Shape cocci cocci cocci cocci cocci

G + + + + +
Cat + + + - -
Coag + - - - -
Oxidase - - - - -
Novobiocin - + - - -
Hemolytic - - - + alpha + alpha
Group - - - - Viridians
Maltose - - - - -
beta-
lactamase + - - - -
Pili - - - - -
IgA protease - - - + -
Aerobic - - - - -
Spore - - - - -
Motile - - - - -
Lactose
ferment - - - - -
H2S
producing - - - - -

Genus Staphylococcus Staphylococ Staphylococ Streptococcus Streptococcus

ID
Staph Saprophytic Virdians - Sanguis,
Staph Aureus Epidermidis us S. pneumoniae Mutans

Penicillin +
Gentamicin
(Aminoglycoside)
DOC Endocarditis =
MSSS - Nafcillin Azithromycin Penicillin IV - 4
MRSA - Vanc (Macrolide) + wk, or
VRSA - Quinupristin Ceftriazone Penicillin IV +
MRSA + Vanc allergy w/o (Ceph 3G) Gent - 2 wk, or
Pneumo = Daptomycin Ceft IV + Gent - 2
MRSA + Vanc allergy with allergy = Azi + wk
pneumonia = Linezolid Nafcillin Nafcillin Vanc

Subactue Pneumonia >

endo - IV 60 yo #1
drug Otitis media -
acute endocarditis IV Catheter, kids #1
drug prosthetic Meningitis - Subacute
Complicationsacute osteomyelitis infections UTI - sexuall adults #1 endocarditis
 1o - metro;
2o - carbipenem;
mouth/lung patho =
clindamycin (def not c-
Anaerobes difficile)

Pen resistant,
Penicillin
1/2G ceph,
Vanc/linezolid,
G(+) cocci macrolide + fluoroquin

Pen + lactamase inhib

3/4G ceph
Quinolone
Aminoglycoside
G(-) bacilli/r Carbapenem

G(+) cocci : pen G,

ampicillin, amoxicillin
G(-) bacilli : piperacillin,
Penicillin ticarcillin, mzlocillin

ciprofloxacin: G(-) +
peudomonas, not G(-)
Levo/gemi/moxi - floxacin
: G(+) + G(-), atypical
Quinolone pneumonia

Gentamycin, tobramycin,
Aminoglycosi amikacin, Aztreoman
erythromycin,
clarithromycin,
Macrolide aziothromycin
ESBL imipenem x 6 wk admit
 cocci cocci cocci cocci cocci
+ + + + -
- - - - +
- - - - -
- - - - +
- - - - -
+ beta + beta - gamma - gamma -
group A group B group D group D -
- - - - +

- - - - -
- - - - +
- - - - +
- - - - +
- - - - -
- - - - -

- - - - -

- - - - -

Streptococcus Streptococcus Streptococcus Streptococcus Neisseria

S. Pyogenes S. Agalactiae E. Faecalis S. Bovis N. meningitidis

Cefotaxime, or
Ceftriaxone

Ampicillin + Ampicillin + Meningitis = Ceft +

Pen G + Gentamycin Gentamycin Vanc + Amp +
Clindamycin (AMInoglycoside) (AMInoglycoside) ? Dexamethasone

Rheumatic UTI
fever Biliary tract
Post strep acute infection
GN Post op
Cellulitis Meningitis - endocarditis
Impetigo neonates #1 waterhouse-friderichsen
 cocci cocci, others rods rods rods
- - + + +
+
-
+
-
- + beta
-
-

+
+
+
+ + + +
- - - -
- +, tumbling

Neisseria Listeria Clostridium Nocardia

Moraxella
Veillonella
Eikenella Listeria Clostridium Nocardia
N. Gonorrhoeae Kingella Monocytogenes Diphteriae Asteroides

Outpt = IM Ceft x 1 + PO Doxy x 2wk, or

IM Ceft x 1 + PO Azithro x 1
(Doxy or Azithro covers
Chlamydia) Ampicillin + Antitoxin +
Inpt = Doxy + Cefotetan Gentamicin Erythromycin TMP-SMX

cavitary
myocarditis bronchopulmon
recurrent ary
largyneal nerve brain abscess
e-friderichsen meningitis, renalpalsy mycetoma
 rods rods rods rods rods rods
+ + + + + +

- + + - - -
- + + + + +
+ - + + +

Actinmyces
Severe
(WBC>15000,
Cr >1.5 = PO
Actinomyces Bacilus Clostridium Clostridium Vanc)
Clostridium
Israeli Bacilus Cereus Anthracis Tetani Botulinum Difficile
Toxic
Megacolon = IV
Vanc + metro

On presentation
= PO metro

1st recurrent =
PO metro
Prevent = 2nd = PO Vanc
Toxoid vaccine + taper +
DOC = probiotic
Hyperimmune 3rd =
Ciprofloxacin, globulin Trivalent anti- Fidomoxicin
Penicillin + symptomatic or Penicillin + toxin + 4th = faecal
drain support doxycyclin Spasmolytic Penicillin transplant

Edema factor
cervicofacial - skin ulcer -
lumpy jaw painless Pseudomembra
IUD infections Eschar black nous colitis +
brain abscess - Woolsorters Flaccid Paralysis diarhoea
solitary disease canned food usually 2nd to
Mycetoma Fried rice Pneumonia Spastic paralysis poison clindamycin
 rods rods rods rods rods rods
+ - - - - -

- + + + + +
+
-

Clostridium Bordetella Pseudomonas

Perfringens pertussis Brucella Sp F Tularensis Penicillin +
L pneumophilia Aeruginosa
DOC: Pen G + Gentamycin
Clindamycin +
debridement + Nosocomial
hyperbaric O2 Pneumonia =
Linezolid
Anaerobes in (Blactam) +
general: Gentamycin
1o - metro (non Blactam) +
2o - Ceftazidine (for
carbipenem MRSA)
(best) Prev = toxoid + need doubel
filamentous cover for
clindamycin hemaggluttin nosocomial
only good for Pseudo = B-
mouth/lung DOC - rifampin + lactam + non
anaerobe erythromycin doxycyclin streptomycin Erythromycin Beta
CF pneumonia
IV drug
osteomyelitis
Burns infection
Ecthyma
Food poisoning rats, rodents gangrenosum
Gas gangrene unpasteurised granulomatous Nosocomial
Myonecrosis milk rxn pneumonia
 rods spirochete spirochete spirochete rods rods
- - - - - -

+
- + + / facultative + / facultative

Treponema Borellia
Bacteroides pallidum Burgdorferi Leptospira P multocida H influenzae
Lyme dz
(deer/mice ticks
= scapularis):
- erythema
migrans, target
lesion

Stage 1 (3d -
1mo) = RASH =
aziothromcin Contaminated
(amoxicillin, water, animal Meningitis 1-2
doxy) urine yr
Ceftriaxone + Stage 2 (wks) = Otitis media
Metro, or MALAISE, LN, Fever, jaundice, Penumonia
Ciprofloxacin + Benzyl penicillin HA
Pen= Pen G , or
uremia amox + clavinic Acute
Metro B IM x 1 Azithro
ceftriazone Doxycyclin acid epiglottitis
Syphilis, Stage 3 (mo-yr) Non-icteric
1o-painless = BELLS, leptospirosis =
chancre, MENINGITIS, meningitis
infectious HA, Prev = HIB vax,
2o - rash MYOCARDITIS, icteric Lepto = rifampin
aspiration infectious ARHTRITIS = wells dx, renal
pneumonia 3o - gummas, Ceftriaxone + failure, Cefotaxime,
Vincents angina CVS, CNS Doxycylin myocarditis Ceftriaxone
 rods rods rods rods rods rods
- - - - - -
+ + +

+ + -

+ / facultative + / facultative + / facultative + / facultative + / facultative + / facultative

+ +

+ + - -

Enterobacteriae Enterobacteriae Enterobacteriae Enterobacteriae

Helicobacter
Pylori
Campylobacter Klebs Serrata
Vibrio vulnificus Jejuni E coli pneumoniae Marsescens Proteus

Pylori =
omeprazole +
amoxicillin +
clarithromycin
Amikacin
Jejuni = (aminoglycosid
Erythromycin + Ampicillin, or e) + Aztrenam
fluoroquinolone Trimethoprim - Ceftriaxone + Meningitis = Fluoroquinolon
tetracycline s sulfo Gent meropenum e

UTI #1
EHEC O157:H7 Pneumo +
(Hemorrhagic currant jelly
colitis, sputum / Staghorn
Hemolytic alcoholism, calculi,
uremia) UTI UTI
 rods rods rods rods
- - - -

+ / facultative + / facultative + / facultative+ / facultative

+ - -

- - -

+ - -

Enterobacteriae Enterobacteriae Enterobacteriae

Salmonella
Enterica Shigella Yersinia Pestis

Fluoroquinolon
e Streptomycin +
cephalosporin Fluid + Azithro Quarantine

Bloody
diarrhoea
Enterocolitis
Bubonic plaqe, fever, buboes, conjunctivitius