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Extra info for Critical Care Medicine (2005 Edition)
Meningitidis, S. pneumoniae Gram-negative bacilli, Listeria, Group B strep Ampicillin and ceftriaxone or cefotaxime and vancomycin Neurosur gery/head in jury S. aureus, S. epidermidis Diphtheroids, Gram-negative bacilli Vancomycin and Ceftazidime Immunosuppr ession Listeria, Gram negative bacilli, S. pneumoniae, N. meningitidis Ampicillin and Ceftazidime (con sider adding Vancomycin) CSF shunt S. aureus, Gram negative bacilli Vancomycin and Ceftazidime Antibiotic Choice Based on Gram’s Stain Stain Results Organism Antibiotic Gram's (+) cocci S.
Reptilase time should be checked if the patient is also receiving heparin. Pa tient's blood should be typed and crossed because urgent transfusion may be needed. Cryoprecipitate (10 units over 10 minutes) should be transfused to correct the lytic state. Transfusions may be repeated until the fibrinogen level is above 100 mg/dL or hemostasis is achieved. Cryoprecipitate is rich in fibrinogen and factor VIII. Fresh frozen plasma transfusion is also important for replacement of factor VIII and V.
Coli Ceftriaxone or cefotaxime and vancomycin 3 months to 18 years N. meningitidis, S. pneumoniae, H. influenzae Ceftriaxone or cefotaxime and vancomycin 18-50 years S. pneumoniae, N. meningitidis Ceftriaxone or cefotaxime and vancomycin Older than 50 years N. meningitidis, S. pneumoniae Gram-negative bacilli, Listeria, Group B strep Ampicillin and ceftriaxone or cefotaxime and vancomycin Neurosur gery/head in jury S. aureus, S. epidermidis Diphtheroids, Gram-negative bacilli Vancomycin and Ceftazidime Immunosuppr ession Listeria, Gram negative bacilli, S.