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| ==Background==
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| {{MRSA background}} | | {{MRSA background}} |
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| ==Treatment== | | ==Management== |
| # Antibiotics
| | *Treatment/resistance is different for each type; check specific page |
| ## [[Vancomycin]] IV if severe infection/sepsis
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| ##Linezolid
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| ###Indicated in severe soft tissue infections and pneumonia thought to be caused by [[CA-MRSA]] or HA-[[MRSA]]
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| | |
| ==[[Antibiotic Sensitivities]]<ref>Sanford Guide to Antimicrobial Therapy 2014</ref>==
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| {| class="wikitable"
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| | align="center" style="background:#f0f0f0;"|'''Category'''
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| | align="center" style="background:#f0f0f0;"|'''Antibiotic'''
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| | align="center" style="background:#f0f0f0;"|'''[[MRSA]]'''
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| |-
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| | [[Penicillins]]||[[Penicillin G]]||R
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| |-
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| | ||[[Penicillin V]]||R
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| |-
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| | ||[[Methicillin]]||R
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| |-
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| | ||[[Nafcillin]]/[[Oxacillin]]||R
| |
| |-
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| | ||[[Cloxacillin]]/[[Diclox.]]||R
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| |-
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| | Amino-[[Penicillins]]||[[AMP]]/[[Amox]]||R
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| |-
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| | ||[[Amox-Clav]]||R
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| |-
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| | ||[[AMP-Sulb]]||R
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| |-
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| | Anti-Pseudomonal [[Penicillins]]||[[Ticarcillin]]||R
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| |-
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| | ||[[Ticar-Clav]]||R
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| |-
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| | ||[[Pip-Tazo]]||R
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| |-
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| | ||Piperacillin||R
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| |-
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| | [[Carbapenems]]||Doripenem||R
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| |-
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| | ||[[Ertapenem]]||R
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| |-
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| | ||[[Imipenem]]||R
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| |-
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| | ||[[Meropenem]]||R
| |
| |-
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| | ||[[Aztreonam]]||R
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| |-
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| | [[Fluroquinolones]]||[[Ciprofloxacin]]||R
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| |-
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| | ||[[Ofloxacin]]||R
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| |-
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| | ||Pefloxacin||R
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| |-
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| | ||[[Levofloxacin]]||R
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| |-
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| | ||[[Moxifloxacin]]||I
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| |-
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| | ||Gemifloxacin||I
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| |-
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| | ||Gatifloxacin||I
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| |-
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| | 1st G [[Cephalo]]||Cefazolin||R
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| |-
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| | 2nd G. [[Cephalo]]||[[Cefotetan]]||R
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| |-
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| | ||[[Cefoxitin]]||R
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| |-
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| | ||[[Cefuroxime]]||R
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| |-
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| | 3rd/4th G. [[Cephalo]]||[[Cefotaxime]]||R
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| |-
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| | ||Cefizoxime||R
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| |-
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| | ||[[CefTRIAXone]]||R
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| |-
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| | ||Ceftaroline||S
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| |-
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| | ||[[CefTAZidime]]||R
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| |-
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| | ||[[Cefepime]]||R
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| |-
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| | Oral 1st G. [[Cephalo]]||Cefadroxil||R
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| |-
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| | ||[[Cephalexin]]||R
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| |-
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| | Oral 2nd G. [[Cephalo]]||Cefaclor/Loracarbef||R
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| |-
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| | ||Cefproxil||R
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| |-
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| | ||Cefuroxime axetil||R
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| |-
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| | Oral 3rd G. [[Cephalo]]||Cefixime||R
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| |-
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| | ||Ceftibuten||R
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| |-
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| | ||Cefpodox/Cefdinir/Cefditoren||R
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| |-
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| | [[Aminoglycosides]]||[[Gentamicin]]||R
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| |-
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| | ||Tobramycin||R
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| |-
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| | ||[[Amikacin]]||R
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| |-
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| | ||[[Chloramphenicol]]||R
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| |-
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| | ||[[Clindamycin]]||R
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| |-
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| | [[Macrolides]]||Erythromycin||R
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| |-
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| | ||[[Azithromycin]]||R
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| |-
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| | ||Clarithromycin||R
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| |-
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| | Ketolide||Telithromycin||R
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| |-
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| | Tetracyclines||[[Doxycycline]]||I
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| |-
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| | ||Minocycline||I
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| |-
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| | Glycylcycline||Tigecycline||S
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| |-
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| | ||Daptomycin||S
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| |-
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| | Glyco/Lipoclycopeptides||[[Vancomycin]]||S
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| |-
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| | ||Teicoplanin||S
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| |-
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| | ||Telavancin||S
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| |-
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| | ||Fusidic Acid||S
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| |-
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| | ||Trimethoprim||I
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| |-
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| | ||[[TMP-SMX]]||S
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| |-
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| | Urinary Agents||[[Nitrofurantoin]]||S
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| |-
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| | ||Fosfomycin||S
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| |-
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| | Other||[[Rifampin]]||S
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| |-
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| | ||[[Metronidazole]]||R
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| |-
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| | ||Quinupristin dalfoppristin||S
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| |-
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| | ||[[Linezolid]]||S
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| |-
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| | ||Colistimethate||R
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| |}
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| ===Key===
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| {{Template:Antibacterial Spectra Key}}
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| ==Prevention==
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| # good hand hygiene
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| # avoid sharing personal items with carriers
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| # wash common household items with bleach and hot water
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| # wash soiled sheets, towels, clothes in hot water with bleach and dry in hot dryer
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| # Eradicate carriers:
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| ##mupirocin 2%: apply to each nostril TID x 5days
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| ## Hibiclens wash daily x 5 days
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| ## consider oral antibiotics
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| | ==List of MRSA Antibiotics== |
| | {{#ask:[[Has MRSA::S]] |format=ul }} |
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| ==Table Overview== | | ==Table Overview== |
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| *[[Staph. aureus]] | | *[[Staph. aureus]] |
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| ==Source== | | ==References== |
| *EBmedicine.net
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| ==References== | | ==References== |
| <references/> | | <references/> |
| [[Category:ID]] | | [[Category:ID]] |
