Sayings for abx regimen of each treatment category

Pyelonephritis; no sepsis, oral therapy

“Flora had to Tamp down. If not, Amox/Clav would have come with Oral Cephs.”

Pyelonephritis; no sepsis, IV therapy

“Your 3GC Tri-Axe technique allowed us to celebrate the Pime harvest today. Piper and Tazo are here with Flora.

If not, the Carbapenems would have had to come. Novel beta-lactam/beta-lactamase inhibition techniques would have to be studied by Roco, as well as Plazo and older Aminos.”

Pyelonephritis; sepsis, IV therapy

“Your 3GC Tri-Axe technique allowed us to celebrate the Pime harvest today. Piper and Tazo are here with Flora. The Carbapenems are also here.

If not, Novel beta-lactam/beta-lactamase inhibition techniques would still be studied by Roco, as well as Plazo and older Aminos.”

Acute prostatitis

“Flora had to Tamp down. If not, Amox/clav and Lexin would Furiously Fix her.”

Chronic prostatitis

“Flora had to Tamp down. If not, Amox/clav and Lexin would Furiously Fix her.”

Purulent SSTI; mild severity

I&D only

Purulent SSTI; moderate severity, empiric therapy

“Tamp down or you’ll be Doxxed.”

Purulent SSTI; moderate severity, targeted therapy, MRSA

“If MRSA, Tamp down.”

Purulent SSTI; moderate severity, targeted therapy, MSSA

“IF MSSA, you might Die in front of the Clocks, or you could go to Lexin ASAP.”

Purulent SSTI; severe, empiric therapy

“Vanc could not aDapt to the Lines of the new Television without Caroline.”

“Linda also helped, though less than 10-15%.”

Purulent SSTI; severe, targeted therapy, MRSA

“Vanc could not aDapt to the Lines of the new Television without Caroline.”

“Linda also helped, though less than 10-15%.”

Purulent SSTI; severe, targeted therapy, MSSA

“For MSSA, he Nabbed Ozai or Linda.”

Nonpurulent SSTI; mild, empiric therapy

“Pro VK wanted to use Lexin to Die in front of the Clocks, with or without Linda.”

Nonpurulent SSTI; moderate, empiric therapy

“Pro G had Ozai’s measure, possibly through Linda. The Tri-Axe technique could have been used.”

• MRSA coverage (via clindamycin) should only be provided if patients have risk factors such as: IV drug use, previous recent hospitalization, staying in places with close proximity to each other (e.g. dorm, daycare, kindergarten)

Nonpurulent SSTI; severe, empiric therapy

“Vanc, on top of Piper and Tazo OR Imi and Cilla OR Mero, would serve.”

Nonpurulent SSTI; adjunctive therapy

Prednisone 40 mg once daily x 7 days

HAP; Group 1 (not at high risk of mortality, no MRSA risk factors)

For MSSA and Pseudomonas coverage:

• “Piper and Tazo attended the Pime festival with Levi, Imi, and Mero.”

HAP; Group 2 (not at high risk of mortality, MRSA risk factors present)

For Pseudomonas coverage, select ONE of the following:

• “Piper and Tazo attended the Pime festival with Levi, Imi, and Mero.

• “Taza, Cipro, and Aztree followed them.”

For MRSA coverage:

• Vancomycin, OR

• Linezolid

HAP; Group 3 (at high risk of mortality OR IV abx received within last 90 days)

For Pseudomonas coverage, select TWO of the following:

• “Piper and Tazo attended the Pime festival with Levi, Imi, and Mero.

• “Taza, Cipro, and Aztree followed them.

→ *Split out the [FQs and add aminoglycosides (gentamicin, tobramycin, amikacin)] each separately to make three groups total, connected with “OR.”

For MRSA coverage:

• Vancomycin, OR

• Linezolid

VAP; drugs used for MRSA coverage

Vancomycin OR linezolid

• 1 agent for MRSA coverage needed unless organizational MRSA prevalence <10% (in which case only MSSA coverage needed, but this rarely happens)

VAP; beta-lactam drugs used for Pseudomonas coverage

“Piper and Tazo attended the Pime festival with Taza, Imi, Mero, and Aztree.”

• 1 agent for Pseudomonas coverage needed if antibiogram has a drug with >90% “effectiveness” against MRSA

• 2 agents for Pseudomonas coverage needed if:

  • Antibiogram does not have a drug with >90% “effectiveness” against Pseudomonas

  • Patient has any of the VAP MDRO risk factors

VAP; non beta-lactam drugs used for Pseudomonas coverage

“Cipro and Levi, plus GTA aminoglycosides and the two Polymyxins followed them.”

• 1 agent for Pseudomonas coverage needed if antibiogram has a drug with >90% “effectiveness” against MRSA

• 2 agents for Pseudomonas coverage needed if:

  • Antibiogram does not have a drug with >90% “effectiveness” against MRSA

  • Patient has any of the VAP MDRO risk factors

Necrotizing fasciitis; empiric abx therapy

→ “Vanc would aDapt to the new Lines; with the help of Piper and Tazo OR the Carbapenems OR the Tri-Axe technique on a Metro OR Flora on a Metro; and with additional help from Linda.”

Necrotizing fasciitis; targeted abx therapy for Strep pyogenes

“The Stripper Penned Linda.”

Necrotizing fasciitis; targeted abx therapy for Vibrio vulnificus

“The Vibrator’s creator was Doxxed, courtesy of Taza using the Tri-Axe technique.”

Necrotizing fasciitis; targeted abx therapy for Aeromonas hydrophilia

“For Aeromonas, we plan to Dox him, and then send Cipro or use the Tri-Axe technique – no preference between those two.”