ID - Antibiotics by Condition*

identify the most appropriate antibiotic for each condition under the specified circumstances

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Last updated: August 18, 2023

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Lungs
CAP (outpatient, uncomplicated)
CAP (inpatient, uncomplicated)
CAP (inpatient, complicated)
HAP (inpatient, uncomplicated)
HAP (inpatient, complicated)

Kidneys & Bladder
pyelonephritis (outpatient, uncomplicated)	IM ceftriaxone + PO doxycycline, levofloxacin, ciprofloxacin?
pyelonephritis (inpatient, uncomplicated)
pyelonephritis (inpatient, complicated)	ampicillin + gentamicin
cystitis (uncomplicated)	nitrofurantoin, bactrim, levofloxacin/ciprofloxacin
cystitis (complicated)	IV/PO flouoroquinolones, Aminoglycosides
cystitis (pregnant)	amoxicillin, nitrofurantoin

Heart
endocarditis (acute native valve)	nafcillin + gentamicin (vancomycin + gentamicin if suspected PCN allergy or MRSA)
rheumatic heart disease	penicillin G

EENT
otitis externa (uncomplicated)	topical ciprofloxacin + dexamethasone
otitis externa (w/ tympanic membrane rupture)	neomycin + polytrim B + hydrocortisone otic solution
acute otitis media	amoxicillin (first), cefexime (children, first), augmentin, cefaclor
acute otitis media (PCN allergy)	erythromycin-sulfisoxazole, azithromycin, trimethoprim/sulfamethoxazole.
chronic otitis media	topical ofloxacin, ciprofloxacin