DRUGS OF CHOICE ACCORDING TO CLINICAL DIAGNOSIS

Clinical diagnosis

Microbiology $treptococcus pneumoniae )aemophilus influen*a% M+catarrhalis $ame as above $taphylococus aureus% ,seodomonas% anaerobes ,seodomonas% $+ aureus anaerobes ,seodomonas% $+ aureus ,seodomonas% $taph+% anaerobes $+ aureus

Antimicrobial choices Amoxicillin or amoxicillin'clavulanate or erythromycin plus sulfonamide or a*ithromycin or clarithromycin or -nd'.rd/generation cephalosporin Ceftriaxone or ampicillin'sulbatam Cefta*idime plus clindamycin or ampicillin'sulbactam puls gentamicin or imipenem plus gentamicin 0entamicin opthalmic suspension% neomycin'polymyxin suspension #eomycin'polymyxin suspension or gentamicin opthalmic suspension% boric or acetic acid suspension Ciprofloxacin plus (oral) rifampin plus metronida*ole or cefta*idime plus metronida*ole Cephalosporin or dicloxacillin or clindamycin Boric acetic acid plus alcohol ,enicillin $ame as acute otitis media above Amox'clav or clindamycin or cephalosporin plus metronida*ole Ceftriaxon with or without vancomycin &ifampin plus cephalosporin plus mupirocin &ifampin (etracycline

Otology

Acute otitis media Bullos myringitis Otitis media with effusion Acute mastoiditis (from otitis media acute) Acute or chronic mastoiditis (from chronic otitis media) Chronic suppurative otitis media (perforation or cholesteatoma) Acute diffuse otitis externa (swimmers ear) Malignant otitis externa! "uruncle of ear canal Otomycosis #eurosyphilis

Aspergillus% etc (reponema ,allidum $ame as acute otitis media above $+aureus plus anaerobes% etc+ $+pneumoniae% )+influen*ae $+aureus )+influen*ae

Rhinology

$inusitis%acute $inusitis%chronic Orbital cellulitis &hinitis'nasopharyngiti s (carrier state) &hinoscleroma

Head & neck infection

$+pyogenes% anaerobes%etc+ $+pyogenes% etc+% Mycoplasma%

(onsilloadenoitis

Cephalexin with or without metronida*ole or clindamycin Cephalexin or erythromycin or a*thromycin or clarithromycin or

,haryngitis

Chlamydia 0onococus'Chlamydia 7arious streptococci and anaerobes 7arous viruses Mycloplasma% Chlamydia% )+8nfluen*ae )+8nfluen*ae (type B) 7iruses% $+aureus% $+pneumoniae 7iruses(various) Mycloplasma% Chlamydia% ,ertussis% 1egionella $+aureus%anaerobes Anaerobes% $+aureus% $trep Anaerobes% $taph+ or $trep+%,seudomonas )+influen*ae% $taph+%etc+ $+pneumoniae% )+influen*ae $+aureus%anaerobes $+aureus%anaerobes% ,seudomonas $+aureus $+aureus Anaerobes $+aureus% ,seudomonas $treptococci

$tomatitis% aphthous 1aryingitis 2piglottitis $ubglotic croup (racheobronchitis ,arotitis (suppurative) sialoadenitis Abscess% peritonsilar Abscess% deep nec3 with or without necroti*ing facilitis Cellulitis% cervical/ facial Meningitis or intracranial abscess or contamination "rom acute otitis or $inusitis "rom chronic sinusitis "rom chronic mastoiditis Osteomyelitis ,rophylaxis in surgery/ begin 4 hour before incision 5ound infection% s3in Mucosal 2xtensive surgery 6 prolonged hospitali*ation 2ndocarditis

clyndamycin Ceftriaxone or cefixime or ciprofloxacin plus a*ithromycin or doxycycline Oral suspension tetracycline plus anti/histamine plus corticosteroid plus nystatin Amantadine 2rithromycin or a*ithromycin or clarithromycin Ceftriaxone or ampicillin'sulbactam Ampicillin'sulbactam or cefuroxime Amantadine 2rithromycin plus sulfonamide or a*ithromycin or clarithromycin Amox'clav or clindamycin or cephalosporin plus metronida*ole Clindamycin or Amox'clav or ampicillin' sulbactam Clindamycin plus gentamicin or cefta*idime plus metronida*ole ampicillin' sulbactam or ceftriaxone Ceftriaxon Ceftriaxon plus metronida*ole or nafcillin plus metronida*ole Cefta*idime plus metronida*ole plus nafcillin Clyndamycin Cefa*olin or clyndamicin ampicillin' sulbactam or clyndamicin clyndamicin plus gentamicin Ampicillim or amoxicllin or clindamycin or vancomycin