ID Exam 3 Treatments

Respiratory Infection

Sinusitis First line treatment w/ No risk factor

- Amoxicillin 5-7 days (prefer alone!)

Add Clavulanate (standard dose) when:

- BLmase producing bug (standard dose) OR >1 PNS risk factor (high dose)

NOTE: All Sinusitis duration 5-7 d

Respiratory Infection

Sinusitis First line treatment w/ >1 risk factor for Penicillin Non-susceptible

Amoxicillin/Clavulanate (high dose) 5-7 d

risk factor for PNS ("SAR AI")

- severe infection, Age >65, Recent hospitalization

- Antibiotic use w/in past mo, immunocompromised

NOTE: All Sinusitis duration 5-7 d

Respiratory Infection

Sinusitis tx for PCN allergy

- Doxycycline

- cefixime, cefpodoxime (3rd gen ceph) +/- clindamycin

- FQ: Moxifloxacin and Levofloxacin

NOTE: All Sinusitis duration 5-7 d

AVOID Macrolide and Bactrim due to resistance of S. Pneumo

Respiratory Infection

Pharyngitis GAS tx

10 days

- PCN VK

- Amoxicillin

1 dose

- Benzathine PCN G

Respiratory Infection

Pharyngitis PCN Allergy

All 10 days except azithromicin (5 d)

- Cephalexin; Cefadroxil (1st gen ceph)

- Clindamycin

- Azithromycin; clarithromycin