Sandbox ID Musculoskeletal: Difference between revisions

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''Staphylococcus epidermidis (methicillin-resistant)''
''Staphylococcus epidermidis (methicillin-resistant)''
:* Preferred regime: Vancomycin 500 mg IV q6h or 1 g IV q12h {{or}} Linezolid 600 mg IV q12h
:* Preferred regime: Vancomycin 500 mg IV q6h or 1 g IV q12h {{or}} Linezolid 600 mg IV q12h
:* Alternative regime: TMP-SMX 3.5–4.0 mg/kg PO/IV q8–12h (TMP component) {{or} Minocycline 200 mg PO x 1 dose, then 100 mg PO q12h {{and}} Rifampin 300–600 mg PO/IV q12h
:* Alternative regime: TMP-SMX 3.5–4.0 mg/kg PO/IV q8–12h (TMP component) {{or}} Minocycline 200 mg PO x 1 dose, then 100 mg PO q12h {{and}} Rifampin 300–600 mg PO/IV q12h


''Staphylococcus epidermidis (methicillin-susceptible)''
''Staphylococcus epidermidis (methicillin-susceptible)''

Revision as of 18:54, 9 June 2015

Bursitis

Osteomyelitis, candidal

Osteomyelitis, chronic

Osteomyelitis, contiguous with vascular insufficiency

Osteomyelitis, contiguous without vascular insufficiency

Osteomyelitis, diabetic foot

Osteomyelitis, foot bone

Osteomyelitis, foot puncture wound

Osteomyelitis, hematogenous

Osteomyelitis, hemoglobinopathy

Osteomyelitis, prosthetic joint infection

Osteomyelitis, spinal implant

Osteomyelitis, sternal

Reactive arthritis, post-streptococcal arthritis

Reactive arthritis, Reiter's syndrome

Septic arthritis, Brucella melitensis

  • Preferred Regimen: Doxycycline 100 mg PO bid for ≥ 6 weeks AND Streptomycin 15 mg/kg IM qd for 2–3 weeks OR Rifampin 600–900 mg qd for ≥ 6 weeks
  • Alternative Regimen: Doxycycline 100 mg PO bid for ≥ 6 weeks AND Gentamicin 5 mg/kg IV qd for 7 days

Septic arthritis, candidal

Septic arthritis, gonococcal

Septic arthritis, Gram-negative bacilli

Septic arthritis, Histoplasmosis

Septic arthritis, Lyme disease

Septic arthritis, Mycobacterium tuberculosis

Septic arthritis, pneumococcal

Septic arthritis, post-intraarticular injection

Septic arthritis, staphylococcal

Staphylococcus aureus (methicillin-resistant)

  • Preferred regime: Vancomycin 15–20 mg/kg IV q8–12h
  • Alternative regime (1): Daptomycin 6 mg/kg IV q24h in adults
  • Alternative regime (2): Linezolid 600 mg PO/IV q12h
  • Alternative regime (3): Clindamycin 600 mg PO/IV q8h
  • Alternative regime (4): TMP-SMX 3.5–4.0 mg/kg PO/IV q8–12h
  • Pediatric regime: Vancomycin 15 mg/kg IV q6h OR Daptomycin 6–10 mg/kg IV q24h OR Linezolid 10 mg/kg PO/IV q8h OR Clindamycin 10–13 mg/kg/dose PO/IV q6–8h

Staphylococcus aureus (methicillin-susceptible)

  • Preferred regime: Nafcillin 2 g IV q6h OR Clindamycin 900 mg IV q8h
  • Alternative regime: Cefazolin 0.25–1 g IV/IM q6–8h OR Vancomycin 500 mg IV q6h or 1 g IV q12h

Staphylococcus epidermidis (methicillin-resistant)

  • Preferred regime: Vancomycin 500 mg IV q6h or 1 g IV q12h OR Linezolid 600 mg IV q12h
  • Alternative regime: TMP-SMX 3.5–4.0 mg/kg PO/IV q8–12h (TMP component) OR Minocycline 200 mg PO x 1 dose, then 100 mg PO q12h AND Rifampin 300–600 mg PO/IV q12h

Staphylococcus epidermidis (methicillin-susceptible)

  • Preferred regime: Nafcillin 2 g IV q6h OR Clindamycin 900 mg IV q8h
  • Alternative regime: Cefazolin 0.25–1 g IV/IM q6–8h OR Vancomycin 500 mg IV q6h or 1 g IV q12h

Septic arthritis, streptococcal

Streptococcus agalactiae

  • Preferred regime: Penicillin G 2 MU IV/IM q4h OR Ampicillin 2 g IV q6h
  • Alternative regime: Clindamycin 600–1200 mg/day IV/IM q6–12h OR Cefazolin 0.25–1 g IV/IM q6–8h

Streptococcus pyogenes

  • Preferred regime: Penicillin G 2 MU IV/IM q4h OR Ampicillin 2 g IV q6h
  • Alternative regime: Clindamycin 600–1200 mg/day IV/IM q6–12h OR Cefazolin 0.25–1 g IV/IM q6–8h