what's a good method for organizing what drug to use for what bacteria?

[axeon123]

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Let's say I'm familiar with the drug and how it works. But the clinical use in FA feels like it's all over the place (gram negative this and that, list a bunch of other organisms, etc). Is there a good way to organize it for the step1? Thanks.

 

[Igor4sugry]

I would focus on learning mechanisms of action and resistance cold for all the micro drugs.

There is not much emphasis on knowing exactly which drug is for what bug; but it is still important to know the big things such as treatment of PID, prophylaxis meds, etc...

 

[HTxFrog]

yeah you are not going to get something where you have to know that tetracyclines VACUUM the BedRoom or something and they want you to choose from 5 drugs to cure a patient with Ureaplasma Urealyticum or whatever it is just know treatment for big stuff like atypical pneumonia STDs and stuff and MOA. Oh and know that a lot of stuff thats intracellular can't really be killed by penicillins/cephalosporins that helps me

 

[IMGUSMLEStep1]

This is something that I find difficult too. When I start Micro, I'm going to create a list of the major organisms and the drug of choice for treatment or prophylaxis.

 

[axeon123]

whew. that's a relief and makes life so much easier. i'll just focus on general treatment of organisms then. 🙂

 

[lord_jeebus]

I think it is better and easier to memorize the spectra of antibiotics, rather than lists of antibiotics that can be used for every organism.

The exception would be organisms with very specific treatments that are almost always used, eg. TB.

And on top of that, a few specific empiric regimens (eg. meningitis, community-acquired PNA, etc.) when the organism is not known.