16 results
IDSA - Doses of Drugs for Treatment of Adults and Children with Multidrug-Resistant Tuberculosis
Step 1 Levofloxacin,
Imipenem–cilastatin, Meropenem ... imipenem–cilastatin and meropenem ... isoniazid #MultiDrugResistant
IDSA - Clinical Strategy to Build an Individualized Treatment Regimen for Multi-Drug Resistant Tuberculosis (MDR-TB)
 •
clavulanate or meropenem ... clarithromycin #MultiDrugResistant
Beta Lactam Antibiotic Classification

UPDATE 10/2018: meropenem-vaborbactam added

Penicillins, Cephalosporins, Monobactam, Carbapenems 

 - Dr. David Serota @serotavirus

#BetaLactams
UPDATE 10/2018: meropenem-vaborbactam
Pseudomonas aeruginosa Resistance to Beta-lactams

Standard Agents: 
Ceftazidime, Cefepime, Piperacillin-Tazobactam, Imipenem, Meropenem

MDR Agents: 
Ceftazidime-Avibactam, CeftoIozane-Tazobactam, Imipenem-Relebactam, Meropenem-Vaborbactam,
Piperacillin-Tazobactam, Imipenem, Meropenem ... Imipenem-Relebactam, Meropenem-Vaborbactam
Carbapenems - Antibiotics Class Overview

Imipenem/Cilastin, Meropenem, Ertapenem, Doripenem 

Spectrum: Broadest spectrum antibiotics, cover Gram positive, Gram
Imipenem/Cilastin, Meropenem ... Carbapenems #Imipenem #Meropenem
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
e.g. imipenem, meropenem
Antibiotics used for the Treatment of Pseudomonas Aeruginosa in Adults
 • Penicillin-beta-lactamase combinations: Piperacillin-tazobactam, Ticarcillin-clavulanate
 •
• Carbapenems: Meropenem
Antibiotic Tissue Penetration

Blood Brain Barrier: Penicilins (IV), 3rd & 4th generation Cephalosporins (IV), Meropenem, TMP-SMX, Metronidazole,
Cephalosporins (IV), Meropenem
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
penicillin anaphylaxis: meropenem
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
Imipenem-Cilastatin, Meropenem