Antibiotic regimens
Posted by dkwinter

     Otitis externa
          Initial treatment in otherwise healthy people
               Cipro/Dexamethasone otic <-can be used with perforated TM
               Ofloxacin otic <-can be used with perforated TM
          Secondary treatment
               Neomycin/Polymyxin B/hydrocortisone otic
               Acetic acid otic
               Hydrocortisone/acetic acid otic
          Refractory to initial treatment
               Cipro PO AND ( Cipro/Dexamethasone otic OR Ofloxacin otic)
          Malignant or necrotizing, primary options
               As for refractory but add debridement
          Malignant or necrotizing, secondary options
          Consider fungal etiology if treatment failure or dry/white appearance
     Otitis media, acute
          Delayed antibiotic therapy*, primary options   *an option in helathy patients 6 months or older with reliable follow-up, particularly patients who do not meet the diagnostic criteria or have a less certain diagnosis
          Delayed antibiotic therapy, secondary options
               Cefuroxime axetil
          Delayed antibiotic therapy, tertiary options
     Otitis media, chronic
          (Amoxicillin OR Bactrim) AND Prednisone
     Otitis media, chronic, cholesteatoma
     Erythema migrans or Stage 1 Lyme Disease
          In children greater than 9 years old
          In children less than 9 years old
          Alternatives for those who can't take Doxycycline or Amoxicillin
               Cefuroxime axetil
     Stage 3 Lyme Disease
          Ceftriaxone OR
          Penicillin G
     Scarlet fever
          Treatment of choice
               Penicillin V
      Cystic Fibrosis, acute pneumonia with coverage of P. aeruginosa (double-coverage is required), S. aureus and H. influenza
          First line
               IV Ceftazidime AND Gentamicin
               Ticarcillin AND Gentamicin
          Upon culture results, coverage for Staphylococcus may be added

Anaerobic lung infection