What antibiotic is Pseudomonas sensitive to?
The organism is usually sensitive to imipenem, penicillin, doxycycline, azlocillin, ceftazidime, ticarcillin-clavulanic acid, and ceftriaxone. Initiate treatment early in the course of the disease. The organism is resistant to ciprofloxacin and aztreonam.
When do you add Pseudomonas coverage?
The IDSA 2016 guidelines recommend double-coverage for pseudomonas if any of the following criteria are met: (a) prior IV antibiotic use within 90 days, (b) septic shock, (c) ARDS, (d) VAP developing more than four days after hospitalization, (e) acute renal replacement therapy prior to VAP, (f) patients in units where …
Do fluoroquinolones cover Pseudomonas?
All three 4-quinolones were found to possess higher MICs against Pseudomonas aeruginosa than against other Gram-negative bacteria.
Does amoxicillin cover Pseudomonas?
P. aeruginosa skin infection isolates were 100% resistant to ampicillin and amoxicillin, highly resistant to tetracycline (95%), amoxicillin/clavulanate (95%), cefalexin (87%) and azithromycin (84%), and susceptible to amikacin (87%), norfloxacin (71%) and meropenem (68%).
What IV antibiotics treat Pseudomonas?
Medication Summary Pseudomonas infection can be treated with a combination of an antipseudomonal beta-lactam (eg, penicillin or cephalosporin) and an aminoglycoside. Carbapenems (eg, imipenem, meropenem) with antipseudomonal quinolones may be used in conjunction with an aminoglycoside.
Does clindamycin cover Pseudomonas?
Most aerobic Gram-negative bacteria (such as Pseudomonas, Legionella, Haemophilus influenzae and Moraxella) are resistant to clindamycin, as are the facultative anaerobic Enterobacteriaceae. A notable exception is Capnocytophaga canimorsus, for which clindamycin is a first-line drug of choice.
What bacteria do fluoroquinolones cover?
Fluoroquinolones are active against a wide range of aerobic gram-positive and gram-negative organisms. Gram-positive coverage includes penicillinase- and non-penicillinase producing Staphylococci, Streptococcus pneumoniae and viridans, Enterococcus faecalis, Listeria monocytogenes, and Nocardia species.