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Acne ( propioni bacteria) Azithromycin Doxycycline Clindamycin (topical only)

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N.meningitidis Ceftriaxone - children and adults Cefotaxime - neonates Ampicillin Chloramphenicol N. gonorrhea Ceftriaxone Cefotaxime Ciprofloxacin Spectinomycin.

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N.meningitidisCeftriaxone- children and adultsCefotaxime- neonatesAmpicillinChloramphenicolN. gonorrheaCeftriaxoneCefotaxime CiprofloxacinSpectinomycin


Pseudomonas aeruginosaePiperacillin+ gentamicin – other than UTCeftazidime+ gentamicin- - do-Aztreonam ,ImipenemCiprofoxacin- preffered in UTI

H. influenzae, M. cattarrhalis AmoxicillinCefaclorCefuroximeaxetilCefprozilCefiximeClarithromycin, azithromycinImipenem

S. pyogenes, S. pneumoniaePenicillin vCephalexinClarithromycin, azithromycinBacteroidesfragilisMetronidazoleCefoxitinClindamycinImipenem


ClostridiumdifficileMetronidazoleVancomycinImipenemProphylaxis for surgery a) staph. Aureus; staph. Epidermidiscefazolinevancomycin (mrsa) b) bacteroidesfragiliscefoxitinclindamycin


Diabetic foot infections with osteomyelitisp. aeruginosae, staph. Aureus, b. fragilispiperacillin/ tazobactamticaracillin/ clavulanateampicillin/ sulbactamimipenem/ cilastatinvancomycinaminoglycosides ciprofloxacinclindamycin- s.aureus & b.fragilis* combination therapy often includes clindamycin in addition to these antibiotics.Clindamycin is often used together with ciprofloxacin


Infected burnsMafenide acetate – p. aeruginosae Silver sulphadiazine- p. aeruginosaeBacitracin- staph. AerusAminoglycosidesOsteomyelitisCiprofloxacinClindamycin (s.aureus, b.fragilis)


BrucellaDoxycycline(mild cases)Doxycycline+ streptomycin or rifampin(severe cases) Ciprofloxacin Streptomycin & gentamicinRifampin TMP-SMXMycoplasmapneumoniaeDoxycycline or ciprofloxacin- adultsMacrolides- children


Legionella (Legionnaires\' disease)Azithromycin- highly effectiveQuinolones- highly effective Severely ill pts azithromycin or ciprofloxacin with rifampin. Tetracycline(doxycycline, minocycline)- alternative TMP-SMX- alternative. * Erythromycin, the former choice has been replaced by more potent & less toxic antibiotics.Newermacrolides are preffered. Problem with erythromycin: excessive volume load, GI intolerance and ototoxicity.

acne propioni bacteria azithromycin doxycycline clindamycin topical only
Acne (propioni bacteria)AzithromycinDoxycyclineClindamycin(topical only)