Best Antibiotics
Metronidazole (classically below diaphragm OR intracranial)
-really is good for all anaerobes
Clindamycin (classically above diaphragm)
PCN+Beta-Lactamase Inhibitors
Species
Many species including:
Gram-positive
Clostridium
Peptostreptococcus
Gram-negative
Bacteroides (most common gi bug)
Prevotella
Fusobacterium
Typical Infections
- Intra-abdominal infections
- Abscesses at various sites
- Female genital tract infections
- Lung abscess/necrotizing pneumonia
- Deep-seated head & neck infections
- Soft tissue (especially w/ vascular compromise)
- Others (eg, Osteomyelitis, bacteremia)
Characteristics of Anaerobic Infections
Suppurative (forms pus)
Abscess formation
Tissue destruction
Mixed infections
Odor producing