---
# System prepended metadata

title: TL;DR抗生素筆記
tags: [tutorials]

---

# TL;DR抗生素筆記

###### tags: `tutorials`

## Aerobic, gram positive cocci	
![](https://i.imgur.com/gLdF4iu.png)
#### TL;DR
G+C分三群: `雜魚`、`MRSA`、`VRE`
* `雜魚`：Penicillins, Carbapenems, Cefa(1st to 3rd)
* `MRSA`: Vancomycin, Teicoplanin，Ceftarolin(5th)、以及可以Cover VER的Abx
* `VRE`: Daptomycin (PNA不可), Linezolid, Tigecycline

## Aerobic, gram positive bacilli
![](https://i.imgur.com/eHC4bEH.png)
#### TL;DR
* !! AB菌要小心變`CRAB`，萬一是的話跟CRE用藥一樣
* `Listeria monocytogenes`: Penicillin有效 
* `Nocardia`: 兇，只有Imp-Col，Amikacin，TMP-SMX有效 

## Aerobic gram negative bacilli
### Enterobacterales
![](https://i.imgur.com/CsG0M36.png)
#### TL;DR
* 非ESBL或CRE，沒有差很多
* `ESBL`: Carbapenems
* `CRE(KPC)`：Ceftaz-Avibac、Tigecycline、Colistin±、Amikacin± 

### non-Enterobacterales
![](https://i.imgur.com/NInOXoF.png)
#### TL;DR
* `H. infuenzae`: Curam就很有效了
* `Leginoella`: FQ、Macrolide
* `N. meningitdis`: 3rd+ Cefa
* `Pseudomonas aeruginosa`: Tazocin、Ceftazidime、除了Erta以外的Carbapenem、Ceftzidime、Cefepime、Amikacin
    * 注意！：Tigecycline，常常有人以為Tige很強結果沒有Cover到PsA
    * 常常有人以為Erta很強結果也沒Cover到PsA
* `Stenotrophomonas`: Minocycline、TMP-SMX、Levofloxacine±

### cell wall-deficient
![](https://i.imgur.com/FYkeYwP.png)
#### TL;DR
* Atypical infection: FQ、Doxy、Mino、Tetra
* 很難確診，要先BAL才會知道

## Anaerobic 
![](https://i.imgur.com/UuGuMQL.png)
#### TL;DR
* Penicillins跟Carbapenems可以，Cefa不夠
* C diff: 
    * Metro、Vanco(PO)、Fidaxomicin 
    
## 看每個抗生素都用這個想一想

| VRE | MRSA | GPC雜魚 | GNB雜魚 | Salmonella | Pseudo | ESBL | CR系列 |
| --- | ---- | ------- | ------- | ---------- | ------ | ---- | ------ |
|     |  |  ️       |         |            |        |      |        |