Streptococcus monoliformis: Difference between revisions

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Created page with "==Treatment== :* Streptococcus moniliformis treatment<ref>{{cite book | last = Bartlett | first = John | title = Johns Hopkins ABX guide : diagnosis and treatment of infectiou..."
 
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:::* Preferred regimen (1): [[Penicillin G]] 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to [[Amoxicillin]] 1 g q12h PO for 14 days  
:::* Preferred regimen (1): [[Penicillin G]] 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to [[Amoxicillin]] 1 g q12h PO for 14 days  
:::* Preferred regimen (2):  Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h  complete 14 days.
:::* Preferred regimen (2):  Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h  complete 14 days.
::* 2. '''Diarrhea, (especially kids) liver or spleen abscess'''
::* 2. '''Diarrhea, (especially kids) liver or spleen abscess'''
:::* Preferred regimen (1): [[Penicillin G]] 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to [[Amoxicillin]] 1 g q12h PO for 14 days  
:::* Preferred regimen (1): [[Penicillin G]] 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to [[Amoxicillin]] 1 g q12h PO for 14 days  
Line 12: Line 13:
:::* Preferred regimen (1): [[Penicillin G]] 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to [[Amoxicillin]] 1 g q12h PO for 14 days  
:::* Preferred regimen (1): [[Penicillin G]] 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to [[Amoxicillin]] 1 g q12h PO for 14 days  
:::* Preferred regimen (2):  Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h  complete 14 days.
:::* Preferred regimen (2):  Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h  complete 14 days.
::* 4. '''Endocarditis, myocarditis, pericarditis (cardiac)'''
::* 4. '''Endocarditis, myocarditis, pericarditis (cardiac)'''
:::* Preferred regimen: [[Penicillin]] 20 MU/day IV divided q4h for 4 weeks (optimal duration recommendation for infective endocarditis is 4 weeks.)
:::* Preferred regimen: [[Penicillin]] 20 MU/day IV divided q4h for 4 weeks (optimal duration recommendation for infective endocarditis is 4 weeks.)
:::* Alternative regimen (1): [[Cephalosporins]]-[[Cefdinir]] 600 mg PO q24h for 10 days -[[Ceftriaxone]] 2 g IV/IM q24h for 6 weeks with or without [[Gentamicin sulfate]] 3 mg/kg IM or IV  in 1 dose (preferred) or in 3 equally divided doses for 2 weeks  
:::* Alternative regimen (1): [[Cephalosporins]]-[[Cefdinir]] 600 mg PO q24h for 10 days -[[Ceftriaxone]] 2 g IV/IM q24h for 6 weeks with or without [[Gentamicin sulfate]] 3 mg/kg IM or IV  in 1 dose (preferred) or in 3 equally divided doses for 2 weeks  
:::* Alternative regimen (2): [[Clindamycin]] 600–1200 mg/day IM or IV in 2, 3 or 4 equal doses  
:::* Alternative regimen (2): [[Clindamycin]] 600–1200 mg/day IM or IV in 2, 3 or 4 equal doses  
:::* Alternative regimen (3): [[Erythromycin]]   
:::* Alternative regimen (3): [[Erythromycin]]   
:::* Alternative regimen (4): [[Chloramphenicol]] 100 mg/kg/day {{and}} [[Streptomycin]]  
:::* Alternative regimen (4): [[Chloramphenicol]] 100 mg/kg/day {{and}} [[Streptomycin]]  
:::* Note: '''In [[Penicillin]]-sensitive alpha and non-hemolytic streptococcal endocarditis''' ([[Penicillin]] minimum concentration inhibitory <0.1 mcg/mL)  
:::* Note: '''In [[Penicillin]]-sensitive alpha and non-hemolytic streptococcal endocarditis''' ([[Penicillin]] minimum concentration inhibitory <0.1 mcg/mL)  
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::* 6. ''' Pneumonia'''
::* 6. ''' Pneumonia'''
:::* Preferred regimen (1): [[Penicillin G]] 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to [[Amoxicillin]] 1 g q12h PO for 14 days  
:::* Preferred regimen (1): [[Penicillin G]] 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to [[Amoxicillin]] 1 g q12h PO for 14 days  
:::* Preferred regimen (2):  Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h  complete 14 days.
:::* Preferred regimen (2):  Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h  complete 14 days.
Line 41: Line 39:
:::* Preferred regimen (1): [[Penicillin G]] 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to [[Amoxicillin]] 1 g q12h PO for 14 days  
:::* Preferred regimen (1): [[Penicillin G]] 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to [[Amoxicillin]] 1 g q12h PO for 14 days  
:::* Preferred regimen (2):  Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h  complete 14 days.
:::* Preferred regimen (2):  Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h  complete 14 days.


::* 8. '''Renal abscess'''
::* 8. '''Renal abscess'''

Latest revision as of 20:12, 28 July 2015

Treatment

  • Streptococcus moniliformis treatment[1]
  • 1. Migratory arthropathy and arthritis
  • Preferred regimen (1): Penicillin G 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to Amoxicillin 1 g q12h PO for 14 days
  • Preferred regimen (2): Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h complete 14 days.
  • 2. Diarrhea, (especially kids) liver or spleen abscess
  • Preferred regimen (1): Penicillin G 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to Amoxicillin 1 g q12h PO for 14 days
  • Preferred regimen (2): Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h complete 14 days.
  • 3. Undifferentiated fever
  • Preferred regimen (1): Penicillin G 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to Amoxicillin 1 g q12h PO for 14 days
  • Preferred regimen (2): Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h complete 14 days.
  • 4. Endocarditis, myocarditis, pericarditis (cardiac)
  • Preferred regimen: Penicillin 20 MU/day IV divided q4h for 4 weeks (optimal duration recommendation for infective endocarditis is 4 weeks.)
  • Alternative regimen (1): Cephalosporins-Cefdinir 600 mg PO q24h for 10 days -Ceftriaxone 2 g IV/IM q24h for 6 weeks with or without Gentamicin sulfate 3 mg/kg IM or IV in 1 dose (preferred) or in 3 equally divided doses for 2 weeks
  • Alternative regimen (2): Clindamycin 600–1200 mg/day IM or IV in 2, 3 or 4 equal doses
  • Alternative regimen (3): Erythromycin
  • Alternative regimen (4): Chloramphenicol 100 mg/kg/day AND Streptomycin
  • Note: In Penicillin-sensitive alpha and non-hemolytic streptococcal endocarditis (Penicillin minimum concentration inhibitory <0.1 mcg/mL)
  • Streptomycin may be used for 2-week treatment concomitantly with Penicillin.
  • The Streptomycin regimen is 1 g bid for the first week, and 500 mg bid for the second week.
  • If the patient is over 60 years of age, the dosage should be 500 mg bid for the entire 2- week period.
  • 5. Meningitis, brain abscess
  • 6. Pneumonia
  • Preferred regimen (1): Penicillin G 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to Amoxicillin 1 g q12h PO for 14 days
  • Preferred regimen (2): Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h complete 14 days.
  • 7. Amnionitis (pregnancy)
  • Preferred regimen (1): Penicillin G 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to Amoxicillin 1 g q12h PO for 14 days
  • Preferred regimen (2): Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h complete 14 days.
  • 8. Renal abscess
  • Preferred regimen (1): Penicillin G 2.4-4.8 MU/day IV divided q6h. If better after 1 week, switch to Amoxicillin 1 g q12h PO for 14 days
  • Preferred regimen (2): Penicillin Vk 125 to 250 mg (200,000 to 400,000 units) PO q6-8h complete 14 days.
  • Note: Streptococcus moniliformis also causes anemia.

References

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