late Lyme Disease

2.1 Lyme arthritis

Preferred regimen (1): Doxycycline 100 mg PO bid

Preferred regimen (2): Amoxicillin 500 mg PO tid
Alternative regimen: Cefuroxime axetil 500 mg PO bid for 28 days
Pediatric regimen: Amoxicillin 50 mg/kg/day tid (Maximum, 500 mg per dose); Cefuroxime axetil 30 mg/kg/day bid (Maximum,500 mg per dose); (≥8 years of age) Doxycycline 4 mg/kg/day bid (Maximum, 100 mg per dose)
Note: For patients who have persistent or recurrent joint swelling after a recommended course of oral antibiotic therapy, we recommend re-treatment with another 4-week course of oral antibiotics or with a 2–4 weeks course of Ceftriaxone IV

2.2 patients with arthritis and objective evidence of neurologic disease

Preferred regimen: Ceftriaxone IV for 2–4 weeks
Alternative regimen (1): Cefotaxime IV

Alternative regimen (1): Penicillin G IV
Pediatric regime: Ceftriaxone; Cefotaxime; Penicillin G IV

2.3 Late neurologic Lyme disease

Preferred regimen: Ceftriaxone IV for 2 to 4 weeks
Alternative regimen (1): Cefotaxime IV

Alternative regimen (2): Penicillin G IV
Pediatric regimen: Ceftriaxone; Cefotaxime; Penicillin G

2.4 Acrodermatitis chronica atrophicans

Preferred regimen (1): Doxycycline 100 mg PO bid for 21 days
Preferred regimen (2): Amoxicillin 500 mg PO tid for 21 days
Preferred regimen (3): Cefuroxime axetil 500 mg PO bid for 21 days

3. Post–Lyme Disease Syndromes

Preferred regimen: Further antibiotic therapy for Lyme disease should not be given unless there are objective findings of active disease (including physical findings, abnormalities on cerebrospinal or synovial fluid analysis, or changes on formal neuropsychologic testing)

Pasteurella multocida

Pasteurella multocida ^[39]

Preferred regimen (1): Amoxicillin clavulanate 500 mg PO tid or 875 mg PO bid with food
Note: Its also a preferred empirical coverage of animal bite wounds
Preferred regimen (2): Ampicillin sulbactam 3 g IV q6h
Preferred regimen (3): Ciprofloxacin 500 mg PO bid or 400 mg IV q12h
Preferred regimen (4): Levofloxacin 500 mg PO qd or IV q24h
Alternative regimen (1): Doxycycline 100 mg PO bid
Alternative regimen (2): TMP-SMX DS PO bid (for beta-lactam allergic patients )
Alternative regimen (3): Penicillin 500 mg PO qid or 4 MU IV q4h (use only if isolate known to be susceptible)

Moraxella catarrhalis

Moraxella catarrhalis ^[40]

Preferred regimen(1): TMP-SMX 1DS PO bid
Preferred regimen(2): Erythromycin 500 mg PO qid
Preferred regimen(3): Clarithromycin 500 mg PO bid or XL 1 g PO qd
Preferred regimen(4): Azithromycin 500 mg PO single dose THEN 250 mg PO qd
Preferred regimen(5): Doxycycline 100 mg PO/IV bid/q12h
Preferred regimen(6): Cefprozil 200-500 mg PO bid

Preferred regimen(7): Cefpodoxime 200-400 mg PO bid

Preferred regimen(8): Cefuroxime 250-500 mg PO bid

Preferred regimen(9): Cefdinir 300 mg PO bid
Preferred regimen(10): Moxifloxacin 400 mg IV/PO qd

Preferred regimen(11): Levofloxacin 500 mg IV/PO qd
Preferred regimen(12): Amoxicillin clavulanate 875/125 mg PO bid or XL 2000/125 PO bid

Eikenella corrodens

1. Human bite/soft tissue infections ^[41]

1.1 Severe

Preferred regimen: Ampicillin sulbactam 1.5-3 g IV q6h
Alternative regimen (1): Doxycycline 100 mg IV bid

Alternative regimen (2): Moxifloxacin 400 mg IV q24h

Alternative regimen (3): Levofloxacin 500 mg IV q24h

1.2 Mild

Preferred regimen: Amoxicillin clavulanate 250-500 mg tid or 875/125 mg PO bid
Alternative regimen (1): Doxycycline 100 mg PO bid

Alternative regimen (2): Moxifloxacin 400 mg PO qd

Alternative regimen (3): Levofloxacin 500 mg PO qd

2. Head and neck infections

2.1 Severe

Preferred regimen: Ampicillin sulbactam 1.5-3 g IV q6h
Alternative regimen (1): Doxycycline 100 mg IV bid

Alternative regimen (2): Moxifloxacin 400 mg IV q24h

Alternative regimen (3): Levofloxacin 500 mg IV q24h

2.2 Mild

Preferred regimen: Amoxicillin clavulanate 250-500 mg tid or 875/125 mg PO bid
Alternative regimen (1): Doxycycline 100 mg PO bid

Alternative regimen (2): Moxifloxacin 400 mg PO qd

Alternative regimen (3): Levofloxacin 500 mg PO qd

3. Endocarditis

Preferred regimen (1): Ceftriaxone 1 g IV q12h

Preferred regimen (1): Cefotaxime 1-2 g IV q8h

Preferred regimen (1): Cefepime 1-2g IV q8h

Rickettsia rickettsii

1. Adult ^[42] ^[43]

Preferred regimen: Doxycycline 100 mg q12h
Note: Patients should be treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement. Standard duration of treatment is 7-14 days
Alternative regimen: Chloramphenicol 500 mg PO qid for 7 days or stop 3 days after defervescence

2. Pediatric (under 45 kg (100 lbs))

Preferred regimen: Doxycycline 2.2 mg/kg bid
Note: The recommended dose and duration of medication needed to treat RMSF has not been shown to cause staining of permanent teeth, even when five courses are given before the age of eight. Healthcare providers should use doxycycline as the first-line treatment for suspected Rocky Mountain spotted fever in patients of all ages

Rhodococcus equi

Rhodococcus equi ^[44]

First line:

Preferred regimen: Vancomycin 1 g IV q12h (15 mg/kg q12 for >70 kg) OR Imipenem 500 mg IV q6h AND Rifampin 600 mg PO qd OR Ciprofloxacin 750 mg PO bid OR Erythromycin 500 mg PO qid for at least 4 weeks or until infiltrate disappears
Note: Should be administrated at least 8 weeks in immunocompromised patients

Oral/maintenance therapy (after infiltrate clears):

Preferred regimen (1): Ciprofloxacin 750 mg PO bid

Preferred regimen (2): Erythromycin 500 mg PO qid

Alternative regimen: Azithromycin OR TMP-SMX OR Chloramphenicol OR Clindamycin
Note: Avoid Penicillins/Cephalosporins due to development of resistance; Linezolid effective in vitro, but no clinical reports of use

Propionibacterium acnes

Propiobacterium acnes ^[45]

1. Systemic infection

Preferred regimen: Penicillin G 2 MU IV q4h for 2-4 weeks
Alternative regimen (1): Clindamycin 600 mg IV q8h for 2-4 weeks

Alternative regimen (2): Vancomycin 15 mg/kg IV q12h for 2-4 weeks

2. Shoulder prosthesis infection

Preferred regimen: Amoxicillin AND Rifampin for 3-6 months

3. Acne vulgaris

Topical antibiotics: Erythromycin OR Clindamycin
Systemic antibiotics: Minocycline OR Doxycycline OR Trimethoprim-Sulfamethoxazole

Nocardia

1. Sulfonamide-based therapies ^[46]

1.1 Pulmonary

Preferred regimen: TMP-SMX 10 mg/kg/day (TMP) IV q6-12h for 3-6 weeks, then 2 DS PO bid for at least 5 months

1.2 Pulmonary alternatives

Preferred regimen: Sulfisoxazole OR Sulfadiazine OR Trisulfapyrimidine 3-6 g/day PO bid-qid OR TMP-SMX 2 DS bid up to 2 DS tid

1.3 CNS (AIDS, severe or disseminated disease)

Preferred regimen: TMP-SMX 15 mg/kg/day (TMP) IV for 3-6 weeks, then PO (3 DS bid) for 6-12 months

1.4 CNS alternatives

Preferred regimen: Imipenem 1000 mg IV q8h OR Ceftriaxone 2 g IV q12h OR Cefotaxime 2-3 g IV q6h AND Amikacin

1.5 Severe disease, compromised host, multiple sites

Preferred regimen: TMP-SMX 15 mg/kg/day (TMP) IV AND Amikacin 7.5 mg/kg q12h OR Sulfonamide 6-12 mg/day PO

1.6 Sporotrichoid (cutaneous)

Preferred regimen: TMP-SMX 1 DS bid for 4-6 months

Note (1): Immunocompetent medicine use for 6 months; Immunosuppressed medicine for 12 months
Note (2): Treat based on host, site of disease and in vitro activity; Sulfonamide usually preferred, must treat for 6-12 months; Preferred drugs for resistant strains are Amikacin and/or Imipenem
Note (3): Seriously ill usually treated with IV Imipenem or Sulfonamide or Cefotaxime all potentially combined with Amikacin; less seriously ill treated with oral agents— especially TMP-SMX or Minocycline

2. Sulfonamide alternatives

2.1 Severe

Preferred regimen (1): (For AIDS) (Imipenem 1000 mg IV q8h OR Meropenem 2 g q8h AND Amikacin 7.5 mg/kg q12h IV
Preferred regimen (2): Cefotaxime 2-3 g q6-8h OR Ceftriaxone 2 g/day IV ± Amikacin

2.2 Mild

Preferred regimen: Minocycline 100 mg bid for at least 6 months (initial treatment of local disease or maintenance)
Alternative regimen: Amoxicillin clavulanate 875/125 mg bid OR Doxycycline OR Erythromycin OR Clarithromycin OR Linezolid OR Fluoroquinolone OR combinations for at least 6 months

Leuconostoc

Leuconostoc ^[47]

Preferred regimen (1): Penicillin G

Preferred regimen (2): Ampicillin

Alternative regimen (1): Clindamycin

Alternative regimen (2): Erythromycin

Alternative regimen (3): Minocycline

Lactobacillus

1. Endovascular Infection ^[48]

Preferred regiemn (1): Penicillin G 20 MU/day for 6 weeks
Preferred regiemn (2): Gentamicin 1.3 mg/kg IV q8h (trough <1.5 mg/L) AND Polychlorinated naphthalene

2. Odontogenic Infection

Preferred regiemn: Clindamycin 450 mg PO qid

3. Intrabdominal Abscess

Preferred regiemn: Clindamycin 450 mg PO qid

Listeria monocytogenes

1. Meningitis ^[49]

Preferred regimen: Ampicillin 2g IV q4-6h ± Gentamicin 1.7 mg/kg IV q8h for more than 3 weeks

Alternative regimen: TMP-SMX 3-5 mg/kg (trimethoprim) IV q6h for more than 3 weeks

2. Bacteremia

Preferred regimen: Ampicillin 2g IV q4-6h ± Gentamicin 1.7 mg/kg IV q8h for 2 weeks
Alternative regimen: TMP-SMX 3-5 mg/kg (trimethoprim) q6h IV for 2 weeks

3. Brain abscess or rhomboencephalitis

Preferred regimen: Ampicillin 2g IV q4-6h ± Gentamicin 1.7 mg/kg IV q8h for 4-6 weeks
Alternative regimen: TMP-SMX 3-5 mg/kg (trimethoprim) q6h IV for 4-6 weeks

4. Gastroenteritis

Preferred regimen (1): Amoxicillin 2g IV q4-6h
Preferred regimen (2): TMP-SMX 3-5 mg/kg (trimethoprim) q6h IV for 7 days

Erysipelothrix rhusiopathiae

Erysipelothrix rhusiopathiae ^[50]

1. Erysipeloid of Rosenbach (localized cutaneous infection)

Preferred regimen (1): Penicillin G benzathine 1.2 MU IV single dose
Preferred regimen (2): Penicillin VK 250 mg PO qid for 5-7 days
Preferred regimen (3): Procaine penicillin 0.6-1.2 MU IM qd for 5-7 days
Alternative regimen (1): Erythromycin 250 mg PO qid for 5-7 days
Alternative regimen (2): Doxycycline 100 mg PO bid for 5-7 days

2. Diffuse cutaneous infection

Preferred regimen: See localized infection

3. Bacteremia or endocarditis

Preferred regimen: Penicillin G benzathine 2-4 MU IV q4h for 4-6 weeks
Alternative regimen (1): Ceftriaxone 2 g IV q24h for 4-6 weeks
Alternative regimen (2): Imipenem 500 mg IV q6h for 4-6 weeks
Alternative regimen (3): Ciprofloxacin 400 mg IV q12h for 4-6 weeks
Alternative regimen (4): Daptomycin 6 mg/kg IV q24h for 4-6 weeks
Note: Recommended duration of therapy for endocarditis is 4 to 6 weeks, although shorter courses consisting of 2 weeks of intravenous therapy followed by 2 to 4 weeks of oral therapy have been successful

Ehrlichia

1. Human Monocytic Ehrlichiosis or Human Granulocytic Anaplasmosis (adult) ^[51]

Preferred regimen: Doxycycline 100 mg PO/IV q12h for 7-14 days
Note: Patients should be treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement
Alternative regimen (1): Chloramphenicol 500mg PO qid

Alternative regimen (2): Rifampin 600 mg PO/IV qd for 7-10 days

2. Human Monocytic Ehrlichiosis or Human Granulocytic Anaplasmosis (pediatric)

2.1 ≥ 8 years old

Preferred regimen: Doxycycline 2 mg/kg IV/PO q12h (Maximum, 200 mg/day) for 10 days

2.2 < 8 years old without Lyme disease

Preferred regimen: Doxycycline 2 mg/kg IV/PO q12h (Maximum, 200 mg/day) for 4-5 days (or 3 days after resolution of fever)

2.3 co-infected with Lyme disease

Preferred regimen: Doxycycline (see above) THEN Amoxicillin 50 mg/kg/day tid (Maximum, 500 mg/dose) OR Cefuroxime 30 mg/kg/day bid (Maximum, 500 mg/dose) for 14 days

Coxiella burnetii

1. Acute Q fever ^[52]

1.1 Adults

Preferred Regimen: Doxycycline 100 mg PO bid for 14 days

1.2 Pediatric

1.2.1 ≥ 8 years old

Preferred regimen:Doxycycline 2.2 mg/kg PO bid for 14 days (Maximum, 100 mg per dose)

1.2.2 < 8 years old with high risk criteria

Preferred regimen:Doxycycline 2.2 mg/kg PO bid for 14 days (Maximum, 100 mg per dose)

1.2.3 < 8 years old with mild or uncomplicated illness

Preferred regimen:Doxycycline 2.2 mg/kg PO bid for 5 days (Maximum, 100 mg per dose)
Alternative regimen: (If patient remains febrile past 5 days of treatment) Trimethoprim/Sulfamethoxazole 4-20 mg/kg PO bid for 14 days (Maximum, 800 mg per dose)

1.3 Pregnant women

Preferred regimen: Trimethoprim/sulfamethoxazole 160 mg/800 mg PO bid
Note: Should be given throughout pregnancy

2. Chronic Q fever

2.1 Endocarditis or vascular infection

Preferred regimen: Doxycycline 100 mg PO bid AND hydroxychloroquine 200 mg PO tid for ≥18 months
Note: Childern and pregnant women consultation recommended

2.2 Non-cardiac organ disease

Preferred regimen: Doxycycline 100 mg PO bid AND hydroxychloroquine 200 mg PO tid
Note: childern and pregnant women consultation recommended

2.3 Postpartumwith serologic profile for chronic Q fever

Preferred regimen: Doxycycline 100 mg PO bid AND hydroxychloroquine 200 mg PO tid for 12 months
Note (1): Women should only be treated postpartum if serologic titers remain elevated >12 months after delivery (immunoglobulin G phase I titer ≥1:1024); Women treated during pregnancy for acute Q fever should be monitored similarly to other patients who are at high risk for progression to chronic disease (e.g., serologic monitoring at 3, 6, 12, 18, and 24 months after delivery)
Note (2): Post-Q fever fatigue syndrome- no current recommendation

Corynebacterium diphtheriae

Diphtheria treatment ^[53] ^[54]

1. Antitoxin

1.1 Pharyngeal disease <48 hrs

Preferred regimen: 20,000-40,000 U IV/IM

1.2 Nasopharyngeal

Preferred regimen: 40-60,000 U IV/IM

1.3 Extensive disease, or >72 hrs

Preferred regimen: 80-120,000 U IV/IM

Note: IV administration for severe disease

2. Antibiotics

Preferred regimen: Erythromycin 40 mg/kg/day (Maximum, 2 gm/day) PO/IV for 14 days
Alternative regimen: Procaine penicillin G 600,000 U/day IM qd for 14 days
Note: Procaine penicillin G 300,000 U/day for those weighing 10 kg or less

3. Preventive antibiotic use

Note: For close contacts, especially household contacts, a diphtheria booster, appropriate for age, should be given
Preferred regimen: Benzathine penicillin G

younger than 6 years old: 600,000 U IM
6 years old and older: 1,200,000 U IM

Alternative regimen: Erythromycin

Adult: 1 g/day PO 7-10 days

Pediatric: 40 mg/kg/day PO 7-10 days

Note (1): If surveillance of contacts cannot be maintained, they should receive benzathine penicillin G
Note (2): Maintain close surveillance and begin antitoxin at the first signs of illness

Swine influenza

Swine influenza ^[55]

1. Condition1: Patients who have severe or progressive clinical illness

Preferred regimen: Oseltamivir 150 mg PO bid
Note (1): Treatment duration depends on clinical response
Note (2): Where the clinical course remains severe or progressive, despite 5 or more days of antiviral treatment, monitoring of virus replication and shedding, and antiviral drug susceptibility testing is desirable
Note (3): Antiviral treatment should be maintained without a break until virus infection is resolved or there is satisfactory clinical improvement
Note (4): Patients who have severe or progressive clinical illness, but who are unable to take oral medication may be treated with oseltamivir administered by nasogastric or orogastric tube

2. Condition2: In situations where oseltamivir is not available, or not possible to use, patients who have severe or progressive clinical illness

Preferred regimen: Zanamivir inhaled
Note: Zanamivir IV should be considered where available and is recommended for those with serious or progressive illness. If not available, Peramivir IV may be considered

3. Condition3: Severely immunosuppressed patients

Preferred regimen: Antiviral chemoprophylaxis by using Oseltamivir OR Zanamivir

Trichinella spiralis

Trichinella spiralis^[56]

Preferred regimen (1): Albendazole 400 mg PO bid for 8-14 days
Preferred regimen (2): Mebendazole 200-400 mg PO tid for 3 days THEN 400-500 mg PO tid for 10 days
Note (1): Both treatment schemes are suitable for adult and pediatric dosages
Note (1): Albendazole and Mebendazole are contraindicated during pregnancy and not recommended in children aged 2 years.
Alternative regimen (1): (severe symptoms) Prednisone 30 mg/day-60 mg/day for 10-15 days
Alternative regimen (2): Pyrantel 10-20 mg/kg single dose for 2-3 days

References

↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Tortoli, E.; Besozzi, G.; Lacchini, C.; Penati, V.; Simonetti, M. T.; Emler, S. (1998-04). "Pulmonary infection due to Mycobacterium szulgai, case report and review of the literature". The European Respiratory Journal. 11 (4): 975–977. ISSN 0903-1936. PMID 9623706. Check date values in: |date= (help)
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ WHO Guidelines for Pharmacological Management of Pandemic Influenza A(H1N1) 2009 and Other Influenza Viruses. WHO Guidelines Approved by the Guidelines Review Committee. Geneva: World Health Organization. 2010. PMID 23741777. Retrieved 2015-07-14.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Gilbert, David (2015). The Sanford guide to antimicrobial therapy. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808843.
↑ Griffith, Daviday E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richarday J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, anday prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory anday Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. Unknown parameter |pmiday= ignored (help)
↑ American Thoracic Society. CDC. Infectious Diseases Society of America (2003). "Treatment of tuberculosis". MMWR Recomm Rep. 52 (RR-11): 1–77. PMID 12836625.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Treatment of tuberculosis guidelines. Geneva: World Health Organization. 2010. ISBN 9789241547833.
↑ "The use of delamanid in the treatment of multidrug-resistant tuberculosis" (PDF).
↑ "WHO".
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ "Vibrio vulnificus CDC".
↑ "Vibrio parahaemolyticus CDC".
↑ "WHO. Cholera Outbreak: Assessing the Outbreak Response and Improving Preparedness" (PDF).
↑ "Prevention and control of cholera outbreaks: WHO policy and recommendations".
↑ "PAHO. Recommendations for clinical management of cholera".
↑ Workowski KA, Bolan GA (2015). "Sexually transmitted diseases treatment guidelines, 2015". MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports / Centers for Disease Control. 64 (RR-03): 1–137. PMID 26042815.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Wormser GP, Dattwyler RJ, Shapiro ED, Halperin JJ, Steere AC, Klempner MS, Krause PJ, Bakken JS, Strle F, Stanek G, Bockenstedt L, Fish D, Dumler JS, Nadelman RB (2006). "The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America". Clin. Infect. Dis. 43 (9): 1089–134. doi:10.1086/508667. PMID 17029130.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ "Rocky Mountain Spotted Fever (RMSF) CDC".
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Gilbert, David (2015). The Sanford guide to antimicrobial therapy. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808843.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ "q fever".
↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
↑ "Diphtheria CDC".
↑ WHO Guidelines for Pharmacological Management of Pandemic Influenza A(H1N1) 2009 and Other Influenza Viruses. WHO Guidelines Approved by the Guidelines Review Committee. Geneva: World Health Organization. 2010. PMID 23741777. Retrieved 2015-07-14.
↑ Gottstein B, Pozio E, Nöckler K (2009). "Epidemiology, diagnosis, treatment, and control of trichinellosis". Clin Microbiol Rev. 22 (1): 127–45, Table of Contents. doi:10.1128/CMR.00026-08. PMC 2620635. PMID 19136437.

[1] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[2] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[3] Tortoli, E.; Besozzi, G.; Lacchini, C.; Penati, V.; Simonetti, M. T.; Emler, S. (1998-04). "Pulmonary infection due to Mycobacterium szulgai, case report and review of the literature". The European Respiratory Journal. 11 (4): 975–977. ISSN 0903-1936. PMID 9623706. Check date values in: |date= (help)

[4] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[5] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[6] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[7] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[8] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[9] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[10] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[11] WHO Guidelines for Pharmacological Management of Pandemic Influenza A(H1N1) 2009 and Other Influenza Viruses. WHO Guidelines Approved by the Guidelines Review Committee. Geneva: World Health Organization. 2010. PMID 23741777. Retrieved 2015-07-14.

[12] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[13] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[14] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[15] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[16] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[17] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[18] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[19] Griffith, David E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richard J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory and Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. PMID 17277290.

[20] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[21] Gilbert, David (2015). The Sanford guide to antimicrobial therapy. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808843.

[22] Griffith, Daviday E.; Aksamit, Timothy; Brown-Elliott, Barbara A.; Catanzaro, Antonino; Daley, Charles; Gordin, Fred; Holland, Steven M.; Horsburgh, Robert; Huitt, Gwen; Iademarco, Michael F.; Iseman, Michael; Olivier, Kenneth; Ruoss, Stephen; von Reyn, C. Fordham; Wallace, Richarday J.; Winthrop, Kevin; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America (2007-02-15). "An official ATS/IDSA statement: diagnosis, treatment, anday prevention of nontuberculous mycobacterial diseases". American Journal of Respiratory anday Critical Care Medicine. 175 (4): 367–416. doi:10.1164/rccm.200604-571ST. ISSN 1073-449X. Unknown parameter |pmiday= ignored (help)

[pmid12836625-23] American Thoracic Society. CDC. Infectious Diseases Society of America (2003). "Treatment of tuberculosis". MMWR Recomm Rep. 52 (RR-11): 1–77. PMID 12836625.

[24] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[25] Treatment of tuberculosis guidelines. Geneva: World Health Organization. 2010. ISBN 9789241547833.

[WHO-26] "The use of delamanid in the treatment of multidrug-resistant tuberculosis" (PDF).

[27] "WHO".

[28] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[29] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[30] "Vibrio vulnificus CDC".

[31] "Vibrio parahaemolyticus CDC".

[32] "WHO. Cholera Outbreak: Assessing the Outbreak Response and Improving Preparedness" (PDF).

[33] "Prevention and control of cholera outbreaks: WHO policy and recommendations".

[34] "PAHO. Recommendations for clinical management of cholera".

[pmid26042815-35] Workowski KA, Bolan GA (2015). "Sexually transmitted diseases treatment guidelines, 2015". MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports / Centers for Disease Control. 64 (RR-03): 1–137. PMID 26042815.

[36] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[37] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[38] Wormser GP, Dattwyler RJ, Shapiro ED, Halperin JJ, Steere AC, Klempner MS, Krause PJ, Bakken JS, Strle F, Stanek G, Bockenstedt L, Fish D, Dumler JS, Nadelman RB (2006). "The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America". Clin. Infect. Dis. 43 (9): 1089–134. doi:10.1086/508667. PMID 17029130.

[39] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[40] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[41] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[42] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[43] "Rocky Mountain Spotted Fever (RMSF) CDC".

[44] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[45] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[46] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[47] Gilbert, David (2015). The Sanford guide to antimicrobial therapy. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808843.

[48] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[49] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[50] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[51] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[52] "q fever".

[53] Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.

[54] "Diphtheria CDC".

[55] WHO Guidelines for Pharmacological Management of Pandemic Influenza A(H1N1) 2009 and Other Influenza Viruses. WHO Guidelines Approved by the Guidelines Review Committee. Geneva: World Health Organization. 2010. PMID 23741777. Retrieved 2015-07-14.

[pmid19136437-56] Gottstein B, Pozio E, Nöckler K (2009). "Epidemiology, diagnosis, treatment, and control of trichinellosis". Clin Microbiol Rev. 22 (1): 127–45, Table of Contents. doi:10.1128/CMR.00026-08. PMC 2620635. PMID 19136437.

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@@ Line 1: / Line 1: @@
-=== Anaplasmosis ===
+==Mycobacterium terrae==
+* [[Mycobacterium terrae]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
+:* 1. '''In vitro susceptibility'''
+::* All six of the isolates from a single center and 90% or more of an additional 22 isolates of M. terrae complex were susceptible to [[Ciprofloxacin]] and [[Sulfonamides]]. Recently, 11 isolates of M. terrae complex were also shown to be susceptible to [[Linezolid]]
+:* 2. '''Antimicrobial therapy'''
+::* Based on in vitro susceptibility results
-* Human granulocytic anaplasmosis, suspected or symptomatic <ref name="pmid17029130">{{cite journal| author=Wormser GP, Dattwyler RJ, Shapiro ED, Halperin JJ, Steere AC, Klempner MS et al.| title=The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2006 | volume= 43 | issue= 9 | pages= 1089-134 | pmid=17029130 | doi=10.1086/508667 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17029130  }} </ref>
+==Mycobacterium szulgai==
+* [[Mycobacterium szulgai]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref><ref>{{Cite journal| issn = 0903-1936| volume = 11| issue = 4| pages = 975–977| last1 = Tortoli| first1 = E.| last2 = Besozzi| first2 = G.| last3 = Lacchini| first3 = C.| last4 = Penati| first4 = V.| last5 = Simonetti| first5 = M. T.| last6 = Emler| first6 = S.| title = Pulmonary infection due to Mycobacterium szulgai, case report and review of the literature| journal = The European Respiratory Journal| date = 1998-04| pmid = 9623706}}</ref>
-:* Preferred regimen: [[Doxycycline]] 100 mg orally bid (or intravenously for those patients unable to take an oral medication) for 10 days
+:* '''1. in vitro susceptibility'''
-:* Alternative regimen: [[Rifampin]] 300 mg orally bid for 7–10 days (For patients with mild illness due to HGA who are not optimally suited for doxycycline treatment because of a history of drug allergy, pregnancy, or age <8 years)
+::* M. szulgai is susceptible in vitro to most antituberculous drugs including [[Quinolones]] and newer [[Macrolides]]
-:* Pediatric regimen: [[Doxycycline]] 4 mg/kg per day in 2 divided doses (maximum of 100 mg per dose) given orally (or intravenously for children unable to take an oral medication); [[Rifampin]] 10 mg/kg bid for children (maximum of 300 mg per dose) (For children age <8 years without Lyme disease)
+:* '''2. Infection'''
-: NOTE (1): Children ≥8 years of age may be treated with a 10-day course of [[Doxycycline]]; For severely ill children <8 years of age without concomitant Lyme disease, the panel recommended an abbreviated treatment course of 4–5 days
+::* '''2.1 Pulmonary infection'''
-: NOTE (2): If the patient has concomitant Lyme disease, then [[Amoxicillin]] 50 mg/kg per day in 3 divided doses (maximum of 500 mg per dose) {{or}} [[Cefuroxime]] axetil 30 mg/kg per day in 2 divided doses (maximum of 500 mg per dose) should be initiated at the conclusion of the course of [[Doxycycline]] to complete a 14-day total course of antibiotic therapy
+:::* Three- or four-drug regimen based on susceptibility that includes 12 months of negative sputum cultures while on therapy
-: NOTE: [[Rifampin]] is not effective therapy for Lyme disease, patients coinfected with ''B. burgdorferi'' should also be treated with [[Amoxicillin]] {{or}} [[Cefuroxime]] axetil
+::* '''2.2 Extrapulmonary infection'''
+:::* Combination anti-tuberculous medications based on in vitro susceptibilities for 4-6 months
-===Brucellosis===
+==Mycobacterium smegmatis==
-* Uncomplicated brucellosis in adults and children eight years of age and older <ref>{{cite book | last = Corbel | first = Michael | title = Brucellosis in humans and animals | publisher = World Health Organization | location = Geneva | year = 2006 | isbn = 9241547138 }}</ref>
+* [[Mycobacterium smegmatis]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
-:* Preferred regimen: [[Doxycycline]] 100 mg bid for six weeks {{or}} [[Tetracycline]] 500 mg every six hours orally administered for at least six weeks
+:*1. '''Mild disease'''
-:* NOTE: [[Streptomycin]] 1 g/day intramuscularly administered for the first two to three weeks of therapy {{or}} [[Gentamicin]] 5mg/kg/day intravenously or intramuscularly for 7-10 days in combination with [[Doxycycline]] administered for six weeks
+::* Preferred regimen: [[Doxycycline]] PO {{and}} [[ Trimethoprim sulfamethoxazole]] PO
-:* Alternative regimen (1): [[Doxycycline]] 200 mg/day orally {{and}} [[Rifampicin]] 600–900 mg/day orally, both drugs administered for six weeks
+:*2. '''Severe disease'''
-:* Alternative regimen (2): Fluoroquinolones
+::* Preferred regimen: [[Amikacin]] IV {{or}} [[Imipenem]] IV
-:* NTOE: Quinolones should always be used in combination with other drugs, such as Doxycycline or Rifampicin
-:* Alternative regimen (3): [[TMP/SMZ]] in a fixed ratio of 1:5 (80 mg TMP/400 mg SMZ)
-:* NOTE: TMP/SMZ should always be used in combination with another agent, such as Doxycycline, Rifampicin or Streptomycin
-* Complications of brucellosis
+==Mycobacterium mucogenicum==
-:* Spondylitis
+* [[Mycobacterium mucogenicum]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
-::* Preferred regimen: Continuation of [[Doxycycline]] for eight weeks or more; Surgical drainage is rarely necessary.
+:* In vitro susceptible agents: [[Aminoglycosides]], [[Cefoxitin]], [[Clarithromycin]], [[Minocycline]], [[Doxycycline]], [[Quinolones]], [[Trimethoprim/sulfamethoxazole]], and [[Imipenem]]
-:* Neurobrucellosis
-::* Preferred regimen: [[Rifampicin]] {{or}} [[Trimethoprim/sulfamethoxazole]], be added to the standard regimen of [[Doxycycline]] {{and}} [[Streptomycin]] for 6-8 weeks, and possibly longer, depending on the clinical response
-:* Brucella endocarditis
-::* Preferred regimen: [[Doxycycline]] {{and}} an [[Aminoglycoside]] for at least eight weeks, and therapy should be continued for several weeks after surgery when valve replacement is necessary
-::* NOTE: [[Rifampicin]] {{or}} [[Trimethoprim/sulfamethoxazole]] are used for their ability to penetrate cell membranes
-* For children less than eight years of age
+==Mycobacterium malmoense==
-:* Preferred regimen: [[TMP/SMZ]] 8/40 mg/ kg/day bid orally administered for six weeks {{and}} [[Streptomycin]] 30 mg/kg/day once daily intramuscularly administered for three weeks {{or}} [[Gentamicin]] 5 mg/kg/day once daily intravenously or intramuscularly administered for 7-10 days
+* [[Mycobacterium malmoense]]<ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
-:* Alternative regimen (1): [[TMP/SMZ]] {{and}} [[Rifampicin]] 15 mg/kg/day orally each administered for 6 weeks
+:*1. '''In vitro '''
+::* Susceptible: [[Ethambutol]], [[Ethionamide]], [[Kanamycin]], and [[Cycloserine]]
+::* Resistant: [[INH]], [[Streptomycin]], [[Rifampin]], and [[Capreomycin]]
+:*2. '''Pulmonary M. malmoense infection'''
+::* Preferred regimen: [[INH]] {{and}} [[Rifampin]] {{and}} [[Ethambutol]] {{withorwithout}} [[Quinolones]] {{and}} [[Macrolides]]
-:* Alternative regimen (2): [[Rifampicin]] {{and}} an [[Aminoglycoside]]
+==Mycobacterium immunogenum==
+* [[Mycobacterium immunogenum]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
-===Ehrlichiosis===
+:* In vitro
-* Ehrlichiosis, suspected <ref name=CDC centers for the disease control and prevention>{{cite web | title =Ehrlichiosis CDC centers for the disease control and prevention| url= http://www.cdc.gov/ehrlichiosis/symptoms/index.html#treatment }}</ref>
+::* Susceptible: [[Amikacin]] and [[Clarithromycin]]
-:* Preferred regimen: [[Doxycycline]] 100 mg every 12 hours for 7-14 days
+::* Resistant: [[Ciprofloxacin]], [[Doxycycline]], [[Cefoxitin]], [[Tobramycin]], and [[Sulfamethoxazole]]
-:* Alternative regimen: [[Chloramphenicol]] {{or}} [[Rifampin]]
+::* Note: The optimal therapy for this organism is unknown; however, successful therapy is likely difficult due to the extensive antibiotic resistance of the organism
-:* Pediatric regimen: [[Doxycycline]] 2.2 mg/kg body weight given twice a day (Children under 45 kg (100 lbs)) for 7-14 days
-:* NOTE: Patients should be treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement
-===Tularemia===
+==Mycobacterium leprae==
-* For treatment and prophylaxis <ref>{{cite book | last = LastName | first = FirstName | title = WHO guidelines on tularaemia epidemic and pandemic alert and response | publisher = World Health Organization | location = Geneva | year = 2007 | isbn = 9789241547376 }}</ref>
+* [[Mycobacterium leprae]] <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
-:* Preferred regimen: [[Gentamicin]] 5 mg/kg daily, divided into two doses
+:* 1. '''Multibacillary Leprosy (Skin smear positive) '''
-:* Alternative regimen (1): [[Streptomycin]] intramuscular 2 g daily, divided in two doses, for 10 days
+::*1.1 '''Adult'''
-:* Alternative regimen (2): [[Ciprofloxacin]] 800–1000 mg daily, divided into two doses intravenously or orally, for 10–14 days
+:::* Preferred regimen: [[Dapsone]] 100 mg/day PO {{and}} [[Rifampin]] 600 mg PO 4 times per week {{and}} [[Clofazimine]] 50 mg PO qd for 12-24 months
-:* Alternative regimen (3): [[Doxycycline]], 200 mg daily, divided in two, orally for at least 15 days
+:::* Note: [[Clofazimine]] should be supplemented by loading dose 300 mg PO monthly
-:* Pediatric regimen: [[Gentamicin]] 5–6 mg/kg divided into two or three doses for at least 10 days; [[Streptomycin]] 15 mg/kg twice daily (up to 2 g daily) for at least 10 days; [[Ciprofloxacin]] 15 mg/kg twice daily (up to 1 g daily) for at least 10 days
+::*1.2 '''Pediatric'''
+:::*1.2.1 '''< 35 kg'''
+::::* Preferred regimen: [[Dapsone]] 1-2 mg/kg/day PO {{and}} [[Rifampin]] 450 mg PO for 12-24 months
-===Typhoid fever===
+:::*1.2.2 '''< 20 kg'''
-* Uncomplicated typhoid fever<ref>{{ cite web | title = The diagnosis, treatment and prevention of typhoid fever  | url = http://www.who.int/rpc/TFGuideWHO.pdf }}</ref>
+::::* Preferred regimen: [[Dapsone]] 1-2 mg/kg/day PO {{and}} [[Rifampin]] 300 mg PO for 12-24 months
-:* Fully sensitive
-::* Preferred regimen: [[Ofloxacin]] {{or}} [[Ciprofloxacin]] 15 mg/kg daily dose for 5-7 days
-::* Alternative regimen (1): [[Chloramphenicol]] 50-75 mg/kg daily dose for 14-21 days
-::* Alternative regimen (2): [[Amoxicillin]] 75-100 mg/kg daily dose for 14 days
-::* Alternative regimen (3): [[TMP-SMX]]  8-40 mg/kg daily dose for 14 days
-:* Multidrug resistance
-::* Preferred regimen: [[Fluoroquinolone]] 15 mg/kg daily dose for 5-7 days {{or}} [[Cefixime]] 15-20 mg/kg daily dose for 7-14 days
-::* Alternative regimen (1): [[Azithromycin]] 8-10 mg/kg daily dose for 7 days
-::* Alternative regimen (2): [[Cefixime]] 15-20 mg/kg daily dose for 7-14 days
-:* Quinolone resistance
-::* Preferred regimen: [[Azithromycin]] 8-10 mg/kg daily dose for 7 days {{or}} [[Ceftriaxone]] 75 mg/kg daily dose for 10-14 days
-::* Alternative regimen: [[Cefixime]] 20 mg/kg daily dose for 7-14 days
-* Severe typhoid fever
+:::*1.2.3 '''< 12 kg'''
-:* Fully sensitive
+::::* Preferred regimen: [[Dapsone]] 1-2 mg/kg/day PO {{and}} [[Rifampin]] 150 mg PO for 12-24 months
-::* Preferred regimen: [[Ofloxacin]] 15 mg/kg daily dose for 10-14 days
+:*2. '''Paucibacillary Leprosy (Skin Smear negative)'''
-::* Alternative regimen (1): [[Chloramphenicol]] 100 mg/kg daily dose for 14-21 days
+::* Preferred regimen: [[Rifampin]] 600 mg PO once a month for 6 months {{and}} [[Dapsone]] 100 mg PO qd for 6 months
-::* Alternative regimen (2): [[Amoxicillin]] 100 mg/kg daily dose for 14 days
+:*3. '''Erythema Nodosum Leprosum (ENL)'''
-::* Alternative regimen (3): [[TMP-SMX]]  8-40 mg/kg daily dose for 14 days
+::*3.1 '''Mild'''
+:::* Preferred regimen: Rest affect limb, analgesics, follow-up twice a week, check for iridocyclitis; [[Chloroquine]] {{or}} [[Aspirin]] may be useful
+::*3.2 '''Severe (numerous nodules + fever, ulcerating/pustular ENL, visceral involvement, nodules + neuritis, recurrent ENL)'''
+:::* Preferred regimen: [[Prednisolone]] 30-40 mg/day PO for 1-2 weeks {{then}} taper over 12 weeks
+:::* Alternative regimen (1): (If unresponsive to corticosteroids or if risk of corticosteroids prevent administration) Start [[Clofazimine]] 100 mg PO tid for maximum of 12 weeks {{then}} 100 mg PO bid for 12 weeks {{then}} 100 mg qd for 12-24 weeks
+:::* Alternative regimen (2): (if not contraindicated) [[Thalidomide]] 200-400 mg/day PO, reduced to 50-100 mg/day after 1-2 weeks
+:* 4. '''Reversal Reaction'''
+::* Preferred regimen: [[Prednisolone]] start with 40 mg/day PO {{then}} taper by 10 mg twice a week for 12 weeks
-:* Multidrug resistant
+==Mycobacterium xenopi==
-::* Preferred regimen: [[Fluoroquinolone]] 15 mg/kg daily dose for 10-14 days
+* [[Mycobacterium xenopi]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
-::* Alternative regimen (1): [[Ceftriaxone]] 60 mg/kg daily dose for 10-14 days
-::* Alternative regimen (2): [[Cefotaxime]] 80 mg/kg daily dose for 10-14 days
-:* Quinolone resistant
-::* Preferred regimen: [[Ceftriaxone]] 60 mg/kg daily dose for 10-14 days {{or}} [[Cefotaxime]] 80 mg/kg daily dose for 10-14 days
-::* Alternative regimen: [[Fluoroquinolone]] 20 mg/kg daily dose for 7-14 days
-===Kawasaki syndrome===
+*1. '''The cornerstone of therapy for M. xenopi'''
-* Initial treatment <ref>{{ cite web | title = <ref>{{ cite web | title = Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease
+:* Preferred regimen: [[Clarithromycin]] {{and}} [[Rifampin]] {{and}} [[Ethambutol]]
-  | url = http://circ.ahajournals.org/content/110/17/2747.full }}</ref>
+:* Note: Therapy should be continued until the patient has maintained negative sputum cultures while on therapy for 12 months
-:* Preferred regimen: IVIG 2 g/kg in a single infusion within the first 7-10 days of illness {{and}} Aspirin 80-100 mg/kg per day in 4 doses , reduce the aspirin dose after the child has been afebrile for 48 to 72 hours, then begin low-dose aspirin (3 to 5 mg/kg per day) and maintain it until the patient shows no evidence of coronary changes by 6 to 8 weeks after the onset of illness
+*2. '''Pulmonary disease'''
-:* NOTE (1): Other clinicians continue highdose aspirin until day 14 of illness and 48 to 72 hours after fever cessation
+:* Preferred regimen: [[INH]] {{and}} [[Rifabutin]] {{or}} [[Rifampin]] {{and}} [[Ethambutol]] {{and}} [[Clarithromycin]] {{withorwithout}} [[Streptomycin]]
-:* NOTE (2): For children who develop coronary abnormalities, aspirin may be continued indefinitely
+:* Note: A quinolone, preferably [[Moxifloxacin]], could be substituted for one of the antituberculous drugs
+*3. '''Extrapulmonary disease'''
+:* Note: Therapy for extrapulmonary disease would include the same agents as for pulmonary disease
-* Treatment of Patients Who Failed to Respond to Initial Therapy (persistent or recrudescent fever ≥36 hours after completion of the initial IVIG infusion)
+==Mycobacterium ulcerans==
-:* Preferred regimen: IVIG 2 g/kg {{or}} intravenous pulse methylprednisolone 30 mg/kg for 2 to 3 hours, administered once daily for 1 to 3 days
+* [[Mycobacterium ulcerans]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
-===Leptospirosis===
+*1. '''Preulcerative lesions'''
+:* Excision and primary closure, [[Rifampin]] monotherapy, or heat therapy
+*2. '''Established ulcers'''
+:* Most antimycobacterial agents are ineffective for the treatment of the ulcer; Surgical debridement combined with skin grafting is the usual treatment of choice
+*3. '''Control complications of the ulcer'''
+:* Preferred regimen: [[Clarithromycin]] {{and}} [[Rifampin]]
-===Rocky Mountain spotted fever===
+==Swine influenza==
+* [[Swine influenza]] <ref>{{Cite book| publisher = World Health Organization| title = WHO Guidelines for Pharmacological Management of Pandemic Influenza A(H1N1) 2009 and Other Influenza Viruses| location = Geneva| series = WHO Guidelines Approved by the Guidelines Review Committee| accessdate = 2015-07-14| date = 2010| url = http://www.ncbi.nlm.nih.gov/books/NBK138515/| pmid = 23741777}}</ref>
+:*1. '''Condition1: Patients who have severe or progressive clinical illness'''
+::* Preferred regimen: [[Oseltamivir]] 150 mg PO bid
+::* Note(1): Treatment duration depends on clinical response
+::* Note(2): Where the clinical course remains severe or progressive, despite 5 or more days of antiviral treatment, monitoring of virus replication and shedding, and antiviral drug susceptibility testing is desirable
+::* Note(3): Antiviral treatment should be maintained without a break until virus infection is resolved or there is satisfactory clinical improvement
+::* Note(4): Patients who have severe or progressive clinical illness, but who are unable to take oral medication may be treated with [[Oseltamivir]] administered by nasogastric or orogastric tube
+:* 2. '''Condition2: In situations where oseltamivir is not available, or not possible to use, patients who have severe or progressive clinical illness'''
+::* Preferred regimen: [[Zanamivir]] inhaled
+::* Note: [[Zanamivir]] IV should be considered where available and is recommended for those with serious or progressive illness. If not available, [[Peramivir]] IV may be considered
+:* 3. '''Condition3: Severely immunosuppressed patients'''
+::* Antiviral chemoprophylaxis would be considered by using [[Oseltamivir]] {{or}} [[Zanamivir]]
+==Mycobacterium simiae==
+* [[Mycobacterium simiae]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
+:* Preferred regimen: [[Clarithromycin]] {{and}} [[Moxifloxacin]] {{and}} [[Trimethoprim/sulfamethoxazole]]
+==Mycobacterium foruitum==
+* [[Mycobacterium foruitum]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
+:* 1. '''In vitro isolates '''
+::* Susceptible agents: [[Amikacin]] (100%), [[Ciprofloxacin]] and [[Ofloxacin]] (100%), [[Sulfonamides]] (100%), [[Cefoxitin]] (50%), [[Imipenem]] (100%), [[Clarithromycin]] (80%), and [[Doxycycline]] (50%)
+:*2. '''Disease'''
+::* 2.1 '''M. fortuitum lung disease'''
+:::* At least two agents with in vitro activity against the clinical isolate should be given for at least 12 months of negative sputum cultures
+::* 2.2 '''Serious skin, bone, and soft tissue M fortuitum disease'''
+:::* At least two agents with in vitro activity against the clinical isolate should be given for a minimum of 4 months; For bone infections, 6 months of therapy is recommended
+==Mycobacterium scrofulaceum==
+* [[Mycobacterium scrofulaceum]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
+:* Susceptibility data are lacking and standard treatment regimens for M. scrofulaceum are controversial, emphasizing the need to perform susceptibility testing on confirmed disease-producing isolates of M. scrofulaceum
+==Mycobacterium marinum==
+* [[Mycobacterium marinum]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
+:* 1. '''In vitro M. marinum isolates'''
+::* Susceptible: [[Rifampin]], [[Rifabutin]], [[Ethambutol]], [[Clarithromycin]], [[Sulfonamides]], and [[Trimethoprim sulfamethoxazole]]
+::* Intermediately susceptible: [[Streptomycin]], [[Doxycycline]], and [[Minocycline]]
+::* Resistant: [[Isoniazid]] and [[Pyrazinamide]]
+::* Note: Two active agents for 1 to 2 months after resolution of symptoms, typically 3 to 4 months in total
+:* 2. '''Infection'''
+::* 2.1 '''skin and soft tissue infections'''
+:::* Preferred regimen (1): [[Clarithromycin]] {{and}} [[Ethambutol]]
+:::* Preferred regimen (2): [[Ethambutol]] {{and}} [[Rifampin]]
+:::* Note: [[Azithromycin]] can replace [[Clarithromycin]]
+::* 2.2 '''osteomyelitis or deep structure infection'''
+:::* Preferred regimen: [[Clarithromycin]] {{and}} [[Ethambutol]] {{and}} [[Rifampin]]
+==Mycobacterium kansasii==
+* [[Mycobacterium kansasii]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
+:* 1. '''pulmonary disease'''
+::* Preferred regimen: [[Rifampin]] 10 mg/kg/day (Maximum, 600 mg) PO {{and}} [[Ethambutol]] 15 mg/kg/ day PO {{and}} [[Isoniazid]] 5 mg/kg/day (Maximum 300 mg) PO {{and}} [[Pyridoxine]] 50 mg/day PO
+::* Note: Treatment duration for M. kansasii lung disease should include 12 months of negative sputum cultures
+:* 2. '''Rifampin-resistant M. kansasii disease'''
+::* Preferred regimen: [[Clarithromycin]] {{or}} [[Azithromycin]] {{or}} [[Moxifloxacin]] {{or}} [[Ethambutol]] {{or}} [[Sulfamethoxazole]] {{or}} [[Streptomycin]]
+::* Note(1): Use three-drug regimen
+::* Note(2): Patients undergoing therapy for M. kansasii lung disease should have close clinical monitoring with frequent sputum examinations for mycobacterial culture throughout therapy
+:* 3. '''Disseminated M. kansasii disease'''
+::* Note: The treatment regimen for disseminated disease should be the same as for pulmonary disease
+==Mycobacterium gordonae==
+* [[Mycobacterium gordonae]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
+:* Preferred regimen: [[Ethambutol]] {{or}} [[Rifabutin]] {{or}} [[Clarithromycin]] {{or}} [[Linezolid]] {{or}} [[Fluoroquinolones]]
+==Mycobacterium genavense==
+* [[Mycobacterium genavense]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
+:* Susceptibility: [[Amikacin]], [[Rifamycin]], [[Fluoroquinolones]], [[Streptomycin]], and [[Macrolides]]
+:* Note(1): [[Ethambutol]] has limited activity
+:* Note(2): Optimal therapy is not determined, but multidrug therapies including [[Clarithromycin]] appear to be more effective than those without [[Clarithromycin]]
+==Mycobacterium haemophilum==
+* [[Mycobacterium haemophilum]] <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = David E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richard J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory and Critical Care Medicine| date = 2007-02-15| pmid = 17277290}}</ref>
+:* 1. '''In vitro'''
+::* Susceptible: [[Amikacin]], [[Clarithromycin]], [[Ciprofloxacin]], [[Rifampin]], and [[Rifabutin]]
+::* Less susceptible: [[Doxycycline]] and [[Sulfonamides]]
+:* 2. '''Infection'''
+::* 2.1 '''Disseminated disease'''
+:::* Preferred regimen: [[Clarithromycin]] {{and}} [[Rifampin]] {{and}} [[Rifabutin]] {{and}} [[Ciprofloxacin]]
+==Mycobacterium chelonae==
+* [[Mycobacterium chelonae]] <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+*1. '''Localized infections'''
+:* Preferred regimen: [[Clarithromycin]] 500 mg PO bid
+:* Alternative regimen: [[Azithromycin]]
+*2. '''Disseminated or extensive disease'''
+:*2.1 '''monotherapy '''
+::* Preferred regimen: [[Clarithromycin]] 500 mg PO bid for 6 months
+:*2.2 '''multidrug therapy '''
+::* preferred regimen: [[Clarithromycin]] 500 mg PO bid {{and}} [[Tobramycin]] 5 mg/kg IV q24h {{or}} [[Imipenem]] 0.5-1 g IV q6h {{or}} [[Linezolid]] 600 mg IV/PO q12h/bid for 4-8 weeks
+::* Alternative regimen: [[Moxifloxacin]] 400 mg PO qd {{and}} [[Linezolid]] 600 mg PO bid
+::* Note(1): During initial treatment, multidrug therapy may prevent development of acquired resistance
+::* Note(2): Total treatment duration is 6 months
+*3. '''Keratitis (LASIK-related)'''
+:* Preferred regimen: [[Clarithromycin]] 500 mg PO bid {{and}} [[Tobramycin]] 0.3% 2 gtts q4h {{and}} [[Gatifloxacin]] 0.3% 1 gtt q4h {{or}} [[Moxifloxacin]] 0.5% 1 gtt q4h
+==Mycobacterium celatum==
+* [[Mycobacterium celatum]] <ref>{{cite book | last = Gilbert | first = David | title = The Sanford guide to antimicrobial therapy | publisher = Antimicrobial Therapy | location = Sperryville, Va | year = 2015 | isbn = 978-1930808843 }}</ref>
+:* Preferred regimen: [[Clarithromycin]] {{and}} [[Ethambutol]] {{and}} [[Ciprofloxacin]] {{withorwithout}} [[Rifabutin]]
+==Mycobacterium avium complex==
+*1. '''Treatment of MAC pulmonary disease''' <ref>{{Cite journal| doi = 10.1164/rccm.200604-571ST| issn = 1073-449X| volume = 175| issue = 4| pages = 367–416| last1 = Griffith| first1 = Daviday E.| last2 = Aksamit| first2 = Timothy| last3 = Brown-Elliott| first3 = Barbara A.| last4 = Catanzaro| first4 = Antonino| last5 = Daley| first5 = Charles| last6 = Gordin| first6 = Fred| last7 = Holland| first7 = Steven M.| last8 = Horsburgh| first8 = Robert| last9 = Huitt| first9 = Gwen| last10 = Iademarco| first10 = Michael F.| last11 = Iseman| first11 = Michael| last12 = Olivier| first12 = Kenneth| last13 = Ruoss| first13 = Stephen| last14 = von Reyn| first14 = C. Fordham| last15 = Wallace| first15 = Richarday J.| last16 = Winthrop| first16 = Kevin| last17 = ATS Mycobacterial Diseases Subcommittee| last18 = American Thoracic Society| last19 = Infectious Disease Society of America| title = An official ATS/IDSA statement: diagnosis, treatment, anday prevention of nontuberculous mycobacterial diseases| journal = American Journal of Respiratory anday Critical Care Medicine| date = 2007-02-15| pmiday = 17277290}}</ref>
+:*1.1 '''Patients with nodular/bronchiectatic disease'''
+::* Preferreday regimen: [[Clarithromycin]] 1,000 mg three times weekly {{or}} [[Azithromycin]] 500–600 mg three times weekly {{and}} [[Ethambutol]] 25 mg/kg three times weekly {{and}} [[Rifampin]] 600 mg three times weekly
+::* Note: Patients should be treated until culture negative on therapy for 1 year
+:*1.2 '''Patients with fibrocavitary or severe nodular/bronchiectatic disease'''
+::* Preferreday regimen: [[Clarithromycin]] 500–1,000 mg/day {{or}} [[Azithromycin]] 250–300 mg/day {{or}} [[Rifampin]] 600 mg/day {{or}} [[Rifabutin]] 150–300 mg/day {{and}} [[Ethambutol]] 15 mg/kg/day
+::* Note(1): [[Amikacin]] {{or}} [[Streptomycin]] threetimes-weekly can be used early in therapy
+::* Note(2): Patients should be treated until culture negative on therapy for 1 year
+*2. '''Disseminateday MAC disease'''
+:* Preferreday regimen: [[Clarithromycin]] 1,000 mg/day {{or}} [[Azithromycin]] 250 mg/day {{and}} [[Ethambutol]] 15 mg/kg/day {{withorwithout}} [[Rifabutin]] 150–350 mg/day
+==Mycobacterium bovis==
+* [[Mycobacterium bovis]] <ref name="pmid12836625">{{cite journal| author=American Thoracic Society. CDC. Infectious Diseases Society of America| title=Treatment of tuberculosis. | journal=MMWR Recomm Rep | year= 2003 | volume= 52 | issue= RR-11 | pages= 1-77 | pmid=12836625 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12836625  }} </ref>
+:* Note: Is intrinsically resistant to [[Pyrazinamide]] (PZA). The treatment of M. bovis is extrapolated from experience with the treatment of PZA-resistant ''M. tuberculosis''
+:*1. '''Pulmonary and most extrapulmonary disease'''
+::* Preferred regimen: [[Isoniazid]] {{and}} [[Rifampin]] {{and}} [[Ethambutol]] for 2 months, followed by [[Isoniazid]] {{and}} [[Rifampin]] for 7 months
+:*2. '''Meningitis '''
+::* Preferred regimen: [[Isoniazid]] {{and}} [[Rifampin]] {{and}} [[Ethambutol]] for 2 months, followed by [[Isoniazid]] {{and}} [[Rifampin]] for 10 months
+==Mycobacterium abscessus==
+*1.'''Limited, localized extrapulmonary disease ''' <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:* Preferred regimen: [[Clarithromycin]] 500 mg PO bid {{withorwithout}} [[Amikacin]] 10-15 mg/kg/day IV or 25 mg/kg three times weekly for 4 months
+:* Alternative regimen (1): [[Amikacin]] {{and}} [[Cefoxitin]] 12 g/day PO for two weeks
+:* Note: until clinical improvement in severe cases
+:* Alternative regimen (2): [[Amikacin]] {{and}} [[Imipenem]] 500 mg IV q6-8h for two weeks
+:* Note(1): Until clinical improvement in severe cases
+:* Note(2): Osteomyelitis should be treated for as least 6 months; Infected foreign bodies should be removed
+*2.'''Pulmonary or serious extrapulmonary disease'''
+:* Preferred regimen: [[Clarithromycin]] 500 mg PO bid {{and}} [[Amikacin]] 15 mg/kg/day IV {{and}} [[Cefoxitin]] 2g IV q4h {{or}} [[Imipenem]] 1g IV q6h for at least 2-4 months
+:* Note: If limited by adverse effects, then switch to [[Clarithromycin]] 500 mg PO bid or 1000 mg XR qd {{or}} [[Azithromycin]] 250 mg PO qd
+:* Alternative regimen(1): [[Tigecycline]] 100 mg IV loading dose, then 50 mg IV q12h
+:* Note: could be substituted as one of the injectables
+:* Alternative regimen(2): [[Linezolid]] 600 mg PO bid or 600 mg PO qd {{and}} [[Clarithromycin]]
+:* Note: Could replace parental tx if not tolerated or feasible
+==Mycobacterium tuberculosis==
+*1. '''Standard Regimens for new patients''' <ref>{{cite book | title = Treatment of tuberculosis guidelines | publisher = World Health Organization | location = Geneva | year = 2010 | isbn = 9789241547833 }}</ref>
+:*1.1 '''Adult'''
+::*1.1.1 '''Initial phase'''
+:::* Preferred regimen: [[Isoniazid]] 300 mg PO (5 mg/kg/day) qd for 8 weeks {{and}} [[Rifampicin]] 600 mg PO (10 mg/kg/day) qd for 8 weeks {{and}} [[Pyrazinamide]] 2 g PO (25 mg/kg/day) qd for 8 weeks {{and}} [[Ethambutol]] 1.6 g PO (15 mg/kg/day) qd for 8 weeks
+:::* Alternative regimen (1): [[Isoniazid]] 300 mg/day PO for 2 weeks (5 mg/kg/day) {{and}} [[Rifampicin]] 600 mg/day PO for 2 weeks (10 mg/kg/day) {{and}} [[Pyrazinamide]] 2 g/day PO for 2 weeks (25 mg/kg/day) {{and}} [[Ethambutol]] 1.6 g PO for 2 weeks (15 mg/kg/day), followed by [[Isoniazid]] 300 mg/day PO twice weekly for 6 weeks (5 mg/kg/day) {{and}} [[Rifampicin]] 600 mg/day PO twice weekly for 6 weeks (10 mg/kg/day) {{and}} [[Pyrazinamide]] 2 g/day PO twice weekly for 6 weeks {{and}} [[Ethambutol]] 1.6 g PO for 2 weeks (15 mg/kg/day)
+:::* Alternative regimen (2): [[Isoniazid]] 300 mg/day PO thrice weekly for 8 weeks (5 mg/kg/day) {{and}} [[Rifampicin]] 600 mg/day PO thrice weekly for 8 weeks (10 mg/kg/day) {{and}} [[Pyrazinamide]] 2g/day PO thrice weekly for 8 week (25 mg/kg/day) {{and}} [[Ethambutol]] 1.6 g PO thrice weekly for 8 weeks (15 mg/kg/day)
+::*1.1.2 '''Continuation phase'''
+:::* Preferred regimen (1): [[Isoniazid]] 300 mg PO (5 mg/kg/day) qd {{and}} [[Rifampicin]] 600 mg PO (10 mg/kg/day) qd for 18 weeks
+:::* Preferred regimen (2): [[Isoniazid]] 300 mg PO twice weekly (5 mg/kg/day) {{and}} [[Rifampicin]] 600 mg/day PO twice weekly (10 mg/kg/day) for 18 weeks
+:::* Alternative regimen (1): [[Isoniazid]] 300 mg/day PO biweekly for 18 weeks (5 mg/kg/day) {{and}} [[Rifampicin]] 600 mg/day PO biweekly for 18 weeks (10 mg/kg/day)
+:::* Alternative regimen (2): [[Isoniazid]] 300 mg/day PO thrice weekly for 18 weeks (5 mg/kg/day) {{and}} [[Rifampicin]] 600 mg/day PO thrice weekly for 18 weeks (10 mg/kg/day)
+:*1.2 '''Pediatric'''
+::*1.2.1 '''Initial phase'''
+:::* Preferred regimen: [[Isoniazid]] 10 mg/kg PO (Maximum, 300 mg/day) {{and}} [[Rifampicin]] 15 mg/kg PO (Maximum, 600 mg/day) {{and}} [[Pyrazinamide]] 35 mg/kg PO (Maximum, 2 g/day) {{and}} [[Ethambutol]] 20 mg/kg PO (Maximum, 1.6 g/day), each for 8 weeks
+::*1.2.2 '''Continuation phase'''
+:::* Preferred regimen: [[Isoniazid]] 10 mg/kg PO (Maximum, 300 mg/day) {{and}} [[Rifampicin]] 15 mg/kg PO (Maximum, 600 mg/day), each drug daily for 18 weeks
+*2. '''MDR Tuberculosis''' <ref name=WHO>{{cite web | title = The use of delamanid in the treatment of multidrug-resistant tuberculosis| url =http://apps.who.int/iris/bitstream/10665/137334/1/WHO_HTM_TB_2014.23_eng.pdf?ua=1 }}</ref>
+:*2.1 '''Adult'''
+::* Preferred regimen: 4 agents combination
+:::* Agent 1: [[Pyrazinamide]] 20–30 mg/kg {{or}} [[Ethambutol]] 15–25 mg/kg {{or}} [[Rifabutin]] 5 mg/kg
+:::* Agent 2: [[Capreomycin]] 15 mg/kg {{or}} [[Kanamycin]] 15 mg/kg {{or}} [[Amikacin]] 7.5-10 mg/kg {{or}} [[Streptomycin]] 12–18 mg/kg
+:::* Agent 3: [[Levofloxacin]] 500-1000 mg {{or}} [[Moxifloxacin]] 400 mg {{or}} [[Ofloxacin]] 400 mg
+:::* Agent 4: [[Ethionamide]] 15-20 mg/kg {{or}} [[Protionamide]] 15-20 mg/kg {{or}} [[Cycloserine]] 10-15 mg/kg {{or}} [[Terizidone]] 10-20 mg/kg {{or}} Para-[[aminosalicylic acid]] 8-12 g/day IV q8-12h
+:*2.2 '''Pediatric'''
+::* Preferred regimen: 4 agents combination
+:::* Agent 1: [[Pyrazinamide]] 20-30 mg/kg (Maximum: 600 mg) {{or}} [[Ethambutol]] 15-20 mg/kg {{or}} [[Rifabutin]] 5 mg/kg
+:::* Agent 2: [[Capreomycin]] 15-30 mg/kg (Maximum: 1000 mg) {{or}} [[Kanamycin]] 15-30 mg/kg (Maximum: 1000 mg) {{or}} [[Amikacin]] 15-22.5 mg/kg (Maximum: 1000 mg) {{or}} [[Streptomycin]] 12-18 mg/kg {{and}}
+:::* Agent 3: [[Levofloxacin]] 7.5-10 mg/kg {{or}} [[Moxifloxacin]] 7.5-10 mg/kg {{or}} [[Ofloxacin]] 15-20 mg/kg/day q12h (Maximum: 800 mg)
+:::* Agent 4: [[Ethionamide]] 15-20 mg/kg/day q12h (Maximum: 1000 mg) {{or}} [[Protionamide]] 15-20 mg/kg/day q12h (Maximum: 1000 mg) {{or}} [[Cycloserine]] 10-20 mg/kg (Maximum: 1000 mg) {{or}} [[Terizidone]] 10-20 mg/kg (Maximum: 1000 mg) {{or}} Para-aminosalicylic acid 150 mg/kg/day q8-12h(Maximum: 12,000 mg)
+*3. '''XDR Tuberculosis''' <ref>{{cite web | title = WHO| url =http://www.who.int/tb/challenges/mdr/programmatic_guidelines_for_mdrtb/en/}}</ref>
+:*3.1 '''Adult'''
+::* Preferred regimen: 3 agents combination
+:::* Agent 1: [[Pyrazinamide]] 20–30 mg/kg {{or}} [[Ethambutol]] 15–25 mg/kg {{or}} [[Rifabutin]] 5 mg/kg
+:::* Agent 2: [[Ethionamide]] 15-20 mg/kg {{or}} [[Protionamide]] 15-20 mg/kg {{or}} [[Cycloserine]] 10-15 mg/kg {{or}} [[Terizidone]] 10-20 kg/mg {{or}} Para-[[aminosalicylic acid]] 8-12 g/day q8-12h
+:::* Agent 3: [[Clofazimine]] 50 mg/d AND 300 mg once a month {{or}} [[Amoxicillin]]/clavulanate 500 mg/125 mg q12h {{or}} [[Linezolid]] 300-600 mg {{or}} [[Imipenem]] 500mg q6h {{or}} [[Clarithromycin]] 500-1000 mg q12h {{or}} [[Thioacetazone]] 2.5 mg/kg {{or}} [[Isoniazid]] (high-dose) 16–20 mg/kg
+:*3.2 '''Pediatric'''
+::* Preferred regimen: 3 agents combination
+:::* Agent 1: [[Pyrazinamide]] 20-30 mg/kg (Maximum: 600 mg) {{or}} [[Ethambutol]] 15 mg/kg {{or}} [[Rifabutin]] 5 mg/kg
+:::* Agent 2: [[Ethionamide]] 15-20 mg/kg (Maximum: 1000 mg) {{or}} [[Protionamide]] 15-20 mg/kg (Maximum: 1000 mg) {{or}} [[Cycloserine]] 10-20 mg/kg (Maximum: 1000 mg) {{or}} [[Terizidone]] 10-20 mg/kg (Maximum: 1000 mg) {{or}} Para-[[aminosalicylic acid]] 150 mg/kg/day q8-12h
+:::* Agent 3: [[Clofazimine]] 50 mg/d AND 300 mg once a month {{or}} [[Amoxicillin]]/clavulanate {{or}} [[Linezolid]] 300-600 mg {{or}} [[Imipenem]] 500mg q6h {{or}} [[Clarithromycin]] 500-1000 mg q12h {{or}} [[Thioacetazone]] 2.5 mg/kg {{or}} [[Isoniazid]] (high-dose) 16–20 mg/kg
+==Bacteroides fragilis==
+* [[Bacteroides fragilis]] <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:*1. '''Monotherapy '''
+::* Preferred regimen (1): [[Imipenem]]
+::* Preferred regimen (2): [[Ertapenem]]
+::* Preferred regimen (3): [[Meropenem]]
+::* Preferred regimen (4): [[Doripenem]] 0.5-1.0 g IV q6h
+::* Preferred regimen (5): [[Piperacillin-tazobactam]] 3.375 g IV q6h
+::* Preferred regimen (6): [[Ampicillin-sulbactam]] 1-2 g IV q6h
+::* Preferred regimen (7): [[Tigecycline]] 100 mg IV {{then}} 50 mg IV q12h
+:*2. '''Combination therapy'''
+::* Preferred regimen: [[Metronidazole]] 0.75-1.0 g IV q12h {{and}} [[Cefotaxime]] 1.5-2 g IV q6h {{or}} [[Aztreonam]] 1-2 g IV q8h {{or}} [[Ceftriaxone]] 1 g IV q12h
+==Acinetobacter baumannii==
+* [[Acinetobacter baumannii]] <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:* Preferred regimen (1): [[Imipenem]] 0.5-1 g IV q6h
+:* Preferred regimen (2): [[Ampicillin/sulbactam]] 3 g q4h
+:* Preferred regimen (3): [[Cefepime]] 1-2 g IV q8h
+:* Preferred regimen (4): [[Colistin]] 2.5 mg/kg IV q12h
+:* Preferred regimen (5): [[Tigecycline]] 100 mg IV {{then}} 50 mg IV q12h
+:* Preferred regimen (6): [[Amikacin]] 7.5 mg/kg q12h IV or 15 mg/kg/day IV
+:* Alternative regimen (1): [[Ceftriaxone]] 1-2g IV every day
+:* Alternative regimen (2): [[Cefotaxime]] 2-3g IV q6-8h
+:* Alternative regimen (3): [[Ciprofloxacin]] 400 mg IV q8-12h or 750 mg PO bid
+:* Alternative regimen (4): [[TMP-SMX]] 15-20 mg (TMP)/kg/day IV q6-8h or 2 DS PO bid
+==Vibrio vulnificus==
+* [[Vibrio vulnificus]] <ref>{{cite web | title = Vibrio vulnificus CDC| url =http://www.cdc.gov/vibrio/vibriov.html }}</ref>
+:* Note: If V. vulnificus is suspected, treatment should be initiated immediately because antibiotics improve survival
+:* Preferred regimen: [[Doxycycline]] 100 mg PO/IV bid for 7-14 days {{and}} [[Ceftazidime]] 1-2 g IV/IM q8h
+:* Note: A single agent regimen with a fluoroquinolone such as [[Levofloxacin]], [[Ciprofloxacin]] or [[Gatifloxacin]], has been reported to be at least as effective in an animal model as combination drug regimens with [[Doxycycline]] and a [[Cephalosporin]]
+:* Pediatric regimen: [[Doxycycline]] {{and}} [[Fluoroquinolones]]; [[trimethoprim-sulfamethoxazole]] {{and}} an [[Aminoglycoside]]
+==Vibrio parahaemolyticus==
+* [[Vibrio parahaemolyticus]] <ref>{{cite web | title = Vibrio parahaemolyticus CDC| url =http://www.cdc.gov/vibrio/vibriop.html }}</ref>
+:*1. '''Mild to Moderate '''
+::* Treatment is not necessary in most cases of V. parahaemolyticus infection
+::* There is no evidence that antibiotic treatment decreases the severity or the length of the illness
+::* Patients should drink plenty of liquids to replace fluids lost through diarrhea
+:* 2. '''Severe or prolonged illnesses'''
+::* Preferred regimen: [[Tetracycline]] {{or}} [[Ciprofloxacin]]
+==Vibrio cholerae==
+*1. '''WHO''' <ref>{{cite web | title = WHO. Cholera Outbreak: Assessing the Outbreak Response and Improving Preparedness.| url =http://www.who.int/cholera/publications/final%20outbreak%20booklet%20260105-OMS.pdf }}</ref> <ref>{{cite web | title = Prevention and control of cholera outbreaks: WHO policy and recommendations| url =http://www.who.int/cholera/prevention_control/recommendations/en/index4.html}}</ref>
+::* Note: Antibiotic treatment for cholera patients with severe dehydration only
+::* Adults
+:::* Preferred regimen: [[Doxycycline]] 300 mg po single dose
+:::* Alternative regimen: [[Tetracycline]] 12.5 mg/kg PO qid for 3 days
+::* Pediatric
+:::* Under 12 years old
+::::* Preferred regimen: [[Erythromycin]] 12.5 mg/kg PO qid for 3 days
+:::* Over 12 years old
+::::* Preferred regimen: [[Doxycycline]] 300 mg po single dose
+::::* Alternative regimen: [[Tetracycline]] 12.5 mg/kg PO qid for 3 days
+*2. '''Pan American Health Organization''' <ref>{{cite web | title = PAHO. Recommendations for clinical management of cholera| url =http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&Itemid=0&gid=10813&lang=en }}</ref>
+::* Note: Antibiotic treatment for cholera patients with moderate or severe dehydration
+::*2.1 '''Adult'''
+:::* Preferred regimen: [[Doxycycline]] 300 mg po single dose
+:::* Alternative regimen (1): [[Ciprofloxacin]] 1 g PO single dose
+:::* Alternative regimen (2): [[Azithromycin]] 1 g PO single dose
+::*2.2 '''Pediatric'''
+:::*2.2.1 '''Children over 3 year, who can swallow tablets'''
+::::* Preferred regimen (1): [[Erythromycin]] 12.5 mg/kg/ PO qid for 3 days
+::::* Preferred regimen (2): [[Azithromycin]] 20 mg/kg PO in a single dose
+::::* Alternative regimen (1): [[Ciprofloxacin]] suspension or tablets 20 mg/kg PO single dose
+::::* Alternative regimen (2): [[Doxycycline]] suspension or tablets 2-4 mg/kg PO single dose
+::::* Note: Although doxycycline has been associated with a low risk of yellowing of the teeth in children, its benefits outweigh its risks
+:::*2.2.2 '''Children under 3 year, or infants who cannot swallow tablets'''
+::::* Preferred regimen (1): [[Erythromycin]] suspension 12.5 mg/kg/ PO qid for 3 days
+::::* Preferred regimen (2): [[Azithromycin]] suspension 20 mg/kg PO single dose
+::::* Alternative regimen (1): [[Ciprofloxacin]] suspension 20 mg/kg PO single dose
+::::* Alternative regimen (2): [[Doxycycline]] syrup 2-4 mg/kg PO single dose
+::*2.3 '''Pregnancy'''
+:::* Preferred regimen (!): [[Erythromycin]] 500 mg/ PO qid for 3 days
+:::* Preferred regimen (2): [[Azithromycin]] 1 g PO single dose
+==Treponema pallidum==
+*1. '''Syphilis Among non-HIV-Infected Persons''' <ref name="pmid26042815">{{cite journal |vauthors=Workowski KA, Bolan GA |title=Sexually transmitted diseases treatment guidelines, 2015 |journal=[[MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. Recommendations and Reports / Centers for Disease Control]] |volume=64 |issue=RR-03 |pages=1–137 |year=2015 |pmid=26042815 |doi= |url=http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6403a1.htm |issn=}}</ref>
+:*1.1 '''Primary and Secondary Syphilis'''
+::* Preferred regimen: [[Benzathine penicillin G]] 2.4 MU IM single dose
+::* Pediatric regimen: [[Benzathine penicillin G]] 50,000 U/kg (Maximum, 2.4 MU) IM single dose
+:*1.2 '''Latent Syphilis'''
+::*1.2.1 '''Early Latent Syphilis'''
+:::* Preferred regimen: [[Benzathine penicillin G]] 2.4 MU IM in a single dose
+:::* Pediatric regimen: [[Benzathine penicillin G]] 50,000 U/kg (Maximum, 2.4 MU) IM single dose
+::*1.2.2 '''Late Latent Syphilis or Latent Syphilis of Unknown Duration'''
+:::* Preferred regimen: [[Benzathine penicillin G]] 7.2 MU total, administered as 3 doses of 2.4 MU IM each at 1 week intervals
+:::* Pediatric regimen: [[Benzathine penicillin G]] 50,000 U/kg IM (Maximum, 2.4 MU), administered as 3 doses at 1 week intervals (total 150,000 U/kg up to the adult total dose of 7.2 MU)
+:*1.3 '''Tertiary Syphilis'''
+::* Preferred regimen: [[Benzathine penicillin G]] 7.2 MU total, administered as 3 doses of 2.4 MU IM each at 1 week intervals
+:*1.4 '''Neurosyphilis and ocular syphilis'''
+::* Preferred regimen: [[Aqueous crystalline penicillin G]] 18-24 MU per day, administered as 3-4 MU IV q4h or continuous infusion, for 10-14 days
+::* Alternative regimen: [[Procaine penicillin]] 2.4 MU IM q24h {{and}} [[Probenecid]] 500 mg PO qid for 10-14 days
+*2. '''Syphilis Among HIV-Infected Persons'''
+:*2.1 '''Primary and Secondary Syphilis Among HIV-Infected Persons'''
+::* Preferred regimen: [[Benzathine penicillin G]] 2.4 MU IM single dose
+:*2.2 '''Latent Syphilis Among HIV-Infected Persons'''
+::*2.2.1 '''early latent'''
+:::* Preferred regimen: [[Benzathine penicillin G]] 2.4 MU IM single dose
+::*2.2.2 '''late latent'''
+:::* Preferred regimen: [[Benzathine penicillin G]] 2.4 MU once a week for 3 weeks
+:*2.3 '''Neurosyphilis Among HIV-Infected Persons'''
+::* Preferred regimen: [[Aqueous crystalline penicillin G]] 18-24 MU per day, administered as 3-4 MU IV q4h or continuous infusion, for 10-14 days
+::* Alternative regimen: [[Procaine penicillin]] 2.4 MU IM q24h {{and}} [[Probenecid]] 500 mg PO qid  for 10-14 days
+*3. '''Syphilis During Pregnancy'''
+:* Pregnant women should be treated with the [[penicillin]] regimen appropriate for their stage of infection
+*4. '''Congenital Syphilis in neonates'''
+:*4.1 '''condition1''': Infants with proven or highly probable disease and (1) an abnormal physical examination that is consistent with congenital syphilis;（2）a serum quantitative nontreponemal serologic titer that is fourfold higher than the mother's titer; or（3）a positive darkfield test of body fluid(s).
+::* Preferred regimen (1): [[Aqueous crystalline penicillin G]] 100,000-150,000 U/kg/day, administered as 50,000 U/kg/dose IV q12h during the first 7 days of life and q8h thereafter for a total of 10 days
+::* Preferred regimen (2): [[Procaine penicillin G]] 50,000 U/kg/dose IM q24h for 10 days
+::* Note: If more than 1 day of therapy is missed, the entire course should be restarted. Data are insufficient regarding the use of other antimicrobial agents (e.g., ampicillin). When possible, a full 10-day course of penicillin is preferred, even if ampicillin was initially provided for possible sepsis. The use of agents other than penicillin requires close serologic follow-up to assess adequacy of therapy. In all other situations, the maternal history of infection with T. pallidum and treatment for syphilis must be considered when evaluating and treating the infant.
+:*4.2 '''condition2''': Infants who have a normal physical examination and a serum quantitive nontreponemal serologic titer the same or less than fourfold the maternal titer and the (1) mother was not treated, inadequately treated, or has no documentation of having received treatment; (2) mother was treated with erythromycin or another nonpenicillin regimen; or (3) mother received treatment <4 weeks before delivery.
+::* Preferred regimen (1): [[Aqueous crystalline penicillin G]] 100,000-150,000 U/kg/day, administered as 50,000 U/kg/dose IV q12h during the first 7 days of life and q8h thereafter for a total of 10 days
+::* Preferred regimen (2): [[Procaine penicillin G]] 50,000 U/kg/dose IM q24h for 10 days
+::* Preferred regimen (3): [[Benzathine penicillin G]] 50,000 U/kg/dose IM single dose
+::* Note: If the mother has untreated early syphilis at delivery, 10 days of parenteral therapy can be considered
+:*4.3 '''condition3''': Infants who have a normal physical examination and a serum quantitative nontreponemal serologic titer the same or less than fourfold the maternal titer and the (1) mother was treated during pregnancy, treatment was appropriate for the stage of infection, and treatment was administered >4 weeks before delivery and (2) mother has no evidence of reinfection or relapse.
+::* Preferred regimen: [[Benzathine penicillin G]] 50,000 U/kg/dose IM single dose
+:*4.4 '''condition4''': Infants who have a normal physical examination and a serum quantitative nontreponemal serologic titer the same or less than fourfold the maternal titer and the (1) mother's treatment was adequate before pregnancy; and (2) mother's nontreponemal serologic titer remained low and stable before and during pregnancy and at delivery (VDRL <1:2; RPR <1:4).
+::* No treatment is required
+::* [[Benzathine penicillin G]] 50,000 U/kg IM single dose might be considered, particularly if follow-up is uncertain.
+*5. '''Congenital Syphilis in infants and children'''
+::* Preferred regimen: [[Aqueous crystalline penicillin G]] 50,000 U/kg q4–6h for 10 days
+==Leptospira==
+* [[Leptospira]] <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:* Preferred regimen: [[Doxycycline]] 200 mg PO once a week
+==Borrelia recurrentis==
+*1. '''Tick-Borne Relapsing Fever''' <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:* Preferred regimen: [[Doxycycline]] 100 mg PO bid for 5-10 days
+:* Alternative regimen: [[Erythromycin]] 500 mg PO qid for 5-10 days
+:* Note: If meningitis/encephalitis present, use [[Ceftriaxone]] 2 g IV q12h for 14 days
+*2. '''Louse-Borne Relapsing Fever'''
+:* Preferred regimen: [[Tetracycline]] 500 mg PO single dose
+:* Alternative regimen: [[Erythromycin]] 500 mg PO single dose
+==Borrelia burgdorferi==
+* Lyme disease <ref>{{cite journal |vauthors=Wormser GP, Dattwyler RJ, Shapiro ED, Halperin JJ, Steere AC, Klempner MS, Krause PJ, Bakken JS, Strle F, Stanek G, Bockenstedt L, Fish D, Dumler JS, Nadelman RB |title=The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America |journal=Clin. Infect. Dis. |volume=43 |issue=9 |pages=1089–134 |year=2006 |pmid=17029130 |doi=10.1086/508667 |url=}}</ref>
+:*1. '''Early Lyme Disease'''
+::*1.1 '''Erythema migrans'''
+:::*1.1.1 '''Adult'''
+::::* Preferred regimen (1): [[Doxycycline]] 100 mg PO bid for 10-21 days
+::::* Preferred regimen (2): [[Amoxicillin]] 500 mg PO tid for 14-21 days
+::::* Preferred regimen (3): [[Cefuroxime axetil]] 500 mg bid for 14-21 days
+::::* Alternatie regimen (1): [[Azithromycin]] 500 mg PO qd for 7–10 days
+::::* Alternatie regimen (2): [[Clarithromycin]] 500 mg PO bid for 14–21 days (if the patient is not pregnant)
+::::* Alternatie regimen (3): [[Erythromycin]] 500 mg PO qid for 14–21 days
+:::*1.1.2 '''Pediatric'''
+::::*1.1.2.1 '''children <8 years of age'''
+:::::* Preferred regimen (1): [[Amoxicillin]] 50 mg/kg/day PO q8h (Maximum of 500 mg per dose)
+:::::* Preferred regimen (2): [[Cefuroxime axetil]] 30 mg/kg/day PO q12h（Maximum, 500 mg per dose)
+:::*1.1.2.2 '''children ≥8 years of age'''
+:::::* Preferred regimen (1): [[Doxycycline]] 4 mg/kg/day PO q12h（Maximum, 100 mg per dose）
+:::::* Preferred regimen (2): [[Azithromycin]] 10 mg/kg PO qd (Maximum, 500 mg qd)
+:::::* Preferred regimen (3): [[Clarithromycin]] 7.5 mg/kg PO bid (Maximum, 500 mg per dose)
+:::::* Preferred regimen (4): [[Erythromycin]] 12.5 mg/kg PO qid (Maximum, 500 mg per dose)
+::*1.2 '''When erythema migrans cannot be reliably distinguished from community-acquired bacterial cellulitis'''
+:::* Preferred regimen: [[Amoxicillin-Clavulanate]] 500 mg PO tid
+:::* Pediatric regimen: [[Amoxicillin-Clavulanate]] 50 mg/kg/day q8h (Maximum, 500 mg per dose)
+::*1.3 '''Lyme meningitis and other manifestations of early neurologic Lyme disease'''
+:::*1.3.1 '''Adult'''
+::::* Preferred regimen: [[Ceftriaxone]] 2 g IV q24h for 10–28 days
+::::* Alternative regimen (1): [[Cefotaxime]] 2 g IV q8h
+::::* Alternative regimen (2): [[Penicillin G]] 18–24 MU q4h (for patients with normal renal function)
+::::* Alternative regimen (3): [[Doxycycline]] 200–400 mg/day PO bid for 10–28 days
+:::*1.3.2 '''Pediatric'''
+::::* Preferred regimen (1): [[Ceftriaxone]] 50–75 mg/kg IV single dose (Maximum, 2 g)
+::::* Preferred regimen (2): [[Cefotaxime]] 150–200 mg/kg/day IV q6-8h (Maximum, 6 g per day)
+::::* Alternative regimen (1): [[Penicillin G]] 200,000–400,000 units/kg/day IV  q4h (for normal renal function) (maximum, 18–24 MU per day)
+::::* Alternative regimen (2): [[Doxycycline]] 4–8 mg/kg/day PO bid (maximum, 100–200 mg per dose) (≥8 years old)
+::*1.4 '''Lyme carditis'''
+:::* Preferred regimen: [[Ceftriaxone]] 2 g IV q24h for 10–28 days
+:::* Note: patients with advanced heart block, a temporary pacemaker may be required; expert consultation with a cardiologist is recommended; Use of the pacemaker may be discontinued when the advanced heart block has resolved; An oral antibiotic treatment regimen should be used for completion of therapy and for outpatients, as is used for patients with erythema migrans without carditis (see above)
+::*1.5 '''Borrelial lymphocytoma'''
+:::* Preferred regimen: The same regimens used to treat patients with erythema migrans (see above)
+:*2. '''Late Lyme Disease'''
+::*2.1 '''Lyme arthritis'''
+:::* Preferred regimen (1): [[Doxycycline]] 100 mg PO bid
+:::* Preferred regimen (2): [[Amoxicillin]] 500 mg PO tid
+:::* Alternative regimen: [[Cefuroxime axetil]] 500 mg PO bid for 28 days
+:::* Pediatric regimen: [[Amoxicillin]] 50 mg/kg/day tid (Maximum, 500 mg per dose); [[Cefuroxime axetil]] 30 mg/kg/day bid (Maximum,500 mg per dose); (≥8 years of age) [[Doxycycline]] 4 mg/kg/day bid (Maximum, 100 mg per dose)
+:::* Note: For patients who have persistent or recurrent joint swelling after a recommended course of oral antibiotic therapy, we recommend re-treatment with another 4-week course of oral antibiotics or with a 2–4 weeks course of [[Ceftriaxone]] IV
+::*2.2 '''patients with arthritis and objective evidence of neurologic disease'''
+:::* Preferred regimen: [[Ceftriaxone]] IV for 2–4 weeks
+:::* Alternative regimen (1): [[Cefotaxime]] IV
+:::* Alternative regimen (1): [[Penicillin G]] IV
+:::* Pediatric regime: [[Ceftriaxone]]; [[Cefotaxime]]; [[Penicillin G]] IV
+::*2.3 '''Late neurologic Lyme disease'''
+:::* Preferred regimen: [[Ceftriaxone]] IV for 2 to 4 weeks
+:::* Alternative regimen (1): [[Cefotaxime]] IV
+:::* Alternative regimen (2): [[Penicillin G]] IV
+:::* Pediatric regimen: [[Ceftriaxone]]; [[Cefotaxime]]; [[Penicillin G]]
+::*2.4 '''Acrodermatitis chronica atrophicans'''
+:::* Preferred regimen (1): [[Doxycycline]] 100 mg PO bid for 21 days
+:::* Preferred regimen (2): [[Amoxicillin]] 500 mg PO tid for 21 days
+:::* Preferred regimen (3): [[Cefuroxime axetil]] 500 mg PO bid for 21 days
+:*3. '''Post–Lyme Disease Syndromes'''
+:::* Preferred regimen: Further antibiotic therapy for Lyme disease should not be given unless there are objective findings of active disease (including physical findings, abnormalities on cerebrospinal or synovial fluid analysis, or changes on formal neuropsychologic testing)
+==Pasteurella multocida==
+* ''Pasteurella multocida'' <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:* Preferred regimen (1): [[Amoxicillin clavulanate]] 500 mg PO tid or 875 mg PO bid with food
+:* Note: Its also a preferred empirical coverage of animal bite wounds
+:* Preferred regimen (2): [[Ampicillin sulbactam]] 3 g IV q6h
+:* Preferred regimen (3): [[Ciprofloxacin]] 500 mg PO bid or 400 mg IV q12h
+:* Preferred regimen (4): [[Levofloxacin]] 500 mg PO qd or IV q24h
+:* Alternative regimen (1): [[Doxycycline]] 100 mg PO bid
+:* Alternative regimen (2): [[TMP-SMX]] DS PO bid (for beta-lactam allergic patients )
+:* Alternative regimen (3): [[Penicillin]] 500 mg PO qid or 4 MU IV q4h (use only if isolate known to be susceptible)
+==Moraxella catarrhalis==
+* ''Moraxella catarrhalis'' <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:* Preferred regimen(1): [[TMP-SMX]] 1DS PO bid
+:* Preferred regimen(2): [[Erythromycin]] 500 mg PO qid
+:* Preferred regimen(3): [[Clarithromycin]] 500 mg PO bid or XL 1 g PO qd
+:* Preferred regimen(4): [[Azithromycin]] 500 mg PO single dose {{then}} 250 mg PO qd
+:* Preferred regimen(5): [[Doxycycline]] 100 mg PO/IV bid/q12h
+:* Preferred regimen(6): [[Cefprozil]] 200-500 mg PO bid
+:* Preferred regimen(7): [[Cefpodoxime]] 200-400 mg PO bid
+:* Preferred regimen(8): [[Cefuroxime]] 250-500 mg PO bid
+:* Preferred regimen(9): [[Cefdinir]] 300 mg PO bid
+:* Preferred regimen(10): [[Moxifloxacin]] 400 mg IV/PO qd
+:* Preferred regimen(11): [[Levofloxacin]] 500 mg IV/PO qd
+:* Preferred regimen(12): [[Amoxicillin clavulanate]] 875/125 mg PO bid or XL 2000/125 PO bid
+==Eikenella corrodens==
+*1. '''Human bite/soft tissue infections''' <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:*1.1 '''Severe'''
+::* Preferred regimen: [[Ampicillin sulbactam]] 1.5-3 g IV q6h
+::* Alternative regimen (1): [[Doxycycline]] 100 mg IV bid
+::* Alternative regimen (2): [[Moxifloxacin]] 400 mg IV q24h
+::* Alternative regimen (3): [[Levofloxacin]] 500 mg IV q24h
+:*1.2 '''Mild'''
+::* Preferred regimen: [[Amoxicillin clavulanate]] 250-500 mg tid or 875/125 mg PO bid
+::* Alternative regimen (1): [[Doxycycline]] 100 mg PO bid
+::* Alternative regimen (2): [[Moxifloxacin]] 400 mg PO qd
+::* Alternative regimen (3): [[Levofloxacin]] 500 mg PO qd
+*2. '''Head and neck infections '''
+:*2.1 '''Severe'''
+::* Preferred regimen: [[Ampicillin sulbactam]] 1.5-3 g IV q6h
+::* Alternative regimen (1): [[Doxycycline]] 100 mg IV bid
+::* Alternative regimen (2): [[Moxifloxacin]] 400 mg IV q24h
+::* Alternative regimen (3): [[Levofloxacin]] 500 mg IV q24h
+:*2.2 '''Mild'''
+::* Preferred regimen: [[Amoxicillin clavulanate]] 250-500 mg tid or 875/125 mg PO bid
+::* Alternative regimen (1): [[Doxycycline]] 100 mg PO bid
+::* Alternative regimen (2): [[Moxifloxacin]] 400 mg PO qd
+::* Alternative regimen (3): [[Levofloxacin]] 500 mg PO qd
+*3. '''Endocarditis'''
+:* Preferred regimen (1): [[Ceftriaxone]] 1 g IV q12h
+:* Preferred regimen (1): [[Cefotaxime]] 1-2 g IV q8h
+:* Preferred regimen (1): [[Cefepime]] 1-2g IV q8h
+==Rickettsia rickettsii==
+*1. '''Adult''' <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref> <ref>{{cite web | title = Rocky Mountain Spotted Fever (RMSF) CDC| url =http://www.cdc.gov/rmsf/symptoms/index.html#treatment }}</ref>
+:* Preferred regimen: [[Doxycycline]] 100 mg q12h
+:* Note: Patients should be treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement. Standard duration of treatment is 7-14 days
+:* Alternative regimen: [[Chloramphenicol]] 500 mg PO qid for 7 days or stop 3 days after defervescence
+*2. '''Pediatric (under 45 kg (100 lbs))'''
+:* Preferred regimen: [[Doxycycline]] 2.2 mg/kg bid
+:* Note: The recommended dose and duration of medication needed to treat RMSF has not been shown to cause staining of permanent teeth, even when five courses are given before the age of eight. Healthcare providers should use doxycycline as the first-line treatment for suspected Rocky Mountain spotted fever in patients of all ages
+==Rhodococcus equi==
+* Rhodococcus equi <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:* First line:
+::* Preferred regimen: [[Vancomycin]] 1 g IV q12h (15 mg/kg q12 for >70 kg) {{or}} [[Imipenem]] 500 mg IV q6h {{and}} [[Rifampin]] 600 mg PO qd {{or}} [[Ciprofloxacin]] 750 mg PO bid {{or}} [[Erythromycin]] 500 mg PO qid for at least 4 weeks or until infiltrate disappears
+::* Note: Should be administrated at least 8 weeks in immunocompromised patients
+:* Oral/maintenance therapy (after infiltrate clears):
+::* Preferred regimen (1): [[Ciprofloxacin]] 750 mg PO bid
+::* Preferred regimen (2): [[Erythromycin]] 500 mg PO qid
+:* Alternative regimen: [[Azithromycin]] {{or}} [[TMP-SMX]] {{or}} [[Chloramphenicol]] {{or}} [[Clindamycin]]
+:* Note: Avoid Penicillins/Cephalosporins due to development of resistance; Linezolid effective in vitro, but no clinical reports of use
+==Propionibacterium acnes==
+* Propiobacterium acnes <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:*1. '''Systemic infection'''
+::* Preferred regimen: [[Penicillin G]] 2 MU IV q4h for 2-4 weeks
+::* Alternative regimen (1): [[Clindamycin]] 600 mg IV q8h for 2-4 weeks
+::* Alternative regimen (2): [[Vancomycin]] 15 mg/kg IV q12h for 2-4 weeks
+:*2. '''Shoulder prosthesis infection'''
+::* Preferred regimen: [[Amoxicillin]] {{and}} [[Rifampin]] for 3-6 months
+:*3. '''Acne vulgaris'''
+::* Topical antibiotics: [[Erythromycin]] {{or}} [[Clindamycin]]
+::* Systemic antibiotics: [[Minocycline]] {{or}} [[Doxycycline]] {{or}} [[Trimethoprim-Sulfamethoxazole]]
+==Nocardia==
+*1. '''Sulfonamide-based therapies''' <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:*1.1 '''Pulmonary'''
+::* Preferred regimen: [[TMP-SMX]] 10 mg/kg/day (TMP) IV q6-12h for 3-6 weeks, then 2 DS PO bid for at least 5 months
+:*1.2 '''Pulmonary alternatives'''
+::* Preferred regimen: [[Sulfisoxazole]] {{or}} [[Sulfadiazine]] {{or}} Trisulfapyrimidine 3-6 g/day PO bid-qid {{or}} [[TMP-SMX]] 2 DS bid up to 2 DS tid
+:*1.3 '''CNS (AIDS, severe or disseminated disease)'''
+::* Preferred regimen: [[TMP-SMX]] 15 mg/kg/day (TMP) IV for 3-6 weeks, then PO (3 DS bid) for 6-12 months
+:*1.4 '''CNS alternatives'''
+::* Preferred regimen: [[Imipenem]] 1000 mg IV q8h {{or}} [[Ceftriaxone]] 2 g IV q12h {{or}} [[Cefotaxime]] 2-3 g IV q6h {{and}} [[Amikacin]]
+:*1.5 '''Severe disease, compromised host, multiple sites'''
+::* Preferred regimen: [[TMP-SMX]] 15 mg/kg/day (TMP) IV {{and}} [[Amikacin]] 7.5 mg/kg q12h {{or}} [[Sulfonamide]] 6-12 mg/day PO
+:*1.6 '''Sporotrichoid (cutaneous)'''
+::* Preferred regimen: [[TMP-SMX]] 1 DS bid for 4-6 months
+:* Note (1): Immunocompetent medicine use for 6 months; Immunosuppressed medicine for 12 months
+:* Note (2): Treat based on host, site of disease and in vitro activity; Sulfonamide usually preferred, must treat for 6-12 months; Preferred drugs for resistant strains are [[Amikacin]] and/or [[Imipenem]]
+:* Note (3): Seriously ill usually treated with IV [[Imipenem]] or [[Sulfonamide]] or [[Cefotaxime]] all potentially combined with [[Amikacin]]; less seriously ill treated with oral agents— especially [[TMP-SMX]] or [[Minocycline]]
+*2. '''Sulfonamide alternatives'''
+:*2.1 '''Severe'''
+::* Preferred regimen (1): (For AIDS) ([[Imipenem]] 1000 mg IV q8h {{or}} [[Meropenem]] 2 g q8h {{and}} [[Amikacin]] 7.5 mg/kg q12h IV
+::* Preferred regimen (2): [[Cefotaxime]] 2-3 g q6-8h {{or}} [[Ceftriaxone]] 2 g/day IV {{withorwithout}} [[Amikacin]]
+:*2.2 '''Mild'''
+::* Preferred regimen: [[Minocycline]] 100 mg bid for at least 6 months (initial treatment of local disease or maintenance)
+::* Alternative regimen: [[Amoxicillin clavulanate]] 875/125 mg bid {{or}} [[Doxycycline]] {{or}} [[Erythromycin]] {{or}} [[Clarithromycin]] {{or}} [[Linezolid]] {{or}} [[Fluoroquinolone]] {{or}} combinations for at least 6 months
+==Leuconostoc==
+* Leuconostoc <ref>{{cite book | last = Gilbert | first = David | title = The Sanford guide to antimicrobial therapy | publisher = Antimicrobial Therapy | location = Sperryville, Va | year = 2015 | isbn = 978-1930808843 }}</ref>
+:* Preferred regimen (1): [[Penicillin G]]
+:* Preferred regimen (2): [[Ampicillin]]
+:* Alternative regimen (1): [[Clindamycin]]
+:* Alternative regimen (2): [[Erythromycin]]
+:* Alternative regimen (3): [[Minocycline]]
+==Lactobacillus==
+*1. '''Endovascular Infection''' <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:* Preferred regiemn (1): [[Penicillin G]] 20 MU/day for 6 weeks
+:* Preferred regiemn (2): [[Gentamicin]] 1.3 mg/kg IV q8h (trough <1.5 mg/L) {{and}} [[Polychlorinated naphthalene]]
+*2. '''Odontogenic Infection'''
+:* Preferred regiemn: [[Clindamycin]] 450 mg PO qid
+*3. '''Intrabdominal Abscess'''
+:* Preferred regiemn: [[Clindamycin]] 450 mg PO qid
+==Listeria monocytogenes==
+*1. '''Meningitis''' <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:* Preferred regimen: [[Ampicillin]] 2g IV q4-6h {{withorwithout}} [[Gentamicin]] 1.7 mg/kg IV q8h for more than 3 weeks
+:* Alternative regimen: [[TMP-SMX]] 3-5 mg/kg (trimethoprim) IV q6h for more than 3 weeks
+*2. '''Bacteremia'''
+:* Preferred regimen: [[Ampicillin]] 2g IV q4-6h {{withorwithout}} [[Gentamicin]] 1.7 mg/kg IV q8h for 2 weeks
+:* Alternative regimen: [[TMP-SMX]] 3-5 mg/kg (trimethoprim) q6h IV for 2 weeks
+*3. '''Brain abscess or rhomboencephalitis'''
+:* Preferred regimen: [[Ampicillin]] 2g IV q4-6h {{withorwithout}} [[Gentamicin]] 1.7 mg/kg IV q8h for 4-6 weeks
+:* Alternative regimen: [[TMP-SMX]] 3-5 mg/kg (trimethoprim) q6h IV for 4-6 weeks
+*4. '''Gastroenteritis'''
+:* Preferred regimen (1): [[Amoxicillin]] 2g IV q4-6h
+:* Preferred regimen (2): [[TMP-SMX]] 3-5 mg/kg (trimethoprim) q6h IV for 7 days
+==Erysipelothrix rhusiopathiae==
+* Erysipelothrix rhusiopathiae <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:*1. '''Erysipeloid of Rosenbach (localized cutaneous infection)'''
+::* Preferred regimen (1): [[Penicillin G benzathine]] 1.2 MU IV single dose
+::* Preferred regimen (2): [[Penicillin VK]] 250 mg PO qid for 5-7 days
+::* Preferred regimen (3): [[Procaine penicillin]] 0.6-1.2 MU IM qd for 5-7 days
+::* Alternative regimen (1): [[Erythromycin]] 250 mg PO qid for 5-7 days
+::* Alternative regimen (2): [[Doxycycline]] 100 mg PO bid for 5-7 days
+:*2. '''Diffuse cutaneous infection'''
+::* Preferred regimen: See localized infection
+:*3. '''Bacteremia or endocarditis'''
+::* Preferred regimen: [[Penicillin G benzathine]] 2-4 MU IV q4h for 4-6 weeks
+::* Alternative regimen (1): [[Ceftriaxone]] 2 g IV q24h for 4-6 weeks
+::* Alternative regimen (2): [[Imipenem]] 500 mg IV q6h for 4-6 weeks
+::* Alternative regimen (3): [[Ciprofloxacin]] 400 mg IV q12h for 4-6 weeks
+::* Alternative regimen (4): [[Daptomycin]] 6 mg/kg IV q24h for 4-6 weeks
+::* Note: Recommended duration of therapy for endocarditis is 4 to 6 weeks, although shorter courses consisting of 2 weeks of intravenous therapy followed by 2 to 4 weeks of oral therapy have been successful
+==Ehrlichia==
+*1. '''[[Ehrlichiosis|Human Monocytic Ehrlichiosis]] or [[Human Granulocytic Anaplasmosis]] (adult)''' <ref name=CDC centers for the disease control and prevention>{{cite web | title =Ehrlichiosis CDC centers for the disease control and prevention| url= http://www.cdc.gov/ehrlichiosis/symptoms/index.html#treatment }}</ref> <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref>
+:* Preferred regimen: [[Doxycycline]] 100 mg PO/IV q12h for 7-14 days
+:* Note: Patients should be treated for at least 3 days after the fever subsides and until there is evidence of clinical improvement
+:* Alternative regimen (1): [[Chloramphenicol]] 500mg PO qid
+:* Alternative regimen (2): [[Rifampin]] 600 mg PO/IV qd for 7-10 days
+*2. '''[[Ehrlichiosis|Human Monocytic Ehrlichiosis]] or [[Human Granulocytic Anaplasmosis]] (pediatric)'''
+:*2.1 '''≥ 8 years old'''
+::* Preferred regimen: [[Doxycycline]] 2 mg/kg IV/PO q12h (Maximum, 200 mg/day) for 10 days
+:*2.2 '''< 8 years old without Lyme disease'''
+::* Preferred regimen: [[Doxycycline]] 2 mg/kg IV/PO q12h (Maximum, 200 mg/day) for 4-5 days (or 3 days after resolution of fever)
+:*2.3 '''co-infected with Lyme disease'''
+::* Preferred regimen: [[Doxycycline]] (see above) {{then}} [[Amoxicillin]] 50 mg/kg/day tid (Maximum, 500 mg/dose) {{or}} [[Cefuroxime]] 30 mg/kg/day bid (Maximum, 500 mg/dose) for 14 days
+==Coxiella burnetii==
+*1. '''Acute Q fever''' <ref>{{cite web | title =q fever | url = http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6203a1.htm   }}</ref>
+:*1.1 '''Adults'''
+::* Preferred Regimen: [[Doxycycline]] 100 mg PO bid for 14 days
+:*1.2 '''Pediatric'''
+::*1.2.1 '''≥ 8 years old'''
+:::* Preferred regimen:[[Doxycycline]] 2.2 mg/kg PO bid for 14 days (Maximum, 100 mg per dose)
+::*1.2.2 '''< 8 years old with high risk criteria'''
+:::* Preferred regimen:[[Doxycycline]] 2.2 mg/kg PO bid for 14 days (Maximum, 100 mg per dose)
+::*1.2.3 '''< 8 years old with mild or uncomplicated illness'''
+:::* Preferred regimen:[[Doxycycline]] 2.2 mg/kg PO bid for 5 days (Maximum, 100 mg per dose)
+:::* Alternative regimen: (If patient remains febrile past 5 days of treatment) [[Trimethoprim/Sulfamethoxazole]] 4-20 mg/kg PO bid for 14 days (Maximum, 800 mg per dose)
+:*1.3 '''Pregnant women'''
+::* Preferred regimen: [[Trimethoprim/sulfamethoxazole]] 160 mg/800 mg PO bid
+::* Note: Should be given throughout pregnancy
+*2. '''Chronic Q fever'''
+:*2.1 '''Endocarditis or vascular infection'''
+::* Preferred regimen: [[Doxycycline]] 100 mg PO bid {{and}} [[hydroxychloroquine]] 200 mg PO tid for ≥18 months
+::* Note: Childern and pregnant women consultation recommended
+:*2.2 '''Non-cardiac organ disease'''
+::* Preferred regimen: [[Doxycycline]] 100 mg PO bid {{and}} [[hydroxychloroquine]] 200 mg PO tid
+::* Note: childern and pregnant women consultation recommended
+:*2.3 '''Postpartumwith serologic profile for chronic Q fever'''
+::* Preferred regimen: [[Doxycycline]] 100 mg PO bid {{and}} [[hydroxychloroquine]] 200 mg PO tid for 12 months
+::* Note (1): Women should only be treated postpartum if serologic titers remain elevated >12 months after delivery (immunoglobulin G phase I titer ≥1:1024); Women treated during pregnancy for acute Q fever should be monitored similarly to other patients who are at high risk for progression to chronic disease (e.g., serologic monitoring at 3, 6, 12, 18, and 24 months after delivery)
+::* Note (2): Post-Q fever fatigue syndrome- no current recommendation
+==Corynebacterium diphtheriae==
+* Diphtheria treatment <ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases | publisher = Jones and Bartlett Learning | location = Burlington, MA | year = 2012 | isbn = 978-1449625580 }}</ref> <ref>{{cite web | title = Diphtheria CDC| url =http://www.cdc.gov/vaccines/pubs/pinkbook/dip.html }}</ref>
+:*1. '''Antitoxin '''
+::*1.1 '''Pharyngeal disease <48 hrs'''
+:::* Preferred regimen: 20,000-40,000 U IV/IM
+::*1.2 '''Nasopharyngeal'''
+:::* Preferred regimen: 40-60,000 U IV/IM
+::*1.3 '''Extensive disease, or >72 hrs'''
+:::* Preferred regimen: 80-120,000 U IV/IM
+::* Note: IV administration for severe disease
+:*2. '''Antibiotics '''
+::* Preferred regimen: [[Erythromycin]] 40 mg/kg/day (Maximum, 2 gm/day) PO/IV for 14 days
+::* Alternative regimen: [[Procaine penicillin G]] 600,000 U/day IM qd for 14 days
+::* Note: Procaine penicillin G  300,000 U/day for those weighing 10 kg or less
+:*3. '''Preventive antibiotic use'''
+::* Note: For close contacts, especially household contacts, a diphtheria booster, appropriate for age, should be given
+::* Preferred regimen: [[Benzathine penicillin G ]]
+:::* younger than 6 years old: 600,000 U IM
+:::* 6 years old and older: 1,200,000 U IM
+::* Alternative regimen: [[Erythromycin]]
+:::* Adult: 1 g/day PO 7-10 days
+:::* Pediatric: 40 mg/kg/day PO 7-10 days
+::* Note (1): If surveillance of contacts cannot be maintained, they should receive benzathine penicillin G
+::* Note (2): Maintain close surveillance and begin antitoxin at the first signs of illness
+==Swine influenza==
+* [[Swine influenza]] <ref>{{Cite book| publisher = World Health Organization| title = WHO Guidelines for Pharmacological Management of Pandemic Influenza A(H1N1) 2009 and Other Influenza Viruses| location = Geneva| series = WHO Guidelines Approved by the Guidelines Review Committee| accessdate = 2015-07-14| date = 2010| url = http://www.ncbi.nlm.nih.gov/books/NBK138515/| pmid = 23741777}}</ref>
+:*1. '''Condition1: Patients who have severe or progressive clinical illness'''
+::* Preferred regimen: [[Oseltamivir]] 150 mg PO bid
+::* Note (1): Treatment duration depends on clinical response
+::* Note (2): Where the clinical course remains severe or progressive, despite 5 or more days of antiviral treatment, monitoring of virus replication and shedding, and antiviral drug susceptibility testing is desirable
+::* Note (3): Antiviral treatment should be maintained without a break until virus infection is resolved or there is satisfactory clinical improvement
+::* Note (4): Patients who have severe or progressive clinical illness, but who are unable to take oral medication may be treated with oseltamivir administered by nasogastric or orogastric tube
+:*2. '''Condition2: In situations where oseltamivir is not available, or not possible to use, patients who have severe or progressive clinical illness'''
+::* Preferred regimen: [[Zanamivir]] inhaled
+::* Note: [[Zanamivir]] IV should be considered where available and is recommended for those with serious or progressive illness. If not available, [[Peramivir]] IV may be considered
+:*3. '''Condition3: Severely immunosuppressed patients'''
+::* Preferred regimen: Antiviral chemoprophylaxis by using [[Oseltamivir]] {{or}} [[Zanamivir]]
+==Trichinella spiralis==
+*Trichinella spiralis<ref name="pmid19136437">{{cite journal| author=Gottstein B, Pozio E, Nöckler K| title=Epidemiology, diagnosis, treatment, and control of trichinellosis. | journal=Clin Microbiol Rev | year= 2009 | volume= 22 | issue= 1 | pages= 127-45, Table of Contents | pmid=19136437 | doi=10.1128/CMR.00026-08 | pmc=PMC2620635 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19136437  }} </ref>
+:* Preferred regimen (1): [[Albendazole]] 400 mg PO bid for 8-14 days
+:* Preferred regimen (2): [[Mebendazole]] 200-400 mg PO tid for 3 days {{then}} 400-500 mg PO tid for 10 days
+:* Note (1): Both treatment schemes are suitable for adult and pediatric dosages
+:* Note (1): Albendazole and Mebendazole are contraindicated during pregnancy and not recommended in children aged 2 years.
+:* Alternative regimen (1): (severe symptoms) [[Prednisone]] 30 mg/day-60 mg/day for 10-15 days
+:* Alternative regimen (2): [[Pyrantel]] 10-20 mg/kg single dose for 2-3 days
 ==References==
 {{reflist|2}}

Sandbox sc: Difference between revisions

Latest revision as of 18:50, 27 July 2015

Mycobacterium terrae

Mycobacterium szulgai

Mycobacterium smegmatis

Mycobacterium mucogenicum

Mycobacterium malmoense

Mycobacterium immunogenum

Mycobacterium leprae

Mycobacterium xenopi

Mycobacterium ulcerans

Swine influenza

Mycobacterium simiae

Mycobacterium foruitum

Mycobacterium scrofulaceum

Mycobacterium marinum

Mycobacterium kansasii

Mycobacterium gordonae

Mycobacterium genavense

Mycobacterium haemophilum

Mycobacterium chelonae

Mycobacterium celatum

Mycobacterium avium complex

Mycobacterium bovis

Mycobacterium abscessus

Mycobacterium tuberculosis

Bacteroides fragilis

Acinetobacter baumannii

Vibrio vulnificus

Vibrio parahaemolyticus

Vibrio cholerae

Treponema pallidum

Leptospira

Borrelia recurrentis

Borrelia burgdorferi

Pasteurella multocida

Moraxella catarrhalis

Eikenella corrodens

Rickettsia rickettsii

Rhodococcus equi

Propionibacterium acnes

Nocardia

Leuconostoc

Lactobacillus

Listeria monocytogenes

Erysipelothrix rhusiopathiae

Ehrlichia

Coxiella burnetii

Corynebacterium diphtheriae

Swine influenza

Trichinella spiralis

References

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