Please enable JavaScript.

Coggle requires JavaScript to display documents.

(Gram Negative, Atypicals do not Gram stain well- acid fast test, Bacilli…

- - - - H. pylori
        
        GI ulcer
    - - T. pallidum
        
        Syphilis
    - - B. burgdorferi
        
        Lyme disease
  - - - E. coli, Klebsiella pneumoniae …
        
        Susceptible to: carbapenems
    - - Susceptible to:
        
        cefepime (1st line)
        
        carbapenems
        
        alt. non-beta lactams
    - - Susceptible to: avycaz, vabomere, colistin/polymyxin B + meropenem
  - - - H. influenzae
        
        Vaccine: Hib /Greater risk: infants/children, sickle cell, asplenia, HIV
        
        Infection: CAP, AOM, sinusitis,, meningitis
    - - B. pertussis
        
        Vaccine: Tdap
        
        Infection: Whooping cough
  - - - M. catarrhalis (M. cat)
        
        Infection: Upper respiratory infections of children, CAP
    - - N. meningitidis
        
        Virulent: encapsulated
        
        Infection: “contagious meningitis,” respiratory droplets
        
        meningococcus
      - N. gonorrhoeae
        
        Infection: direct mucosal contact during intercourse, or birth
  - - - 1st line: Anti-pseudomonal β-lactam
      - 2nd line: AG or FQ
- - - - Proteus
        
        Infection: UTI
      - Escherichia coli
        
        Resistance: EBSL, AmpC
        
        Infection: UTI, food borne illness (only e. coli)
      - Klebsiella
      - Enterobacter
        
        Resistance: AmpC, β-lactamase producing Infection: Healthcare associated
      - Serratia
      - Citrobacter
      - Providencia
      - Morganella
      - Salmonella
        
        Infection: Typhoid fever, gastroenteritis
      - Shigella
  - - - Pseudomonas
        
        P. aeruginosa
        
        Virulent and resistant
        
        Infection: Hospital Associated Pneumonia (HAP)
      - Acinetobacter
        
        A. baumannii
        
        Use Carbapenems (except ertapenem)
        
        Infection: Immunocompromised (pneumonia, wounds)
      - Stenotrophomonas
        
        Nosocomial infections: Respiratory
        
        Susceptibility: Bactrim
      - Burkholderia
- - - - Catalase negative= Streptococcus or Enterococcus
        
        Cocci in Pairs or Chains
        
        Catalase (-) negative
        
        Streptococcus
        
        Streptococcus α- hemolytic
        
        Streptococcus pneumoniae
        
        2 more items...
        
        Streptococcus viridans
        
        1 more item...
        
        Streptococcus β- hemolytic
        
        GAS- Group A Strep
        
        1 more item...
        
        GBS- Group B Strep
        
        1 more item...
        
        Enterococcus γ- hemolytic
        
        Resistant: Vancomycin-Resistant Enterococcus (VRE)
        
        2 more items...
        
        All Enterococci: resistant to cephalosporins
        
        Infections: Nosocomial UTI
      - Catalase positive= Staphylococcus—>then do coagulase test
        
        Coagulase: fibrinogen -> fibrin
        
        if coag positive: Staph aureus
        
        Cocci in Clusters
        
        Catalase (+) positive
        
        Staphylococcus
        
        Coagulase (+) positive
        
        1 more item...
        
        Coagulase (-) negative
        
        1 more item...
        
        if coag negative: Staph epidermidis
    - - Listeria
        
        L. monocytogenes
        
        Causes listeriosis from contaminated food or
        
        Causes meningitis for those at risk
      - Bacillus
        
        B. anthracis
        
        Anthrax
        
        B. cereus
        
        Food poisoning
    - - Actinomyces spp
      - Peptostreptococcus
        
        Normally in mouth/GI, may cause aspiration pneumonia
      - Clostridium spp
        
        C. diff causes diarrhea and megatoxic colon
      - Cutibacterium
        
        formerly Propionibacterium
        
        C. acnes, formerly P. acne