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:* [[Staphylococcus aureus]] | :* [[Staphylococcus aureus]] | ||
* '''Staphylococcus aureus''' | * '''Staphylococcus aureus''' | ||
:* (1) '''Intravascular catheter-related infections'''<ref name="pmid19489710">{{cite journal| author=Mermel LA, Allon M, Bouza E, Craven DE, Flynn P, O'Grady NP et al.| title=Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 Update by the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2009 | volume= 49 | issue= 1 | pages= 1-45 | pmid=19489710 | doi=10.1086/599376 | pmc=PMC4039170 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19489710 }} </ref> | :* (1)'''Infectious endocarditis''' | ||
::* In adults | |||
:::* Preferred regimen: [[Vancomycin]], 15-20 mg/kg IV q8-12h {{or}} [[Daptomycin]] 6mg/kg/dose IV qd | |||
:* (2) '''Intravascular catheter-related infections'''<ref name="pmid19489710">{{cite journal| author=Mermel LA, Allon M, Bouza E, Craven DE, Flynn P, O'Grady NP et al.| title=Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 Update by the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2009 | volume= 49 | issue= 1 | pages= 1-45 | pmid=19489710 | doi=10.1086/599376 | pmc=PMC4039170 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19489710 }} </ref> | |||
::* '''Methicillin susceptible Staphylococcus aureus (MSSA)''' | ::* '''Methicillin susceptible Staphylococcus aureus (MSSA)''' | ||
:::* Preferred regimen: [[Nafcillin]] 2 g IV q6h {{or}} [[Oxacillin]], 2 g IV q6h. | :::* Preferred regimen: [[Nafcillin]] 2 g IV q6h {{or}} [[Oxacillin]], 2 g IV q6h. | ||
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:::::* Infants 12 months of age and children: mild-to-moderate infections, 6–12 mg TMP/kg/day in divided doses every 12 h; serious infection, 15–20 mg TMP/kg/day in divided doses every 6–8 h. | :::::* Infants 12 months of age and children: mild-to-moderate infections, 6–12 mg TMP/kg/day in divided doses every 12 h; serious infection, 15–20 mg TMP/kg/day in divided doses every 6–8 h. | ||
:*( | :*(3) '''Purulent cellulitis''' (defined as cellulitis associated with purulent drainage or exudate in the absence of a drainable abscess) | ||
::* In adults | ::* In adults | ||
:::* Preferred regimen: [[Clindamycin]] 300–450 mg PO TID {{or}} [[Trimethoprim-Sulfamethoxazole]] 1–2 DS tab PO BID {{or}} [[Doxycycline]] 100 mg PO BID {{or}} [[Minocycline]] 200 mg 3 1, then 100 mg PO BID {{or}} [[Linezolid]] 600 mg PO BID | :::* Preferred regimen: [[Clindamycin]] 300–450 mg PO TID {{or}} [[Trimethoprim-Sulfamethoxazole]] 1–2 DS tab PO BID {{or}} [[Doxycycline]] 100 mg PO BID {{or}} [[Minocycline]] 200 mg 3 1, then 100 mg PO BID {{or}} [[Linezolid]] 600 mg PO BID | ||
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:* ( | :* (4) '''Brain abscess'''<ref>{{cite book | last = Bennett | first = John | title = Mandell, Douglas, and Bennett's principles and practice of infectious diseases | publisher = Elsevier/Saunders | location = Philadelphia, PA | year = 2015 | isbn = 978-1455748013 }}</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><ref>{{Cite journal| doi = 10.1093/cid/ciq146| issn = 1537-6591| volume = 52| issue = 3| pages = –18-55| last1 = Liu| first1 = Catherine| last2 = Bayer| first2 = Arnold| last3 = Cosgrove| first3 = Sara E.| last4 = Daum| first4 = Robert S.| last5 = Fridkin| first5 = Scott K.| last6 = Gorwitz| first6 = Rachel J.| last7 = Kaplan| first7 = Sheldon L.| last8 = Karchmer| first8 = Adolf W.| last9 = Levine| first9 = Donald P.| last10 = Murray| first10 = Barbara E.| last11 = J Rybak| first11 = Michael| last12 = Talan| first12 = David A.| last13 = Chambers| first13 = Henry F.| last14 = Infectious Diseases Society of America| title = Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children| journal = Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America| date = 2011-02-01| pmid = 21208910}}</ref> | ||
::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | ::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | ||
:::* In adults | :::* In adults | ||
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:::* Alternative regimen: [[Vancomycin]] 30–45 mg/kg/day IV q8–12h | :::* Alternative regimen: [[Vancomycin]] 30–45 mg/kg/day IV q8–12h | ||
:* ( | :* (5) '''Cerebrospinal fluid shunt infection''' <ref>{{Cite journal| doi = 10.1086/425368| issn = 1537-6591| volume = 39| issue = 9| pages = 1267–1284| last1 = Tunkel| first1 = Allan R.| last2 = Hartman| first2 = Barry J.| last3 = Kaplan| first3 = Sheldon L.| last4 = Kaufman| first4 = Bruce A.| last5 = Roos| first5 = Karen L.| last6 = Scheld| first6 = W. Michael| last7 = Whitley| first7 = Richard J.| title = Practice guidelines for the management of bacterial meningitis| journal = Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America| date = 2004-11-01| pmid = 15494903}}</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> | ||
::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | ::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | ||
:::* Preferred regimen: [[Vancomycin]] 30–45 mg/kg/day IV q8–12h {{and}}/{{or}} [[Rifampin]] 600 mg IV/PO q24h | :::* Preferred regimen: [[Vancomycin]] 30–45 mg/kg/day IV q8–12h {{and}}/{{or}} [[Rifampin]] 600 mg IV/PO q24h | ||
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:::* Preferred regimen: ([[Nafcillin]] 2 g IV q4h {{or}} [[Oxacillin]] 2 g IV q4h) {{and}}/{{or}} [[Rifampin]] 600 mg IV/PO q24h | :::* Preferred regimen: ([[Nafcillin]] 2 g IV q4h {{or}} [[Oxacillin]] 2 g IV q4h) {{and}}/{{or}} [[Rifampin]] 600 mg IV/PO q24h | ||
:* ( | :* (6) '''Spinal epidural abscess''' <ref>{{cite book | last = Kasper | first = Dennis | title = Harrison's principles of internal medicine | publisher = McGraw Hill Education | location = New York | year = 2015 | isbn = 978-0071802154 }}</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><ref>{{Cite journal| doi = 10.1056/NEJMra055111| issn = 1533-4406| volume = 355| issue = 19| pages = 2012–2020| last = Darouiche| first = Rabih O.| title = Spinal epidural abscess| journal = The New England Journal of Medicine| date = 2006-11-09| pmid = 17093252}}</ref><ref>{{Cite journal| doi = 10.1093/cid/ciq146| issn = 1537-6591| volume = 52| issue = 3| pages = –18-55| last1 = Liu| first1 = Catherine| last2 = Bayer| first2 = Arnold| last3 = Cosgrove| first3 = Sara E.| last4 = Daum| first4 = Robert S.| last5 = Fridkin| first5 = Scott K.| last6 = Gorwitz| first6 = Rachel J.| last7 = Kaplan| first7 = Sheldon L.| last8 = Karchmer| first8 = Adolf W.| last9 = Levine| first9 = Donald P.| last10 = Murray| first10 = Barbara E.| last11 = J Rybak| first11 = Michael| last12 = Talan| first12 = David A.| last13 = Chambers| first13 = Henry F.| last14 = Infectious Diseases Society of America| title = Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children| journal = Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America| date = 2011-02-01| pmid = 21208910}}</ref> | ||
::* '''Penicillin-susceptible Staphylococcus aureus or Streptococcus''' | ::* '''Penicillin-susceptible Staphylococcus aureus or Streptococcus''' | ||
:::* Preferred regimen: [[Penicillin G]] 4 MU IV q4h for 2–4 weeks, then PO to complete 6–8 weeks | :::* Preferred regimen: [[Penicillin G]] 4 MU IV q4h for 2–4 weeks, then PO to complete 6–8 weeks | ||
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:::: Note: Consider the addition of [[Rifampin]] 600 mg qd or 300–450 mg bid to [[Vancomycin]] in adult patients. | :::: Note: Consider the addition of [[Rifampin]] 600 mg qd or 300–450 mg bid to [[Vancomycin]] in adult patients. | ||
:* ( | :* (7)''' Bacterial meningitis''' | ||
::* Methicillin susceptible Staphylococcus aureus (MSSA) | ::* Methicillin susceptible Staphylococcus aureus (MSSA) | ||
:::* Preferred regimen: [[Nafcillin]] 9–12 g/day IV q4h {{or}} [[Oxacillin]] 9–12 g/day IV q4h | :::* Preferred regimen: [[Nafcillin]] 9–12 g/day IV q4h {{or}} [[Oxacillin]] 9–12 g/day IV q4h | ||
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:::: Note: Consider the addition of [[Rifampin]] 600 mg qd or 300–450 mg bid to [[Vancomycin]] in adult patients. | :::: Note: Consider the addition of [[Rifampin]] 600 mg qd or 300–450 mg bid to [[Vancomycin]] in adult patients. | ||
:* ( | :* (8) '''Septic thrombosis of cavernous or dural venous sinus'''<ref>{{Cite journal| doi = 10.1093/cid/ciq146| issn = 1537-6591| volume = 52| issue = 3| pages = –18-55| last1 = Liu| first1 = Catherine| last2 = Bayer| first2 = Arnold| last3 = Cosgrove| first3 = Sara E.| last4 = Daum| first4 = Robert S.| last5 = Fridkin| first5 = Scott K.| last6 = Gorwitz| first6 = Rachel J.| last7 = Kaplan| first7 = Sheldon L.| last8 = Karchmer| first8 = Adolf W.| last9 = Levine| first9 = Donald P.| last10 = Murray| first10 = Barbara E.| last11 = J Rybak| first11 = Michael| last12 = Talan| first12 = David A.| last13 = Chambers| first13 = Henry F.| last14 = Infectious Diseases Society of America| title = Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children| journal = Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America| date = 2011-02-01| pmid = 21208910}}</ref> | ||
::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | ::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | ||
:::* Preferred regimen: [[Vancomycin]] 15–20 mg/kg/dose IV q8–12h for 4–6 weeks | :::* Preferred regimen: [[Vancomycin]] 15–20 mg/kg/dose IV q8–12h for 4–6 weeks | ||
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:::: Note (2): Consider the addition of [[Rifampin]] 600 mg qd or 300–450 mg bid to vancomycin. | :::: Note (2): Consider the addition of [[Rifampin]] 600 mg qd or 300–450 mg bid to vancomycin. | ||
:* ( | :* (9) '''Subdural empyema''' | ||
::* '''Methicillin-resistant Staphylococcus aureus (MRSA)'''<ref>{{Cite journal| doi = 10.1093/cid/ciq146| issn = 1537-6591| volume = 52| issue = 3| pages = –18-55| last1 = Liu| first1 = Catherine| last2 = Bayer| first2 = Arnold| last3 = Cosgrove| first3 = Sara E.| last4 = Daum| first4 = Robert S.| last5 = Fridkin| first5 = Scott K.| last6 = Gorwitz| first6 = Rachel J.| last7 = Kaplan| first7 = Sheldon L.| last8 = Karchmer| first8 = Adolf W.| last9 = Levine| first9 = Donald P.| last10 = Murray| first10 = Barbara E.| last11 = J Rybak| first11 = Michael| last12 = Talan| first12 = David A.| last13 = Chambers| first13 = Henry F.| last14 = Infectious Diseases Society of America| title = Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children| journal = Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America| date = 2011-02-01| pmid = 21208910}}</ref> | ::* '''Methicillin-resistant Staphylococcus aureus (MRSA)'''<ref>{{Cite journal| doi = 10.1093/cid/ciq146| issn = 1537-6591| volume = 52| issue = 3| pages = –18-55| last1 = Liu| first1 = Catherine| last2 = Bayer| first2 = Arnold| last3 = Cosgrove| first3 = Sara E.| last4 = Daum| first4 = Robert S.| last5 = Fridkin| first5 = Scott K.| last6 = Gorwitz| first6 = Rachel J.| last7 = Kaplan| first7 = Sheldon L.| last8 = Karchmer| first8 = Adolf W.| last9 = Levine| first9 = Donald P.| last10 = Murray| first10 = Barbara E.| last11 = J Rybak| first11 = Michael| last12 = Talan| first12 = David A.| last13 = Chambers| first13 = Henry F.| last14 = Infectious Diseases Society of America| title = Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children| journal = Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America| date = 2011-02-01| pmid = 21208910}}</ref> | ||
:::* In adults | :::* In adults | ||
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::::: Note: Consider the addition of [[Rifampin]] 600 mg qd or 300–450 mg bid to vancomycin. | ::::: Note: Consider the addition of [[Rifampin]] 600 mg qd or 300–450 mg bid to vancomycin. | ||
:* ( | :* (10)''' Acute conjunctivitis''' <ref>{{Cite journal| doi = 10.1001/jama.2013.280318| issn = 1538-3598| volume = 310| issue = 16| pages = 1721–1729| last1 = Azari| first1 = Amir A.| last2 = Barney| first2 = Neal P.| title = Conjunctivitis: a systematic review of diagnosis and treatment| journal = JAMA| date = 2013-10-23| pmid = 24150468| pmc = PMC4049531}}</ref> | ||
::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | ::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | ||
:::* Preferred regimen: [[Vancomycin]] ointment 1% qid | :::* Preferred regimen: [[Vancomycin]] ointment 1% qid | ||
:* ( | :* (11) '''Appendicitis''' | ||
::'''Health Care–Associated Complicated Intra-abdominal Infection''' <ref name="pmid20034345">{{cite journal| author=Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ et al.| title=Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2010 | volume= 50 | issue= 2 | pages= 133-64 | pmid=20034345 | doi=10.1086/649554 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20034345 }} </ref> | ::'''Health Care–Associated Complicated Intra-abdominal Infection''' <ref name="pmid20034345">{{cite journal| author=Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ et al.| title=Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2010 | volume= 50 | issue= 2 | pages= 133-64 | pmid=20034345 | doi=10.1086/649554 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20034345 }} </ref> | ||
::: Methicillin-resistant Staphylococcus aureus (MRSA): | ::: Methicillin-resistant Staphylococcus aureus (MRSA): | ||
:::: Preferred regimen: [[Vancomycin]] 15–20 mg/kg every 8–12 h | :::: Preferred regimen: [[Vancomycin]] 15–20 mg/kg every 8–12 h | ||
:* ( | :* (12) '''Diverticulitis''' | ||
:: '''Health Care–Associated Complicated Intra-abdominal Infection''' <ref name="pmid20034345">{{cite journal| author=Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ et al.| title=Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2010 | volume= 50 | issue= 2 | pages= 133-64 | pmid=20034345 | doi=10.1086/649554 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20034345 }} </ref> | :: '''Health Care–Associated Complicated Intra-abdominal Infection''' <ref name="pmid20034345">{{cite journal| author=Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ et al.| title=Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2010 | volume= 50 | issue= 2 | pages= 133-64 | pmid=20034345 | doi=10.1086/649554 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20034345 }} </ref> | ||
::: '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | ::: '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | ||
::::* Preferred regimen: [[Vancomycin]] 15–20 mg/kg every 8–12 h | ::::* Preferred regimen: [[Vancomycin]] 15–20 mg/kg every 8–12 h | ||
:* ( | :* (13) '''Peritonitis secondary to bowel perforation, peritonitis secondary to ruptured appendix, peritonitis secondary to ruptured appendix, typhlitis''' | ||
:: '''Health Care–Associated Complicated Intra-abdominal Infection''' <ref name="pmid20034345">{{cite journal| author=Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ et al.| title=Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2010 | volume= 50 | issue= 2 | pages= 133-64 | pmid=20034345 | doi=10.1086/649554 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20034345 }} </ref> | :: '''Health Care–Associated Complicated Intra-abdominal Infection''' <ref name="pmid20034345">{{cite journal| author=Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ et al.| title=Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America. | journal=Clin Infect Dis | year= 2010 | volume= 50 | issue= 2 | pages= 133-64 | pmid=20034345 | doi=10.1086/649554 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20034345 }} </ref> | ||
:::* Methicillin-resistant Staphylococcus aureus (MRSA) | :::* Methicillin-resistant Staphylococcus aureus (MRSA) | ||
::::* Preferred regimen: [[Vancomycin]] 15–20 mg/kg every 8–12 h | ::::* Preferred regimen: [[Vancomycin]] 15–20 mg/kg every 8–12 h | ||
:* ( | :* (14) '''Cystic fibrosis''' <ref name="pmid23540878">{{cite journal| author=Mogayzel PJ, Naureckas ET, Robinson KA, Mueller G, Hadjiliadis D, Hoag JB et al.| title=Cystic fibrosis pulmonary guidelines. Chronic medications for maintenance of lung health. | journal=Am J Respir Crit Care Med | year= 2013 | volume= 187 | issue= 7 | pages= 680-9 | pmid=23540878 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23540878 }} </ref> | ||
::* Preferred Regimen (Adult) | ::* Preferred Regimen (Adult) | ||
:::* If methicillin sensitive staphylococcus aureus: [[Nafcillin]] 2 gm IV q4hs {{or}} [[Oxacillin]] 2 gm IV q4hs | :::* If methicillin sensitive staphylococcus aureus: [[Nafcillin]] 2 gm IV q4hs {{or}} [[Oxacillin]] 2 gm IV q4hs | ||
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:::* If methicillin resistant staphylococcus aureus: [[Vancomycin]] 40 mg/kg divided q6-8h (Age >28 days) {{or}} [[Linezolid]] 10 mg/kg po/IV q8h (up to age 12) | :::* If methicillin resistant staphylococcus aureus: [[Vancomycin]] 40 mg/kg divided q6-8h (Age >28 days) {{or}} [[Linezolid]] 10 mg/kg po/IV q8h (up to age 12) | ||
:* ( | :* (15) '''Bronchiectasis''' <ref name="pmid20627931">{{cite journal| author=Pasteur MC, Bilton D, Hill AT, British Thoracic Society Bronchiectasis non-CF Guideline Group| title=British Thoracic Society guideline for non-CF bronchiectasis. | journal=Thorax | year= 2010 | volume= 65 Suppl 1 | issue= | pages= i1-58 | pmid=20627931 | doi=10.1136/thx.2010.136119 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20627931 }} </ref> | ||
:::*(a) Preferred Regimen in adults | :::*(a) Preferred Regimen in adults | ||
::::* Recommended first-line treatment and length of treatment | ::::* Recommended first-line treatment and length of treatment | ||
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:::::'''Methicillin-susceptible Staphylococcus aureus (MSSA)''': [[Clarithromycin]] 250 mg oral bd | :::::'''Methicillin-susceptible Staphylococcus aureus (MSSA)''': [[Clarithromycin]] 250 mg oral bd | ||
:* ( | :* (16) '''Empyema''' | ||
::* Preferred regimen: [[Nafcillin]] 2 gm IV q4h {{or}} [[oxacillin]] 2 gm IV q4h if MSSA | ::* Preferred regimen: [[Nafcillin]] 2 gm IV q4h {{or}} [[oxacillin]] 2 gm IV q4h if MSSA | ||
::* Alternate regimen: [[Vancomycin]] 1 gm IV q12h {{or}} [[Linezolid]] 600 mg po bid if MRSA | ::* Alternate regimen: [[Vancomycin]] 1 gm IV q12h {{or}} [[Linezolid]] 600 mg po bid if MRSA | ||
:* ( | :* (17) Community-acquired pneumonia | ||
::* '''Methicillin-susceptible Staphylococcus aureus (MSSA)''' | ::* '''Methicillin-susceptible Staphylococcus aureus (MSSA)''' | ||
:::* Preferred Regimen : [[Nafcillin]] 1000-2000 mg q4h {{or}} [[Oxacillin]] 2 g IV q4h {{or}} [[Flucloxacillin]] 250 mg IM/IV q6h | :::* Preferred Regimen : [[Nafcillin]] 1000-2000 mg q4h {{or}} [[Oxacillin]] 2 g IV q4h {{or}} [[Flucloxacillin]] 250 mg IM/IV q6h | ||
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:::* Alternative Regimen: [[Trimethoprim-Sulfamethoxazole]] 1-2 double-strength tablets (800/160 mg) q12-24h | :::* Alternative Regimen: [[Trimethoprim-Sulfamethoxazole]] 1-2 double-strength tablets (800/160 mg) q12-24h | ||
:* ( | :* (18) '''Olecranon bursitis or prepatellar bursitis''' | ||
::* '''Methicillin-susceptible Staphylococcus aureus (MSSA)''' | ::* '''Methicillin-susceptible Staphylococcus aureus (MSSA)''' | ||
:::* Preferred regimen: [[Nafcillin]] 2 g IV q4h {{or}} [[Oxacillin]] 2 g IV q4h {{or}} [[Dicloxacillin]] 500 mg PO qid | :::* Preferred regimen: [[Nafcillin]] 2 g IV q4h {{or}} [[Oxacillin]] 2 g IV q4h {{or}} [[Dicloxacillin]] 500 mg PO qid | ||
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:::: Note: Initially aspirate q24h and treat for a minimum of 2–3 weeks. | :::: Note: Initially aspirate q24h and treat for a minimum of 2–3 weeks. | ||
:* ( | :* (19) '''Septic arthritis''' | ||
::* In adults | ::* In adults | ||
:::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | :::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' | ||
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::::* Alternative regime: [[Cefazolin]] 0.25–1 g IV/IM q6–8h {{or}} [[Vancomycin]] 500 mg IV q6h or 1 g IV q12h | ::::* Alternative regime: [[Cefazolin]] 0.25–1 g IV/IM q6–8h {{or}} [[Vancomycin]] 500 mg IV q6h or 1 g IV q12h | ||
:* ( | :* (20) '''Septic arthritis, prosthetic joint infection (device-related osteoarticular infections)''' | ||
::* ''' Methicillin-susceptible Staphylococcus aureus (MSSA)''' | ::* ''' Methicillin-susceptible Staphylococcus aureus (MSSA)''' | ||
:::* Preferred regimen: [[Nafcillin]] 2 g IV q4–6h {{or}} [[Oxacillin]] 2 g IV q4–6h | :::* Preferred regimen: [[Nafcillin]] 2 g IV q4–6h {{or}} [[Oxacillin]] 2 g IV q4–6h | ||
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::::: Note: The above regimen should be followed by [[Rifampin]] plus a fluoroquinolone, TMP/SMX, a tetracycline or [[Clindamycin]] for 3 or 6 months for hips and knees, respectively. | ::::: Note: The above regimen should be followed by [[Rifampin]] plus a fluoroquinolone, TMP/SMX, a tetracycline or [[Clindamycin]] for 3 or 6 months for hips and knees, respectively. | ||
:* ( | :* (21) '''Hematogenous osteomyelitis''' | ||
::* Adult (>21 yrs) | ::* Adult (>21 yrs) | ||
:::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' possible | :::* '''Methicillin-resistant Staphylococcus aureus (MRSA)''' possible | ||
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:::* Alternative regimen: [[Linezolid]] 600 mg q12h IV/po {{withorwithout}} [[Rifampin]] 300 mg po/IV bid | :::* Alternative regimen: [[Linezolid]] 600 mg q12h IV/po {{withorwithout}} [[Rifampin]] 300 mg po/IV bid | ||
:* ( | :* (22) '''Diabetic foot osteomyelitis''' | ||
::* High Risk for MRSA | ::* High Risk for MRSA | ||
:::* Preferred regimen: [[Linezolid]] 600 mg IV/PO q12h {{or}} [[Daptomycin]] 4 mg/kg IV q24h {{or}} [[Vancomycin]] 15–20 mg/kg IV q8–12h (trough: 10–20 mg/L) | :::* Preferred regimen: [[Linezolid]] 600 mg IV/PO q12h {{or}} [[Daptomycin]] 4 mg/kg IV q24h {{or}} [[Vancomycin]] 15–20 mg/kg IV q8–12h (trough: 10–20 mg/L) | ||
:* ( | :* (23)''' Necrotizing fasciitis'''<ref name="pmid24947530">{{cite journal| author=Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL et al.| title=Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America. | journal=Clin Infect Dis | year= 2014 | volume= 59 | issue= 2 | pages= 147-59 | pmid=24947530 | doi=10.1093/cid/ciu296 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24947530 }} </ref> | ||
::* '''In adult''' | ::* '''In adult''' | ||
:::* Preferred regimen (1): [[Nafcillin]] 1–2 g every 4 h IV (Severe Pencillin allergy: [[Vancomycin]], [[linezolid]], [[quinupristin]]/[[dalfopristin]], daptomycin) | :::* Preferred regimen (1): [[Nafcillin]] 1–2 g every 4 h IV (Severe Pencillin allergy: [[Vancomycin]], [[linezolid]], [[quinupristin]]/[[dalfopristin]], daptomycin) | ||
Line 278: | Line 282: | ||
::::* Preferred regimen (5): [[Clindamycin]] 10–13 mg/kg/dose every 8 h IV ([[Bacteriostatic]]; potential cross-resistance and emergence of resistance in [[erythromycin]]-resistant strains; inducible resistance in methicillin resistent staphylococcus aureus) | ::::* Preferred regimen (5): [[Clindamycin]] 10–13 mg/kg/dose every 8 h IV ([[Bacteriostatic]]; potential cross-resistance and emergence of resistance in [[erythromycin]]-resistant strains; inducible resistance in methicillin resistent staphylococcus aureus) | ||
:* ( | :* (24) '''Staphylococcal toxic shock syndrome''' <ref name="pmid19393958">{{cite journal| author=Lappin E, Ferguson AJ| title=Gram-positive toxic shock syndromes. | journal=Lancet Infect Dis | year= 2009 | volume= 9 | issue= 5 | pages= 281-90 | pmid=19393958 | doi=10.1016/S1473-3099(09)70066-0 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19393958 }} </ref> | ||
::* '''Methicillin sensitive Staphylococcus aureus''' | ::* '''Methicillin sensitive Staphylococcus aureus''' | ||
:::* Preferred regimen: [[Cloxacillin]] 250-500 mg q6h PO (max dose: 4 g/24 hr) {{or}} [[Nafcillin]] 4-12 g/24 hr divided q4-6hr IV (max dose: 12 g/24 hr) {{or}} [[Cefazolin]] 0.5-2g q8h IV or IM (max dose: 12 g/24 hr), {{and}} [[Clindamycin]] 150-600 mg q6-8h IV, IM, or PO (max dose: 5 g/24 hr IV or IM or 2 g/24 hr PO) | :::* Preferred regimen: [[Cloxacillin]] 250-500 mg q6h PO (max dose: 4 g/24 hr) {{or}} [[Nafcillin]] 4-12 g/24 hr divided q4-6hr IV (max dose: 12 g/24 hr) {{or}} [[Cefazolin]] 0.5-2g q8h IV or IM (max dose: 12 g/24 hr), {{and}} [[Clindamycin]] 150-600 mg q6-8h IV, IM, or PO (max dose: 5 g/24 hr IV or IM or 2 g/24 hr PO) |
Revision as of 21:30, 24 June 2015
Pathogens of Clinical Relevance
Bacteria – Gram-Positive Cocci
- Staphylococcus aureus
- (1)Infectious endocarditis
- In adults
- Preferred regimen: Vancomycin, 15-20 mg/kg IV q8-12h OR Daptomycin 6mg/kg/dose IV qd
- (2) Intravascular catheter-related infections[1]
- Methicillin susceptible Staphylococcus aureus (MSSA)
- Preferred regimen: Nafcillin 2 g IV q6h OR Oxacillin, 2 g IV q6h.
- Alternative regimen: Cefazolin, 2 g IV q8h; or Vancomycin, 15 mg/kg IV q12h.
- Pediatric dose:
-
- Neonates
- 0–4 weeks of age and 1200 g- 50 mg/kg/day in divided doses every 12 h.
- <=7 days and 1200–2000 g- 50 mg/kg/day in divided doses every 12 h.
- >7 days of age and <2000g- 75 mg/kg/day in divided doses every 8 h.
- >7 days of age and >1200 g - 100 mg/kg/day in divided doses every 6 h.
- Neonates
- 0–4 weeks of age and 1200 g - 50 mg/kg/day in divided doses every 12 h.
- Postnatal age < 7 days and 1200–2000 g- 50–100 mg/kg/day in divided doses every 12 h.
- Postnatal age < 7 days and >2000 g, 75–150 mg/kg/day in divided doses every 8 h.
- Postnatal age >=7 days and 1200–2000 g- 75–150 mg/kg/day in divided doses every 8 h.
- Postnatal age >=7 days and >2000 g, 100–200 mg/kg/day in divided doses every 6 h.
- Infants and children Nafcillin 100–200 mg/kg/day in divided doses every 4–6 h.
- Neonates
- Postnatal age <=7 days: 40 mg/kg/day divided every 12 h.
- Postnatal age >7 days and 2000 g: 40 mg/kg/day divided every 12 h.
- Postnatal age >7 days and 12000 g: 60 mg/kg/day divided every 8 h.
- Infants and children: 50 mg/kg/day divided every 8 h.
- Neonates
- Postnatal age <=7 days and <1200 g, 15 mg/kg/day given every 24 h.
- Postnatal age <=7 days and 1200–2000 g, 10–15 mg/kg given every 12–18 h.
- Postnatal age <=7 days and >2000 g, 10–15 mg/kg given every 8–12 h.
- Postnatal age >7 days and <1200 g, 15 mg/kg/day given every 24 h.
- Postnatal age >7 days and 1200–2000 g, 10–15 mg/kg given every 8–12 h.
- Postnatal age >7 days and >2000 g, 15–20 mg/kg given every 8 h.
- Infants and children: 40 mg/kg/day in divided doses every 6–8 h.
- Methicillin resistant Staphylococcus aureus (MRSA)
- Preferred regimen: Vancomycin, 15 mg/kg IV q12h OR Daptomycin, 6–8 mg/kg per day IV, or Linezolid 10 mg/kg q 12 hr IV or PO ; OR Vancomycin 15 mg/kg IV q12h AND (Rifampicin IV or Gentamycin IV); or Trimethoprim-Sulfamethoxazole 6–12 mg TMP/kg/day in divided doses every 12 h alone (if susceptible).
- Pediatric dose
- Linezolid 10 mg/kg q 12 hr IV or PO
- Neonates
- 0–4 weeks of age and birthweight <1200 g: 10 mg/kg every 8–12 h (note: use every 12 h in patients <34 weeks gestation and <1 week of age).
- <7 days of age and birthweight >1200 g, 10 mg/kg every 8–12 h (note: use every 12 h in patients <34 weeks gestation and <1 week of age).
- 7 days and birthweight >1200 g, 10 mg/kg every 8 h.
- Infants and children <12 years of age: 10 mg/kg every 8 h Children 12 years of age and adolescents: 10 mg/kg every 12 h.
- Neonates
- Premature neonates and <1000 g, 3.5 mg/kg every 24 h; 0–4 weeks and <1200 g, 2.5 mg/kg every 18–24 h.
- Postnatal age 7 days: 2.5 mg/kg every 12 h.
- Postnatal age 17 days and 1200–2000 g, 2.5 mg/kg every 8–12 h.
- Postnatal age 17 days and 12000 g, 2.5 mg/kg every 8 h.
- Once daily dosing for premature neonates with normal renal function, 3.5–4 mg/kg every 24 h.
- Once daily dosing for term neonates with normal renal function, 3.5–5 mg/kg every 24 h.
- Infants and children <5 years of age: 2.5 mg/kg every 8 h; once daily dosing in patients with normal renal function, 5–7.5 mg/kg every 24 h.
- Children >5 years of age: 2–2.5 mg/kg every 8 h; once daily dosing in patients with normal renal function, 5–7.5 mg/kg every 24 h.
- Infants 12 months of age and children: mild-to-moderate infections, 6–12 mg TMP/kg/day in divided doses every 12 h; serious infection, 15–20 mg TMP/kg/day in divided doses every 6–8 h.
- (3) Purulent cellulitis (defined as cellulitis associated with purulent drainage or exudate in the absence of a drainable abscess)
- In adults
- Preferred regimen: Clindamycin 300–450 mg PO TID OR Trimethoprim-Sulfamethoxazole 1–2 DS tab PO BID OR Doxycycline 100 mg PO BID OR Minocycline 200 mg 3 1, then 100 mg PO BID OR Linezolid 600 mg PO BID
- In childern
- Preferred regimen: Clindamycin 10–13 mg/kg/dose PO q6–8 h, not to exceed 40 mg/kg/day OR Trimethoprim 4–6 mg/kg/dose, Sulfamethoxazole 20–30 mg/kg/dose PO q12h OR Doxycycline <45kg: 2 mg/kg/dose PO every 12 h .45kg: adult dose OR Minocycline 4 mg/kg PO 3 1, then 2 mg/kg/dose PO every 12 h OR Linezolid 10 mg/kg/dose PO every 8 h, not to exceed 600 mg/dose
- Nonpurulent cellulitis (defined as cellulitis with no purulent drainage or exudate and no associated abscess)
- In adults
- Preferred regimen: Beta-lactam (eg, Cephalexin and Dicloxacillin) 500 mg PO QID OR Clindamycin 300–450 mg PO TID OR Amoxicillin 500 PO mg TID OR Linezolid 600 mg PO BID
- Note: Empirical therapy for b-hemolytic streptococci is recommended. Empirical coverage for CA-MRSA is recommended in patients who do not respond to b-lactam therapy and may be considered in those with systemic toxicity.
- Note: Provide coverage for both b-hemolytic streptococci and CA-MRSA b-lactam (eg, amoxicillin) and/or TMP-SMX or a tetracycline
- In childern
- Preferred regimen: Clindamycin 10–13 mg/kg/dose PO every 6–8 h, not to exceed 40 mg/kg/day OR Trimethoprim 4–6 mg/kg/dose, Sulfamethoxazole 20–30 mg/kg/dose PO q12h OR Linezolid 10 mg/kg/dose PO every 8 h, not to exceed 600 mg/dose
- Note (1): Clindamycin causes Clostridium difficile–associated disease may occur more frequently, compared with other oral agents.
- Note (2): Trimethoprim-Sulfamethoxazole not recommended for women in the third trimester of pregnancy and for children ,2 months of age.
- Note (3): Tetracyclines are not recommended for children under 8 years of age and are pregnancy category D.
-
- Methicillin-resistant Staphylococcus aureus (MRSA)
- In adults
- Preferred regimen: Vancomycin 30–45 mg/kg/day IV q8–12h for 4–6 weeks
- Alternative regimen: Linezolid 600 mg PO/IV q12h for 4–6 weeks OR Trimethoprim-Sulfamethoxazole 5 mg/kg/dose PO/IV q8–12h for 4–6 weeks
- In childern
- Preferred regimen: Vancomycin15 mg/kg/dose IV q6h OR Linezolid 10 mg/kg/dose PO/IV q8h
- Note: Consider the addition of Rifampin 600 mg qd OR 300–450 mg bid to Vancomycin.
- Methicillin-susceptible Staphylococcus aureus (MSSA)
- Preferred regimen: Nafcillin 2 g IV q4h OR Oxacillin 2 g IV q4h
- Alternative regimen: Vancomycin 30–45 mg/kg/day IV q8–12h
-
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Preferred regimen: Vancomycin 30–45 mg/kg/day IV q8–12h AND/OR Rifampin 600 mg IV/PO q24h
- Note: Shunt removal is recommended, and it should not be replaced until cerebrospinal fluid cultures are repeatedly negative.
- Methicillin-susceptible Staphylococcus aureus (MSSA)
-
- Penicillin-susceptible Staphylococcus aureus or Streptococcus
- Preferred regimen: Penicillin G 4 MU IV q4h for 2–4 weeks, then PO to complete 6–8 weeks
- Methicillin-susceptible Staphylococcus aureus or Streptococcus
- Preferred regimen: Cefazolin 2 g IV q8h for 2–4 weeks, then PO to complete 6–8 weeks OR Nafcillin 2 g IV q4h for 2–4 weeks, then PO to complete 6–8 weeks OR Oxacillin 2 g IV q4h for 2–4 weeks, then PO to complete 6–8 weeks
- Alternative regimen: Clindamycin 600 mg IV q6h for 2–4 weeks, then PO to complete 6–8 weeks
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Preferred regimen: Vancomycin loading dose 25–30 mg/kg IV followed by 15–20 mg/kg IV q8–12h for 2–4 weeks, then PO to complete 6–8 weeks
- Alternative regimen: Linezolid 600 mg PO/IV q12h for 4–6 weeks OR TMP-SMX 5 mg/kg/dose PO/IV q8–12h for 4–6 weeks
- Pediatric dose: Vancomycin 15 mg/kg/dose IV q6h OR Linezolid 10 mg/kg/dose PO/IV q8h
- Note: Consider the addition of Rifampin 600 mg qd or 300–450 mg bid to Vancomycin in adult patients.
- (7) Bacterial meningitis
- Methicillin susceptible Staphylococcus aureus (MSSA)
- Preferred regimen: Nafcillin 9–12 g/day IV q4h OR Oxacillin 9–12 g/day IV q4h
- Alternative regimen: Vancomycin 30–45 mg/kg/day IV q8–12h OR Meropenem 6 g/day IV q8h
- Methicillin resistant Staphylococcus aureus (MRSA)
- Preferred regimen: Vancomycin 30–45 mg/kg/day IV q8–12h
- Alternative regimen: Trimethoprim-Sulfamethoxazole 10–20 mg/kg/day q6–12h OR Linezolid 600 mg IV q12h
- Note: Consider the addition of Rifampin 600 mg qd or 300–450 mg bid to Vancomycin in adult patients.
- (8) Septic thrombosis of cavernous or dural venous sinus[11]
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Preferred regimen: Vancomycin 15–20 mg/kg/dose IV q8–12h for 4–6 weeks
- Alternative regimen: Linezolid 600 mg PO/IV q12h for 4–6 weeks OR TMP-SMX 5 mg/kg/dose PO/IV q8–12h for 4–6 weeks
- Pediatric dose: Vancomycin 15 mg/kg/dose IV q6h OR Linezolid 10 mg/kg/dose PO/IV q8h
- Note (1): Surgical evaluation for incision and drainage of contiguous sites of infection or abscess is recommended whenever possible.
- Note (2): Consider the addition of Rifampin 600 mg qd or 300–450 mg bid to vancomycin.
- (9) Subdural empyema
- Methicillin-resistant Staphylococcus aureus (MRSA)[12]
- In adults
- Preferred regimen: Vancomycin 30–45 mg/kg/day IV q8–12h for 4–6 weeks
- Alternative regimen: Linezolid 600 mg PO/IV q12h for 4–6 weeks OR TMP-SMX 5 mg/kg/dose PO/IV q8–12h for 4–6 weeks
- In childern
- Preferred regimen: Vancomycin 15 mg/kg/dose IV q6h OR Linezolid 10 mg/kg/dose PO/IV q8h
- Note: Consider the addition of Rifampin 600 mg qd or 300–450 mg bid to vancomycin.
- (10) Acute conjunctivitis [13]
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Preferred regimen: Vancomycin ointment 1% qid
- (11) Appendicitis
- Health Care–Associated Complicated Intra-abdominal Infection [14]
- Methicillin-resistant Staphylococcus aureus (MRSA):
- Preferred regimen: Vancomycin 15–20 mg/kg every 8–12 h
- Methicillin-resistant Staphylococcus aureus (MRSA):
- (12) Diverticulitis
- Health Care–Associated Complicated Intra-abdominal Infection [14]
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Preferred regimen: Vancomycin 15–20 mg/kg every 8–12 h
- Methicillin-resistant Staphylococcus aureus (MRSA)
- (13) Peritonitis secondary to bowel perforation, peritonitis secondary to ruptured appendix, peritonitis secondary to ruptured appendix, typhlitis
- Health Care–Associated Complicated Intra-abdominal Infection [14]
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Preferred regimen: Vancomycin 15–20 mg/kg every 8–12 h
- (14) Cystic fibrosis [15]
- Preferred Regimen (Adult)
- If methicillin sensitive staphylococcus aureus: Nafcillin 2 gm IV q4hs OR Oxacillin 2 gm IV q4hs
- If methicillin resistant staphylococcus aureus: Vancomycin 15-20 mg/kg IV q8-12h OR Linezolid 600 mg po/IV q12h
- Preferred regimen (Pediatric)
- If methicillin sensitive staphylococcus aureus: Nafcillin 5 mg/kg q6h (Age >28 days) OR Oxacillin 75 mg/kg q6h (Age >28 days)]]
- If methicillin resistant staphylococcus aureus: Vancomycin 40 mg/kg divided q6-8h (Age >28 days) OR Linezolid 10 mg/kg po/IV q8h (up to age 12)
- (15) Bronchiectasis [16]
- (a) Preferred Regimen in adults
- Recommended first-line treatment and length of treatment
- Methicillin-susceptible Staphylococcus aureus (MSSA): Flucloxacillin 500 mg oral qds for 14 days
- Methicillin-resistant Staphylococcus aureus (MRSA): Patient's body weight is <50 kg: Rifampicin 450 mg oral od AND Trimethoprim 200 mg oral bd for 14 days ; Patient's body weight is >50 kg: Rifampicin 600 mg oral od AND Trimethoprim 200 mg oral bd for 14 days
- Methicillin-resistant Staphylococcus aureus (MRSA): Vancomycin 1 g IV bd (monitor serum levels and adjust dose accordingly) OR Teicoplanin 400 mg od for 14 days
- Recommended second-line treatment and length of treatment
- Methicillin-susceptible Staphylococcus aureus (MSSA): Clarithromycin 500 mg oral bd 14 days
- Methicillin-resistant Staphylococcus aureus (MRSA): Patient's body weight is <50 kg: Rifampicin 450 mg oral od AND Doxycycline 200 mg oral od 14 days, Patient's body weight is >50 kg: Rifampicin 600 mg oral AND Doxycycline 200 mg oral od 14 days. Third-line: Linezolid 600 mg bd 14 days
- Methicillin-resistant Staphylococcus aureus (MRSA): Linezolid 600 mg IV bd 14 days
- (b) Preferred Regimen in children
- Recommended first-line treatment and length of treatment
- Methicillin-susceptible Staphylococcus aureus (MSSA): Flucloxacillin
- Methicillin-resistant Staphylococcus aureus (MRSA): Children (< 12 yr): Trimethoprim 4-6 mg/kg/24 hr divided q 12 hr PO Children (> 12 yr) : Trimethoprim 100-200 mg q 12 hr PO. Rifampicin 450 mg oral od : Rifampicin 600 mg oral od AND
- Methicillin-resistant Staphylococcus aureus (MRSA): Vancomycin 45-60 mg/kg/24 hr divided q 8-12 hr IV OR Teicoplanin
- Recommended second-line treatment and length of treatment
- Methicillin-susceptible Staphylococcus aureus (MSSA): Clarithromycin 15 mg/kg/24 hr divided q 12 hr PO
- Methicillin-resistant Staphylococcus aureus (MRSA): Rifampicin AND Doxycycline 2-5 mg/kg/24 hr divided q 12-24 hr PO or IV (max dose: 200 mg/24 hr) ; Rifampicin AND Doxycycline 2-5 mg/kg/24 hr divided q 12-24 hr PO or IV (max dose: 200 mg/24 hr) . Third-line: Linezolid 10 mg/kg q 12 hr IV or PO
- Methicillin-resistant Staphylococcus aureus (MRSA): Linezolid 10 mg/kg q 12 hr IV or PO
- (B)Long-term oral antibiotic treatment
- (a) Preferred Regimen in adults
- Recommended first-line treatment and length of treatment
- Methicillin-susceptible Staphylococcus aureus (MSSA): Flucloxacillin 500 mg oral bd
- Recommended second-line treatment and length of treatment
- Methicillin-susceptible Staphylococcus aureus (MSSA): Clarithromycin 250 mg oral bd
- (16) Empyema
- Preferred regimen: Nafcillin 2 gm IV q4h OR oxacillin 2 gm IV q4h if MSSA
- Alternate regimen: Vancomycin 1 gm IV q12h OR Linezolid 600 mg po bid if MRSA
- (17) Community-acquired pneumonia
- Methicillin-susceptible Staphylococcus aureus (MSSA)
- Preferred Regimen : Nafcillin 1000-2000 mg q4h OR Oxacillin 2 g IV q4h OR Flucloxacillin 250 mg IM/IV q6h
- Alternative Regimen : Cefazolin 500 mg IV q12h OR Clindamycin 150-450 mg PO q6-8h
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Preferred Regimen : Vancomycin 45-60 mg/kg/day divided q8-12h (max: 2000 mg/dose) for 7-21 days OR Linezolid 600 mg PO/IV q12h for 10-14 days
- Alternative Regimen: Trimethoprim-Sulfamethoxazole 1-2 double-strength tablets (800/160 mg) q12-24h
- (18) Olecranon bursitis or prepatellar bursitis
- Methicillin-susceptible Staphylococcus aureus (MSSA)
- Preferred regimen: Nafcillin 2 g IV q4h OR Oxacillin 2 g IV q4h OR Dicloxacillin 500 mg PO qid
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Preferred regimen: Vancomycin 1 g IV q12h OR Linezolid 600 mg PO qd
- Note: Initially aspirate q24h and treat for a minimum of 2–3 weeks.
- (19) Septic arthritis
- In adults
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Preferred regime: Vancomycin 15–20 mg/kg IV q8–12h
- Alternative regimen (1): Daptomycin 6 mg/kg IV q24h in adults
- Alternative regimen (2): Linezolid 600 mg PO/IV q12h
- Alternative regimen (3): Clindamycin 600 mg PO/IV q8h
- Alternative regimen (4): TMP-SMX 3.5–4.0 mg/kg PO/IV q8–12h
- In childern
- Preferred regimen: Vancomycin 15 mg/kg IV q6h OR Daptomycin 6–10 mg/kg IV q24h OR Linezolid 10 mg/kg PO/IV q8h OR Clindamycin 10–13 mg/kg/dose PO/IV q6–8h
- Methicillin-susceptible Staphylococcus aureus (MSSA)
- Preferred regime: Nafcillin 2 g IV q6h OR Clindamycin 900 mg IV q8h
- Alternative regime: Cefazolin 0.25–1 g IV/IM q6–8h OR Vancomycin 500 mg IV q6h or 1 g IV q12h
- (20) Septic arthritis, prosthetic joint infection (device-related osteoarticular infections)
- Methicillin-susceptible Staphylococcus aureus (MSSA)
- Preferred regimen: Nafcillin 2 g IV q4–6h OR Oxacillin 2 g IV q4–6h
- Alternative regimen: Cefazolin 1–2 g IV q8h OR Ceftriaxone 2 g IV q24h
- Alternative regimen (if allergic to penicillins): Clindamycin 900 mg IV q8h OR Vancomycin 15–20 mg/kg IV q8–12 hours, not to exceed 2 g per dose
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Early-onset (< 2 months after surgery) or acute hematogenous prosthetic joint infections involving a stable implant with short duration (< 3 weeks) of symptoms and debridement (but device retention)
- Preferred regimen: Vancomycin AND Rifampin 600 mg PO qd or 300–450 mg PO bid for 2 weeks
- Alternative regimen: (Daptomycin 6 mg/kg IV q24h OR Linezolid 600 IV q8h) AND Rifampin 600 mg PO qd or 300–450 mg PO bid for 2 weeks
- Note: The above regimen should be followed by Rifampin plus a fluoroquinolone, TMP/SMX, a tetracycline or Clindamycin for 3 or 6 months for hips and knees, respectively.
- (21) Hematogenous osteomyelitis
- Adult (>21 yrs)
- Methicillin-resistant Staphylococcus aureus (MRSA) possible
- Preferred regimen: Vancomycin 1 gm IV q12h (if over 100 kg, 1.5 gm IV q12h)
- Methicillin-resistant Staphylococcus aureus (MRSA) unlikely
- Children (>4 mos.)-Adult
- Methicillin-resistant Staphylococcus aureus (MRSA) possible
- Preferred regimen: Vancomycin 40 div q6–8h
- Methicillin-resistant Staphylococcus aureus (MRSA) unlikely
-
- Note: Add Ceftazidime 50 q8h or Cefepime 150 div q8h if Gm-neg. bacilli on Gram stain
- Newborn (<4 mos.)
- Methicillin-resistant Staphylococcus aureus (MRSA) possible
- Preferred regimen: Vancomycin AND (Ceftazidime 2 gm IV q8h or Cefepime 2 gm IV q12h)
- Methicillin-resistant Staphylococcus aureus (MRSA) unlikely
- Preferred regimen: (Nafcillin OR Oxacillin) AND (Ceftazidime OR Cefepime)
- Specific therapy
- Methicillin-susceptible Staphylococcus aureus (MSSA)
- Preferred regimen: Nafcillin OR Oxacillin 2 gm IV q4h OR Cefazolin 2 gm IV q8h
- Alternative regimen: Vancomycin 1 gm IV q12h (if over 100 kg, 1.5 gm IV q12h)
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Preferred regimen: Vancomycin 1 gm IV q12h
- Alternative regimen: Linezolid 600 mg q12h IV/po ± Rifampin 300 mg po/IV bid
- (22) Diabetic foot osteomyelitis
- High Risk for MRSA
- Preferred regimen: Linezolid 600 mg IV/PO q12h OR Daptomycin 4 mg/kg IV q24h OR Vancomycin 15–20 mg/kg IV q8–12h (trough: 10–20 mg/L)
- (23) Necrotizing fasciitis[17]
- In adult
- Preferred regimen (1): Nafcillin 1–2 g every 4 h IV (Severe Pencillin allergy: Vancomycin, linezolid, quinupristin/dalfopristin, daptomycin)
- Preferred regimen (2): Oxacillin 1–2 g every 4 h IV
- Preferred regimen (3): Cefazolin 1 g every 8 h IV
- Preferred regimen (4): Vancomycin 30 mg/kg/d in 2 divided doses IV
- Preferred regimen (5): Clindamycin 600–900 mg every 8 h IV
- In childern
- Preferred regimen (1): Nafcillin 50 mg/kg/dose every 6 h IV (Severe Pencillin allergy: Vancomycin, linezolid, quinupristin/dalfopristin, daptomycin)
- Preferred regimen (2): Oxacillin 50 mg/kg/dose every 6 h IV
- Preferred regimen (3): Cefazolin 33 mg/kg/dose every 8 h IV
- Preferred regimen (4): Vancomycin 15 mg/kg/dose every 6 h IV
- Preferred regimen (5): Clindamycin 10–13 mg/kg/dose every 8 h IV (Bacteriostatic; potential cross-resistance and emergence of resistance in erythromycin-resistant strains; inducible resistance in methicillin resistent staphylococcus aureus)
- (24) Staphylococcal toxic shock syndrome [18]
- Methicillin sensitive Staphylococcus aureus
- Preferred regimen: Cloxacillin 250-500 mg q6h PO (max dose: 4 g/24 hr) OR Nafcillin 4-12 g/24 hr divided q4-6hr IV (max dose: 12 g/24 hr) OR Cefazolin 0.5-2g q8h IV or IM (max dose: 12 g/24 hr), AND Clindamycin 150-600 mg q6-8h IV, IM, or PO (max dose: 5 g/24 hr IV or IM or 2 g/24 hr PO)
- Alternative regimen (1):Clarithromycin 250-500 mg q12h PO (max dose: 1 g/24 hr) AND Clindamycin 150-600 mg q6-8h IV, IM, or PO (max dose: 5 g/24 hr IV or IM or 2 g/24 hr PO)
- Alternative regimen (1):Rifampicin, AND Linezolid 600 mg q 12 hr IV or PO OR Daptomycin OR Tigecycline 100 mg loading dose followed by 50 mg q12h IV
- Methicillin resistant Staphylococcus aureus
- Preferred regimen: Clindamycin 150-600 mg q6-8h IV, IM, or PO (max dose: 5 g/24 hr IV or IM or 2 g/24 hr PO) OR Linezolid 600 mg q12h IV or PO , AND Vancomycin 15 to 20 mg/kg IV q8-12h, not to exceed 2 g per dose or Teicoplanin
- Alternative regimen (1):Rifampicin, AND Linezolid 600 mg q12h IV or PO OR Daptomycin OR Tigecycline 100 mg loading dose followed by 50 mg q12h IV
- Glycopeptide resistant or intermediate Staphylococcus aureus
- Preferred regimen: Linezolid 600 mg q12h IV or PO AND Clindamycin 150-600 mg q6-8h IV, IM, or PO (max dose: 5 g/24 hr IV or IM or 2 g/24 hr PO) (if sensitive)
- Alternative regimen (1):Daptomycin OR Tigecycline 100 mg loading dose followed by 50 mg q12 IV
- Note: Incidence increasing. Geographical patterns highly variable.
Prophylaxis
Antimicrobial Regimen
- Staphylococcus aureus
- Coronary artery bypass graft-associated acute mediastinitis[19]
- Methicillin susceptible staphylococcus aureus (MSSA)
- Preferred regimen: A first- or second-generation Cephalosporin is recommended for prophylaxis in patients without methicillin-resistant Staphylococcus aureus colonization.
- Methicillin resistant staphylococcus aureus (MRSA)
- Preferred regimen: Vancomycin alone or in combination with other antibiotics to achieve broader coverage is recommended for prophylaxis in patients with proven or suspected methicillin-resistant S. aureus colonization
- Note (1): Preoperative antibiotics should be administered to all patients to reduce the risk of mediastinitis in cardiac surgery.
- Note (2): The use of intranasal Mupirocin is reasonable in nasal carriers of Staphylococcus aureus.
Bacteria – Gram-Positive Bacilli
- Erysipeloid of Rosenbach (localized cutaneous infection)[20]
- Preferred regimen (1): Penicillin G benzathine 1.2 MU IV as a 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
- Diffuse cutaneous infection
- Preferred regimen: As for localized infection
- Note: Assess for endocarditis
- 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.
- Systemic infection[21]
- Preferred regimen: Penicillin G 2 MU IV q4h for 2-4 weeks
- Alternative regimen: Clindamycin 600 mg IV q8h for 2-4 weeks OR Vancomycin 15 mg/kg IV q12h for 2-4 weeks
- Shoulder prosthesis infection
- Preferred regimen: Amoxicillin AND Rifampin for 3-6 months
- Acne vulgaris
- Topical antibiotics: Erythromycin OR Clindamycin
- Systemic antibiotics: Minocycline OR Doxycycline OR Trimethoprim-Sulfamethoxazole
- Rhodococcus equi [22]
- Preferred regimen:
- First line: vancomycin 1 g IV q12h (15 mg/kg q12 for >70 kg) OR Imipenem 500 mg IV q6h AND Rifampin 600 mg PO once daily OR Ciprofloxacin 750 mg PO twice daily OR Erythromycin 500 mg PO four times a day for at least 4 weeks or until infiltrate disappears (at least 8 weeks in immunocompromised patients)
- Oral/maintenance therapy (after infiltrate clears): Ciprofloxacin 750 mg PO twice daily OR Erythromycin 500 mg PO four times a day
- 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
Bacteria – Gram-Negative Cocci and Coccobacilli
- Aggregatibacter aphrophilus
- Bordetella pertussis
- Brucella
- Eikenella corrodens
- Haemophilus ducreyi
- Haemophilus influenzae
- Neisseria gonorrhoeae
- Neisseria meningitidis
- Moraxella catarrhalis
- Pasteurella multocida
Bacteria – Spirochetes
Bacteria – Gram-Negative Bacilli
- Enteric flora
- Non-fermenters
- Capnocytophaga
- Francisella tularensis
- Helicobacter pylori
- Legionella
- Plesiomonas shigelloides
- Pseudomonas aeruginosa
- Vibrio
Bacteria – Atypical Organisms
- Pneumonia[23]
- Adult
- Preferred regimen (1): Doxycycline 100 mg PO bid for 14-21 days
- Preferred regimen (2): Tetracycline 250 mg PO qid for 14-21 days
- Preferred regimen (3): Azithromycin 500 mg PO for once a day followed by 250 mg/day for 4 days
- Preferred regimen (4): Clarithromycin 500 mg PO bid for 10 days
- Preferred regimen (5): Levofloxacin 500 mg IV or PO qd for 7 to 14 days
- Preferred regimen (6): Moxifloxacin 400 mg PO qd for 10 days.
- Pediatric
- Preferred regimen (1):Erythromycin suspension,PO 50 mg/kg per day for 10 to 14 days
- Preferred regimen (2):Clarithromycin suspension, 15 mg/kg per day for10 days
- Preferred regimen (3): Azithromycin suspension, PO 10 mg/kg once on the first day, followed by 5 mg/kg qd daily for 4 days
- Upper respiratory tract infection[24]
- Bronchitis
- Antibiotic therapy for C. pneumoniae is not required.
- Pharyngitis
- Antibiotic therapy for C. pneumoniae is not required.
- Sinusitis
- Antibiotic therapy is advisable if symptoms remain beyond 7-10 days.
- Pneumonia[25]
- Adult
- Preferred regimen : Doxycycline 100 mg PO bid daily OR Tetracycline 500 mg PO qid for 10-21 days
- Alternative regimen :Minocycline
- Pediatric
- Preferred regimen: Azithromycin
- Alternative regimen: fluoroquinolones
- Pregnant Patients
- Preferred regimen : Azithromycin
- Alternative regimen: fluoroquinolones
- Endocarditis in valve replacement patients
- Preferred regimen : Doxycycline
- Alternative regimen : fluoroquinolones.
Bacteria – Miscellaneous
- Gardnerella vaginalis
- Eikenella corrodens
- Bordetella pertussis
- Bartonella
- Stenotrophomonas maltophilia
- Acinetobacter baumannii
Bacteria – Anaerobic Gram-Negative Bacilli
Fungi
- Mild to moderate pulmonary blastomycosis
- Preferred regimen: Itraconazole 200 mg PO once or twice per day for 6–12 months
- Note: Oral Itraconazole, 200 mg 3 times per day for 3 days and then once or twice per day for 6–12 months, is recommended
- Moderately severe to severe pulmonary blastomycosis
- Preferred regimen(1): Lipid amphotericin B (Lipid AmB) 3–5 mg/kg per day for 1–2 weeks AND Itraconazole 200 mg PO bid for 6–12 months
- Preferred regimen(2): Amphotericin B deoxycholate 0.7–1 mg/kg per day for 1–2 weeks AND Itraconazole 200 mg PO bid for 6–12 months
- Note: Oral Itraconazole, 200 mg 3 times per day for 3 days and then 200 mg twice per day, for a total of 6–12 months, is recommended
- Mild to moderate disseminated blastomycosis
- Preferred regimen: Itraconazole 200 mg PO once or twice per day for 6–12 months
- Note(1): Treat osteoarticular disease for 12 months
- Note(2): Oral Itraconazole, 200 mg 3 times per day for 3 days and then 200 mg twice per day, for a total of 6–12 months, is recommended
- Moderately severe to severe disseminated blastomycosis
- Preferred regimen(1): Lipid amphotericin B(Lipid AmB) 3–5 mg/kg per day, for 1–2 weeks AND Itraconazole 200 mg PO bid for 6–12 months
- Preferred regimen(2): Amphotericin B deoxycholate 0.7–1 mg/kg per day, for 1–2 weeks AND Itraconazole 200 mg PO bid for 6–12 months
- Note: oral Itraconazole, 200 mg 3 times per day for 3 days and then 200 mg twice per day, for a total of 6–12 months, is recommended
- CNS disease
- Preferred regimen: Lipid amphotericin B (Lipid AmB) 5 mg/kg per day for 4–6 weeks AND an oral azole for at least 1 year
- Note(1): Step-down therapy can be with Fluconazole, 800 mg per day OR Itraconazole, 200 mg 2–3 times per day OR voriconazole, 200–400 mg twice per day.
- Note(2): Longer treatment may be required for immunosuppressed patients.
- Immunosuppressed patients
- Preferred regimen(1): Lipid amphotericin B (Lipid AmB), 3–5 mg/kg per day, for 1–2 weeks, AND Itraconazole, 200 mg PO bid for 12 months
- Preferred regimen(2): Amphotericin B deoxycholate, 0.7–1 mg/kg per day, for 1–2 weeks, AND Itraconazole, 200 mg PO bid for 12 months
- Note(1): Oral Itraconazole, 200 mg 3 times per day for 3 days and then 200 mg twice per day, for a total of 12 months, is recommended
- Note(2): Life-long suppressive treatment may be required if immunosuppression cannot be reversed.
- Pregnant women
- Preferred regimen: Lipid amphotericin B (Lipid AmB) 3–5 mg/kg per day
- Note(1): Azoles should be avoided because of possible teratogenicity
- Note(2): If the newborn shows evidence of infection, treatment is recommended with Amphotericin B deoxycholate, 1.0 mg/kg per day
- Children with mild to moderate disease
- Preferred regimen: Itraconazole 10 mg/kg PO per day for 6–12 months
- Note: Maximum dose 400 mg per day
- Children with moderately severe to severe disease
- Preferred regimen(1): Amphotericin B deoxycholate 0.7–1 mg/kg per day for 1–2 weeks AND Itraconazole 10 mg/kg PO per day to a maximum of 400 mg per day for 6–12 months
- Preferred regimen(2): Lipid amphotericin B (Lipid AmB) 3–5 mg/kg per day for 1–2 weeks AND Itraconazole 10 mg/kg PO per day to a maximum of 400 mg per day for 6–12 months
- Note: Children tolerate Amphotericin B deoxycholate better than adults do.
- Paracoccidioidomycosis
- Candidiasis
- Chromoblastomycosis
- Coccidioidomycosis
- Cryptococcosis
- Dermatophytosis
- Onychomycosis
- Preferred regimen(1): Griseofulvin 10-20 mg/kg/day for minimum 6 weeks
- Preferred regimen(2): Itraconazole 4-6 mg/kg pulsed dose weekly
- Preferred regimen(3): Terbinafine if <20 kg: 62.5 mg/day, if 20-40 kg: 125 mg/day, if >40 kg: 250 mg/day
- Small, well-defined lesions
- Preferred regimen: Topical cream/ointment Terbinafine OR Miconazole OR Econazole OR Clotrimazole
- Larger lesionss
- Preferred regimen: Terbinafine 250 mg/day PO for 2 weeks OR Itraconazole 200 mg/day PO for 1 wk OR Fluconazole 250 mg PO weekly for 2-4 weeks
- Athlete's foot
- Interdigital
- Preferred regimen: Topical cream/ointment Terbinafine OR Miconazole OR Econazole OR Clotrimazole
- “Dry type”
- Preferred regimen: Terbinafine 250 mg/day PO for 2-4 weeks OR Itraconazole 400 mg/day PO for 1 week per month (repeated if necessary) OR Fluconazole 200 mg PO weekly for 4-8 weeks
- Tinea cruris
- Tinea versicolor
- Histoplasmosis
- Mucormycosis
- Penicilliosis
- Sporotrichosis
- Pneumocystis jiroveci
Mycobacteria
- Mycobacterium tuberculosis
- Mycobacterium abscessus
- Mycobacterium bovis
- Mycobacterium avium-intracellulare
- Mycobacterium celatum
- Mycobacterium chelonae
- Mycobacterium foruitum
- Mycobacterium haemophilum
- Mycobacterium genavense
- Mycobacterium gordonae
- Mycobacterium kansasii
- Mycobacterium marinum
- Mycobacterium scrofulaceum
- Mycobacterium simiae
- Mycobacterium ulcerans
- Mycobacterium xenopi
- Mycobacterium leprae
Parasites – Intestinal Protozoa
- Balantidium coli
- Blastocystis hominis
- Cryptosporidium parvum
- Cryptosporidium hominis
- Cyclospora cayetanensis
- Dientamoeba fragilis
- Entamoeba histolytica
- Giardia lamblia
- Isospora belli
- Microsporidiosis
Parasites – Extraintestinal Protozoa
- Primary amoebic meningoencephalitis
- Acanthamoeba
- Balamuthia mandrillaris
- Naegleria fowleri
- Babesia microti
- Leishmaniasis
- Plasmodium
- Toxoplasma gondii
- Trichomonas vaginalis
- African trypanosomiasis
- American trypanosomiasis
Parasites – Intestinal Nematodes (Roundworms)
- Ascaris lumbricoides
- Capillaria philippinensis
- Enterobius vermicularis
- Necator americanus
- Ancylostoma duodenale
- Strongyloides stercoralis
- Trichuris trichiura
Parasites – Extraintestinal Nematodes (Roundworms)
- Ancylostoma braziliense
- Angiostrongylus cantonensis
- Filariasis
- Onchocerciasis
- Wuchereria bancrofti
- Brugia malayi
- Gnathostoma spinigerum
- Toxocariasis
- Trichinella spiralis
Parasites – Trematodes (Flukes)
- Clonorchis sinensis
- Dicrocoelium dendriticum
- Fasciola hepatica
- Paragonimus westermani
- Schistosomiasis
Parasites – Cestodes (Tapeworms)
Parasites – Ectoparasites
Viruses
- Adenovirus
- SARS
- Cytomegalovirus
- Enterovirus D68
- Ebola virus
- Marburg virus
- Hantavirus
- Dengue virus
- West Nile virus
- Yellow Fever
- Chikungunya virus
- Hepatitis A virus
- Hepatitis B virus
- Hepatitis C virus
- Hepatitis D virus
- Hepatitis E virus
- Epstein-Barr virus
- Human herpesvirus 6
- Human herpesvirus 7
- Human herpesvirus 8 (KSHV)
- Herpes simplex virus
- Varicella-zoster virus
- Human papillomavirus
- Influenza A
- Influenza B
- Avian influenza
- Swine influenza
- Measles
- Middle East respiratory syndrome
- Paramyxovirus
- Parvovirus B19
- BK virus
- JC virus
- Rabies
- Respiratory Syncytial Virus
- Rhinovirus
- Rotavirus
- Smallpox
- HIV/AIDS
References
- ↑ Mermel LA, Allon M, Bouza E, Craven DE, Flynn P, O'Grady NP; et al. (2009). "Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 Update by the Infectious Diseases Society of America". Clin Infect Dis. 49 (1): 1–45. doi:10.1086/599376. PMC 4039170. PMID 19489710.
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455748013.
- ↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
- ↑ Liu, Catherine; Bayer, Arnold; Cosgrove, Sara E.; Daum, Robert S.; Fridkin, Scott K.; Gorwitz, Rachel J.; Kaplan, Sheldon L.; Karchmer, Adolf W.; Levine, Donald P.; Murray, Barbara E.; J Rybak, Michael; Talan, David A.; Chambers, Henry F.; Infectious Diseases Society of America (2011-02-01). "Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children". Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 52 (3): –18-55. doi:10.1093/cid/ciq146. ISSN 1537-6591. PMID 21208910.
- ↑ Tunkel, Allan R.; Hartman, Barry J.; Kaplan, Sheldon L.; Kaufman, Bruce A.; Roos, Karen L.; Scheld, W. Michael; Whitley, Richard J. (2004-11-01). "Practice guidelines for the management of bacterial meningitis". Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 39 (9): 1267–1284. doi:10.1086/425368. ISSN 1537-6591. PMID 15494903.
- ↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
- ↑ Kasper, Dennis (2015). Harrison's principles of internal medicine. New York: McGraw Hill Education. ISBN 978-0071802154.
- ↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
- ↑ Darouiche, Rabih O. (2006-11-09). "Spinal epidural abscess". The New England Journal of Medicine. 355 (19): 2012–2020. doi:10.1056/NEJMra055111. ISSN 1533-4406. PMID 17093252.
- ↑ Liu, Catherine; Bayer, Arnold; Cosgrove, Sara E.; Daum, Robert S.; Fridkin, Scott K.; Gorwitz, Rachel J.; Kaplan, Sheldon L.; Karchmer, Adolf W.; Levine, Donald P.; Murray, Barbara E.; J Rybak, Michael; Talan, David A.; Chambers, Henry F.; Infectious Diseases Society of America (2011-02-01). "Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children". Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 52 (3): –18-55. doi:10.1093/cid/ciq146. ISSN 1537-6591. PMID 21208910.
- ↑ Liu, Catherine; Bayer, Arnold; Cosgrove, Sara E.; Daum, Robert S.; Fridkin, Scott K.; Gorwitz, Rachel J.; Kaplan, Sheldon L.; Karchmer, Adolf W.; Levine, Donald P.; Murray, Barbara E.; J Rybak, Michael; Talan, David A.; Chambers, Henry F.; Infectious Diseases Society of America (2011-02-01). "Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children". Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 52 (3): –18-55. doi:10.1093/cid/ciq146. ISSN 1537-6591. PMID 21208910.
- ↑ Liu, Catherine; Bayer, Arnold; Cosgrove, Sara E.; Daum, Robert S.; Fridkin, Scott K.; Gorwitz, Rachel J.; Kaplan, Sheldon L.; Karchmer, Adolf W.; Levine, Donald P.; Murray, Barbara E.; J Rybak, Michael; Talan, David A.; Chambers, Henry F.; Infectious Diseases Society of America (2011-02-01). "Clinical practice guidelines by the infectious diseases society of america for the treatment of methicillin-resistant Staphylococcus aureus infections in adults and children". Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 52 (3): –18-55. doi:10.1093/cid/ciq146. ISSN 1537-6591. PMID 21208910.
- ↑ Azari, Amir A.; Barney, Neal P. (2013-10-23). "Conjunctivitis: a systematic review of diagnosis and treatment". JAMA. 310 (16): 1721–1729. doi:10.1001/jama.2013.280318. ISSN 1538-3598. PMC 4049531. PMID 24150468.
- ↑ 14.0 14.1 14.2 Solomkin JS, Mazuski JE, Bradley JS, Rodvold KA, Goldstein EJ, Baron EJ; et al. (2010). "Diagnosis and management of complicated intra-abdominal infection in adults and children: guidelines by the Surgical Infection Society and the Infectious Diseases Society of America". Clin Infect Dis. 50 (2): 133–64. doi:10.1086/649554. PMID 20034345.
- ↑ Mogayzel PJ, Naureckas ET, Robinson KA, Mueller G, Hadjiliadis D, Hoag JB; et al. (2013). "Cystic fibrosis pulmonary guidelines. Chronic medications for maintenance of lung health". Am J Respir Crit Care Med. 187 (7): 680–9. PMID 23540878.
- ↑ Pasteur MC, Bilton D, Hill AT, British Thoracic Society Bronchiectasis non-CF Guideline Group (2010). "British Thoracic Society guideline for non-CF bronchiectasis". Thorax. 65 Suppl 1: i1–58. doi:10.1136/thx.2010.136119. PMID 20627931.
- ↑ Stevens DL, Bisno AL, Chambers HF, Dellinger EP, Goldstein EJ, Gorbach SL; et al. (2014). "Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America". Clin Infect Dis. 59 (2): 147–59. doi:10.1093/cid/ciu296. PMID 24947530.
- ↑ Lappin E, Ferguson AJ (2009). "Gram-positive toxic shock syndromes". Lancet Infect Dis. 9 (5): 281–90. doi:10.1016/S1473-3099(09)70066-0. PMID 19393958.
- ↑ Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG; et al. (2011). "2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Developed in collaboration with the American Association for Thoracic Surgery, Society of Cardiovascular Anesthesiologists, and Society of Thoracic Surgeons". J Am Coll Cardiol. 58 (24): e123–210. doi:10.1016/j.jacc.2011.08.009. PMID 22070836.
- ↑ 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.
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455748013.
- ↑ Bartlett, John (2012). Johns Hopkins ABX guide : diagnosis and treatment of infectious diseases. Burlington, MA: Jones and Bartlett Learning. ISBN 978-1449625580.
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455748013.
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455748013.
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455748013.
- ↑ Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455748013.