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Nap Kap SSTIs
NAPLEX
11
Pharmacology
Post-Graduate
07/19/2019

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Cards

Term
Community aquired SSTIs: organisms
Definition
Staphyloccus Aureus (especially MRSA)
Grp A Streptococci (strep.pyogenes)
Term
Nosocomilal aquired SSTIs: organisms
Definition
G neg (psudeomonas aeruginosa, E. coli)
Anaerobes
Term
Purulent SSTIs (3 types)
Definition
Abcess: collection of pus in dermis and deeper
Furuncle: infection of hair follicle. Pus extends into SQ
Carbuncle: when nearby furuncles combine
Term
Nonpurulent SSTIs (3 types)
Definition
Cellulitis: epidermis/dermis
Erysipelas: cellulisitis limited to upper dermis
Necrotizing fascilitis: life threatening. SQ. Destroys fat and superficial fascia.
Term
Treat mild purulent SSTI
Definition
Cut and drain. No Abs
Term
Treat mod. purulent SSTI
Definition
Cut and drain + TMP/SMX (Bactrim) OR OR OR Doxycycline
Term
Treat severe purulent SSTI (8 drugs)
Definition
Cut and drain + IV drugs that cover MRSA/G+:
Vancomycin
Daptomycin
Linezolid
Telavancin
Ceftaroline
Dalbavancin
Oritavancin
Tedizolid
Term
Treat mild nonpurulent SSTI
Definition
PO Abs: PCN VK, Cef, Dicloxacillin, Clindamycin
Term
Treat mod nonpurulent SSTI
Definition
IV ABS: PCN, Ceftriaxone, Cefazolin, Clindamycin
Term
Treat severe nonpurulent SSTI
Definition
Surgery
AND AND
Vancomycin
AND AND
Piperacillin/tazobactam (psuedomonas, anaerobe, psudeuomonas, G neg orgsā€¦)
Term
What makes a nonpurulent SSTI severe?
Definition
Failed PO ABS OR Systemic infection OR immunocomprimised OR deeper infections (bullae, skin sloughing, hypotension, organ dysfunction)
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