LAB WORK
TREATMENT
CONSULT ID FOR ANY STAPH AUREUS BACTEREMIA. PO ANTIBIOTICS ARE INADEQUATE TREATMENT FOR STAPH AUREUS BACTEREMIA AT ANY POINT IN THERAPY. STAPH AUREUS IN A BLOOD CULTURE IS NEVER A CONTAMINANT.
- Gram +, catalase +, coagulase +
TREATMENT
CONSULT ID FOR ANY STAPH AUREUS BACTEREMIA. PO ANTIBIOTICS ARE INADEQUATE TREATMENT FOR STAPH AUREUS BACTEREMIA AT ANY POINT IN THERAPY. STAPH AUREUS IN A BLOOD CULTURE IS NEVER A CONTAMINANT.
- Anti-staph penicillins (these are penicillinase-resistant penicillins; bactericidal, rapid killing)
- nafcillin, oxacillin, dicloxacillin
- Alternate: cefazolin, cephalexin (cephalosporins are also bactericidal)
- Other Agents (these are bacteriostatic)
- Bactrim
- Clindamycin (CAUTION: some strains have genes that allow for inducible resistance)
- Vancomycin
- Tetracyclines