HEENT
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
Cipro/Hydrocortisone
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
Cefepime
Ticarcillin/clavulanate
Piperacillin
Imipenem/cilastatin
Aztreonam
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
Amoxicillin
Delayed antibiotic therapy, secondary options
Amoxicillin/clavulanate
Cefdinir
Cefuroxime axetil
Delayed antibiotic therapy, tertiary options
Azithromycin
Ceftriaxone
Otitis media, chronic
(Amoxicillin OR Bactrim) AND Prednisone
Ceftazidime
Otitis media, chronic, cholesteatoma
Cipro
Erythema migrans or Stage 1 Lyme Disease
In children greater than 9 years old
Doxycycline
In children less than 9 years old
Amoxicillin
Alternatives for those who can't take Doxycycline or Amoxicillin
Cefuroxime axetil
Erythromycin
Stage 3 Lyme Disease
Ceftriaxone OR
Penicillin G
Scarlet fever
Treatment of choice
Penicillin V
Alternatives
Erythromycin
Clindamycin
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
Alternatives
Cefepime
Imipenem/cilastatin
Upon culture results, coverage for Staphylococcus may be added
Nafcillin
Vancomycin
Anaerobic lung infection
Clindamycin
