Antibiotic

Organism A Little Information Antibiotic
Gram Positives
Staphylococcus Aureus F.P., bacteremia, endocarditis, arthritis, osteomyelitis; coag and cat + Anti-staph penicillin (nafcillin), Vancomycin
Staph. Epidermidis Line related; catheters; coagulase -, cat + Vancomycin
Staph. Saprophyticus UTI; coagulase -, cat + Norfloxacin
Streptococcus pyogenes (Group A) pharyngitis; TOXIC S.S.;Rheu; M. Protein; Bac. Susceptible, Beta-hemo Penicillin
Strept. Agalactiae (Group B) Babies; CAMP positive; Beta-hemo; Bacitracin resistant Penicillin
Group C Strept. Animals; bacteremia like the others; Beta-hemo Penicillin
Group D Strept. (Enterococcus & S. Bovis) UTI, W.I., Endocarditis; Gamma-hemo.; 6.5% NaCl; Bile +, Vanco. (can be res.) Ampicillin + Gentamicin
Group G Strept. Penicillin
Streptococcus Pneumoniae Com Pneu.; otitis media; optochin sensitive; Adult Meningitis; alpha-hemo; cap Penicillin, Vanco, Cefotaxime, Vaccine
Viridians streptococci Dental; endocarditis; heart valves; optochin resistant;Alpha-hemolytic Penicillin, Cefotaxime
Nutritionally deficient Strept Bacteremia; endocarditis Penicillin
Streptococcus milleri Beta hemolytic Penicillin
Corynebacterium diptheriae diptheria, inactivates EF-2; A-B type exotoxin, Tell your intern not to loaf antitoxin; Intramuscular penicillin and Erythromycin; vaccine DPT
Listeria Monocytogenes Meningitis; bacteremia (5th); MOTILE; multiplies In and ext.; CSF; FIO Penicillin G; Ampicillin
Bacillis Anthracis Anthrax; spores; 4 types; capsule; Lethal and Edema toxin; 5% CO2 to get Capsule Penicillin G; tetracycline;
Bacillis Cereus food poisoning; heat stable enterotoxin; Rice Get Serious; the enterotoxin is preformed; AB won’t work; self limiting
Gram Negatives
Neisseria gonorrhoea pili and Protein 1; PID and urethritis; Gram – diplococci; Thayer Martin medium Ceftriaxone plus Doxycycline (for Chlamydia); erythromycin eye drops
Neisseria Meningitidis Peds, headache, petechial skin lesions(LPS endotoxin); IgA1 protease Penicillin G; ceftriaxone, sulfa for the family
E. Coli UTI, Gastroenteritis, LACTOSE; normal intestine flora; septicemia Antimicrobial therapy; need susceptible testing
EIEC Like Shigella; INVASIVE; DOES NOT penetrate the epithelium (no septicemia) Antimicrobial therapy; need susceptible testing
ETEC Trav diarrhea; fimbriae attach microvilli of the S.I.; non-invasive; like cholera Antimicrobial therapy; need susceptible testing
EHEC Hemorrhagic colitis; Hambs.; Verotoxin (like Shigella); HUS; inhibits 60s ribo Antimicrobial therapy; need susceptible testing
EPEC Infant diarrhea; NOT invasive; no obvious pili Antimicrobial therapy; need susceptible testing
EAEC prolonged watery diarrhea; pili Antimicrobial therapy; need susceptible testing
Shigella Invasive/NOT penetrable;NLF.; Shiga toxin inhibits protein synthesis Antimicrobial therapy; need susceptible testing
Salmonella typhi. Penetrates; S.I.; motile, NLF, typhoid fever; H antigens Typhoid fever- cipro or ceftriaxone; Gastroenteritis- fluid and elect
Klebsiella Pneumoniae LF; nonmotile; UTI (2nd); Antimicrobial therapy
Yersinia enterocolitica Penetrable; enterocolitis
Vibrio cholerae non-invasive; choleragen; rice-water stools; no blood or pus; O-antigen Tetracycline; fluid and electrolyte replenishment
Vibrio cholerae non-01 different LPS antigen group; gastroenteritis; raw seafood not normally treated
Vibrio Parahaemolyticus halophilic, raw seafood; Gastroenteritis; cook your food and eat it soon
V. fluvialis, mimicus, hollisae All produce a toxin similar to the non-choleragen toxin
Vibrio vulnificans wound infections; marine; don’t eat raw oysters
Vibrio alginolyticus, damsela damsela only on upper Texas gulf coast
Campylobacter jejuni small, microaerophilic; very common; penetrable erythromycin
Campylobacter fetus bacteremia in imunosuppressed individuals
Helicobacter pylori duodenal and gastric ulcers; inflamation causes ulcer; 5-6 flagellum Pepto-Bismol; metronidazole;tetracycline or amoxicillin

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