Antibiogram - What antibiotic covers this bug???

This is an antibiogram that I used during medical school at UCSF. I think it was created by the pharmacology department at San Francisco General Hospital. This diagram is so helpful for visual learners like me. I'll go through as best I can based on the colors and quadrants of the diagram. 

  • Red - this color represents gram positive bacteria. All drugs listed in the left upper quadrant (LUQ) have gram positive coverage. 
    • The outer section of the LUQ represents  MRSA coverage.  
    • In this area we see that vancomycin, daptomycin, linezolid, doxycycline, and clindamycin, and TMP/SMX (Bactrim) all cover MRSA. On the other hand, amoxicillin, ampicillin, cephalexin cover gram-positives excluding MRSA. 
  • Yellow - this color represents atypical bacteria. 
    • Drugs that cover atypicals include doxycycline, azithromycin, moxifloxacin, levofloxacin, and ciprofloxacin (weak). 
  • Green -represents gram negative bacteria. The outer section of the quadrant represents pseudomonas coverage. 
    • Drugs that cover gram negatives (HNPEK: H. influenzae. Neisseria gonorrhoeae. Proteus. E. coli. Klebsiella)  include TMP/SMX (Bactrim), ceftriaxone, moxifloxacin, levofloxacin, ciprofloxacin, gentamicin, aztreonam, ertapenem, meropenem, pip/tazo (Zosyn), and amox/clav (Augmentin).
  • Blue -  represents anaerobes. Drugs that cover anaerobes include amox/clav (Augmentin), pip/tazo (Zosyn), metronidazole (Flagyl), ertapenem, meropenem, and moxifloxacin.
  • Black - represents parasites and is covered by TMP/SMX (Bactrim) and Metronidazole (flagyl). 

I hope you find this diagram helpful. If so then leave a comment. 

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CleavonMD
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MedFarm
MedFarm
Feb. 21, 2018

Great biogram, it's a little hard to follow at first, but you did a good job with breaking it down!

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CleavonMD
CleavonMD
Feb. 22, 2018
Yeah! It took me a little while to figure it out. It comes in handy when patients have allergies to first-line antibiotics and I'm looking for alternate coverage. 
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