Anaerobic bacteria: Difference between revisions

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==Background==
==Background==
#Origin - gut, mouth, head/neck (50% of chronic sinusitis), lung, female gu tract
*Origin - gut, mouth, head/neck (50% of chronic sinusitis), lung, female gu tract
#Cant grow unless culture specifically asked. 3% of bacteremia, <1% of cystitis
*Cant grow unless culture specifically asked. 3% of bacteremia, <1% of cystitis


==Organisms==
==Organisms==
#Bacteroides (GNR)
*Bacteroides (GNR)
#Peptostreptococus (GPC)  
*Peptostreptococus (GPC)  
#P. Acnes (GPR)
*P. Acnes (GPR)
#Clostridium (GPR)
*Clostridium (GPR)


==Antibiogram==
==Anerobic [[Antibiogram]]==
{| class="wikitable"
{{Template:Anaerobe Antibiogram}}
| align="center" style="background:#f0f0f0;"|'''Category'''
| align="center" style="background:#f0f0f0;"|'''Organism'''
| align="center" style="background:#f0f0f0;"|'''[[Actinomyces]]'''
| align="center" style="background:#f0f0f0;"|'''[[Bacteroides fragilis]]'''
| align="center" style="background:#f0f0f0;"|'''[[Prevotella melaninogenica]]'''
| align="center" style="background:#f0f0f0;"|'''[[Clostridium difficile]]'''
| align="center" style="background:#f0f0f0;"|'''[[Clostridium (not difficile)]]'''
| align="center" style="background:#f0f0f0;"|'''[[Fusobacterium necrophorum]]'''
| align="center" style="background:#f0f0f0;"|'''[[Peptostreptococcus sp.]]'''
|-
| [[Penicillins]]||[[Penicillin G]]||'''S'''||R||'''S'''||X2||'''S'''||I||'''S'''
|-
| ||[[Penicillin V]]||I||I||R||X1||'''S'''||I||'''S'''
|-
| [[Anti-Staphylocccal Penicillins]]||[[Methicillin]]||R||R||R||X1||X1||X1||'''S'''
|-
| ||[[Nafcillin]]/[[Oxacillin]]||R||R||R||X1||X1||X1||'''S'''
|-
| ||[[Cloxacillin]]/[[Diclox.]]||R||R||R||X1||X1||X1||'''S'''
|-
| Amino-[[Penicillins]]||[[AMP]]/[[Amox]]||'''S'''||R||'''S'''||X1||'''S'''||'''S'''||'''S'''
|-
| ||[[Amox-Clav]]||'''S'''||'''S'''||'''S'''||X1||'''S'''||'''S'''||'''S'''
|-
| ||[[AMP-Sulb]]||'''S'''||'''S'''||'''S'''||X2||'''S'''||'''S'''||'''S'''
|-
| Anti-Pseudomonal [[Penicillins]]||[[Ticarcillin]]||X1||R||'''S'''||X1||'''S'''||X1||'''S'''
|-
| ||[[Ticar-Clav]]||X1||'''S'''||'''S'''||X1||'''S'''||'''S'''||'''S'''
|-
| ||[[Pip-Tazo]]||X1||'''S'''||'''S'''||X1||'''S'''||'''S'''||'''S'''
|-
| ||Piperacillin||'''S'''||R||'''S'''||X2||'''S'''||X1||'''S'''
|-
| [[Carbapenems]]||Doripenem||X1||'''S'''||'''S'''||X2||'''S'''||'''S'''||'''S'''
|-
| ||[[Ertapenem]]||'''S'''||'''S'''||'''S'''||X2||'''S'''||'''S'''||'''S'''
|-
| ||[[Imipenem]]||'''S'''||'''S'''||'''S'''||X2||'''S'''||'''S'''||'''S'''
|-
| ||[[Meropenem]]||X1||'''S'''||'''S'''||X2||'''S'''||'''S'''||'''S'''
|-
| ||[[Aztreonam]]||R||R||R||R||R||X1||R
|-
| [[Fluroquinolones]]||[[Ciprofloxacin]]||R||R||R||R||I||X1||I
|-
| ||[[Ofloxacin]]||I||R||I||X1||I||X1||I
|-
| ||Pefloxacin||X1||R||X1||X1||X1||X1||X1
|-
| ||[[Levofloxacin]]||X1||R||'''S'''||R||'''S'''||X1||'''S'''
|-
| ||[[Moxifloxacin]]||'''S'''||I||'''S'''||R||I||I||'''S'''
|-
| ||Gemifloxacin||X1||R||X1||X1||X1||X1||X1
|-
| ||Gatifloxacin||'''S'''||I||'''S'''||R||'''S'''||X1||'''S'''
|-
| 1st G [[Cephalo]]||[[Cefazolin]]||X1||R||X1||X1||X1||X1||X1
|-
| 2nd G. [[Cephalo]]||[[Cefotetan]]||X1||I||'''S'''||X1||'''S'''||X1||'''S'''
|-
| ||[[Cefoxitin]]||X1||'''S'''||'''S'''||R||'''S'''||'''S'''||'''S'''
|-
| ||[[Cefuroxime]]||X1||R||'''S'''||X1||'''S'''||X1||'''S'''
|-
| 3rd/4th G. [[Cephalo]]||[[Cefotaxime]]||X1||R||'''S'''||R||'''S'''||X1||'''S'''
|-
| ||Cefizoxime||'''S'''||I||'''S'''||R||'''S'''||X1||'''S'''
|-
| ||[[CefTRIAXone]]||'''S'''||R||I||X1||'''S'''||X1||'''S'''
|-
| ||Ceftaroline||X1||R||X1||X1||X1||X1||X1
|-
| ||[[CefTAZidime]]||X1||R||'''S'''||X1||'''S'''||X1||'''S'''
|-
| ||[[Cefepime]]||X1||R||R||R||X1||X1||'''S'''
|-
| Oral 1st G. [[Cephalo]]||Cefadroxil||X1||X1||X1||X1||X1||X1||X1
|-
| ||[[Cephalexin]]||X1||R||X1||X1||X1||X1||'''S'''
|-
| Oral 2nd G. [[Cephalo]]||Cefaclor/Loracarbef||X1||R||'''S'''||X1||X1||X1||'''S'''
|-
| ||Cefproxil||X1||R||'''S'''||X1||'''S'''||X1||'''S'''
|-
| ||Cefuroxime axetil||X1||R||'''S'''||X1||'''S'''||X1||'''S'''
|-
| Oral 3rd G. [[Cephalo]]||Cefixime||X1||R||'''S'''||X1||R||X1||'''S'''
|-
| ||Ceftibuten||X1||R||X1||X1||X1||X1||X1
|-
| ||Cefpodox/Cefdinir/Cefditoren||X1||X1||X1||X1||X1||X1||X1
|-
| [[Aminoglycosides]]||[[Gentamicin]]||R||R||R||R||X1||R||R
|-
| ||Tobramycin||R||R||R||R||X1||R||R
|-
| ||[[Amikacin]]||R||R||R||R||X1||R||R
|-
| ||[[Chloramphenicol]]||X2||X2||'''S'''||I||'''S'''||'''S'''||'''S'''
|-
| ||[[Clindamycin]]||'''S'''||I||'''S'''||X1||I||'''S'''||'''S'''
|-
| [[Macrolides]]||Erythromycin||'''S'''||R||X1||X1||I||R||I
|-
| ||[[Azithromycin]]||'''S'''||R||'''S'''||X1||'''S'''||R||'''S'''
|-
| ||Clarithromycin||'''S'''||R||'''S'''||X1||'''S'''||R||I
|-
| Ketolide||Telithromycin||X1||X1||X1||X1||X1||X1||'''S'''
|-
| Tetracyclines||[[Doxycycline]]||'''S'''||I||'''S'''||X1||'''S'''||X1||'''S'''
|-
| ||Minocycline||'''S'''||I||'''S'''||X1||'''S'''||X1||'''S'''
|-
| Glycylcycline||Tigecycline||X1||'''S'''||'''S'''||X1||'''S'''||'''S'''||'''S'''
|-
| ||Daptomycin||X1||X1||X1||X1||X1||X1||X1
|-
| Glyco/Lipoclycopeptides||[[Vancomycin]]||'''S'''||R||R||'''S'''||'''S'''||X1||'''S'''
|-
| ||Teicoplanin||X1||X1||X1||'''S'''||'''S'''||X1||'''S'''
|-
| ||Telavancin||'''S'''||R||R||'''S'''||'''S'''||X1||'''S'''
|-
| ||Fusidic Acid||'''S'''||X1||'''S'''||X1||'''S'''||X1||'''S'''
|-
| ||Trimethoprim||X1||X2||X1||X1||X1||X1||X1
|-
| ||[[TMP-SMX]]||X1||R||X1||X1||X1||X1||X1
|-
| Urinary Agents||[[Nitrofurantoin]]||X1||X1||X1||X1||X1||X1||X1
|-
| ||Fosfomycin||X1||X1||X1||X1||X1||X1||X1
|-
| Other||[[Rifampin]]||X1||X1||X1||X1||X1||X1||X1
|-
| ||[[Metronidazole]]||R||'''S'''||'''S'''||'''S'''||'''S+'''||'''S'''||I
|-
| ||Quinupristin dalfoppristin||X1||X1||'''S'''||I||X2||X1||X1
|-
| ||[[Linezolid]]||X1||I||X1||I||X2||X1||'''S'''
|-
| ||Colistimethate||X1||X1||X1||X1||X1||X1||X1
|}


==Table Overview==
==Table Overview==
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*[[Microbiology (Main)]]
*[[Microbiology (Main)]]


== Source ==
==References==
<References/>


[[Category:ID]]
[[Category:ID]]

Latest revision as of 04:04, 18 August 2015

Background

  • Origin - gut, mouth, head/neck (50% of chronic sinusitis), lung, female gu tract
  • Cant grow unless culture specifically asked. 3% of bacteremia, <1% of cystitis

Organisms

  • Bacteroides (GNR)
  • Peptostreptococus (GPC)
  • P. Acnes (GPR)
  • Clostridium (GPR)

Anerobic Antibiogram

Category Organism Actinomyces Bacteroides fragilis Prevotella melaninogenica Clostridium difficile Clostridium (not difficile) Fusobacterium necrophorum Peptostreptococcus sp.
Penicillins Penicillin G S R S X2 S I S
Penicillin V I I R X1 S I S
Anti-Staphylocccal Penicillins Methicillin R R R X1 X1 X1 S
Nafcillin/Oxacillin R R R X1 X1 X1 S
Cloxacillin/Diclox. R R R X1 X1 X1 S
Amino-Penicillins AMP/Amox S R S X1 S S S
Amox-Clav S S S X1 S S S
AMP-Sulb S S S X2 S S S
Anti-Pseudomonal Penicillins Ticarcillin X1 R S X1 S X1 S
Ticar-Clav X1 S S X1 S S S
Pip-Tazo X1 S S X1 S S S
Piperacillin S R S X2 S X1 S
Carbapenems Doripenem X1 S S X2 S S S
Ertapenem S S S X2 S S S
Imipenem S S S X2 S S S
Meropenem X1 S S X2 S S S
Aztreonam R R R R R X1 R
Fluroquinolones Ciprofloxacin R R R R I X1 I
Ofloxacin I R I X1 I X1 I
Pefloxacin X1 R X1 X1 X1 X1 X1
Levofloxacin X1 R S R S X1 S
Moxifloxacin S I S R I I S
Gemifloxacin X1 R X1 X1 X1 X1 X1
Gatifloxacin S I S R S X1 S
1st G Cephalo Cefazolin X1 R X1 X1 X1 X1 X1
2nd G. Cephalo Cefotetan X1 I S X1 S X1 S
Cefoxitin X1 S S R S S S
Cefuroxime X1 R S X1 S X1 S
3rd/4th G. Cephalo Cefotaxime X1 R S R S X1 S
Cefizoxime S I S R S X1 S
CefTRIAXone S R I X1 S X1 S
Ceftaroline X1 R X1 X1 X1 X1 X1
CefTAZidime X1 R S X1 S X1 S
Cefepime X1 R R R X1 X1 S
Oral 1st G. Cephalo Cefadroxil X1 X1 X1 X1 X1 X1 X1
Cephalexin X1 R X1 X1 X1 X1 S
Oral 2nd G. Cephalo Cefaclor/Loracarbef X1 R S X1 X1 X1 S
Cefproxil X1 R S X1 S X1 S
Cefuroxime axetil X1 R S X1 S X1 S
Oral 3rd G. Cephalo Cefixime X1 R S X1 R X1 S
Ceftibuten X1 R X1 X1 X1 X1 X1
Cefpodox/Cefdinir/Cefditoren X1 X1 X1 X1 X1 X1 X1
Aminoglycosides Gentamicin R R R R X1 R R
Tobramycin R R R R X1 R R
Amikacin R R R R X1 R R
Chloramphenicol X2 X2 S I S S S
Clindamycin S I S X1 I S S
Macrolides Erythromycin S R X1 X1 I R I
Azithromycin S R S X1 S R S
Clarithromycin S R S X1 S R I
Ketolide Telithromycin X1 X1 X1 X1 X1 X1 S
Tetracyclines Doxycycline S I S X1 S X1 S
Minocycline S I S X1 S X1 S
Glycylcycline Tigecycline X1 S S X1 S S S
Daptomycin X1 X1 X1 X1 X1 X1 X1
Glyco/Lipoclycopeptides Vancomycin S R R S S X1 S
Teicoplanin X1 X1 X1 S S X1 S
Telavancin S R R S S X1 S
Fusidic Acid S X1 S X1 S X1 S
Trimethoprim X1 X2 X1 X1 X1 X1 X1
TMP-SMX X1 R X1 X1 X1 X1 X1
Urinary Agents Nitrofurantoin X1 X1 X1 X1 X1 X1 X1
Fosfomycin X1 X1 X1 X1 X1 X1 X1
Other Rifampin X1 X1 X1 X1 X1 X1 X1
Metronidazole R S S S S+ S I
Quinupristin dalfoppristin X1 X1 S I X2 X1 X1
Linezolid X1 I X1 I X2 X1 S
Colistimethate X1 X1 X1 X1 X1 X1 X1

Table Overview

Gram Positives
Cocci
Clusters
Pairs/Chains
Other
Rods
Gram Negatives
Cocci
Rods
Lactose Fermenters
Lactose Non-Fermenters
Other
Rods/Cocci
Anaerobes

See Also

References

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