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Do antibiotics make you tired ciprofloxacin

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Adults and adolescents

Gonococci (in young adults of reproductive age), nongonococcal bacteria (Staphylococcus aureus, beta-hemolytic streptococci, pneumococci), Neisseria meningitidis in unusual cases

Cervical, urethral, rectal, or pharyngeal infection with bacteremic dissemination (for gonococci); bacteremia (for staphylococci,streptococci, and pneumococci)


Group B streptococci, Escherichia coli (and other gram-negative enteric bacteria), S. aureus

Maternal-fetal transmission; IV punctures or catheters with bacteremic dissemination

Children ≤3 yr

Streptococcus pyogenes,Streptococcus pneumoniae,S. aureus

Bacteremia (eg, otitis media, URIs, skin infections, meningitis)

Age 3 yr to adolescence

S. aureus, streptococci, Neisseria gonorrhoeae,Pseudomonas aeruginosa,Kingella kingae

Bacteremia or contiguous spread

Children with meningitis, bacteremia, or palpable purpura

N. meningitidis (uncommon)


All ages

Viruses (eg, parvovirus B19; hepatitis B or hepatitis C virus; rubella virus [active infection and after immunization]; togavirus; chikungunya virus; varicella virus; mumps virus [in adults]; adenovirus; coxsackieviruses A9, B2, B3, B4, and B6; retroviruses, including HIV; Epstein-Barr virus)

Viremia or immune complex deposition

Patients with possible tick exposure

Borrelia burgdorferi (causing Lyme disease)


Patients with bite wounds (human, dog or cat, rat)

Often polymicrobial

Human: Eikenella corrodens, group B streptococci, S. aureus, oral anaerobes (eg, Fusobacterium sp, peptostreptococci, Bacteroidessp)

Dog or cat: S. aureus,Pasteurella multocida,Pseudomonas sp, Moraxellasp, Haemophilussp

Rat: S. aureus,Streptobacillus moniliformis,Spirillum minus

Direct joint penetration, usually of the small joints of the hands

The elderly

Patients with severe joint trauma or serious disease (eg, immunosuppression, hemodialysis, SLE, RA, diabetes, cancer)

Staphylococci (particularly in RA), gram-negative bacteria (eg, Enterobacter,P. aeruginosa,Serratia marcescens), Salmonella sp (particularly in SLE)

Urinary tract, skin

Patients with polyarticular infections

Patients with joint penetration (caused by injury, arthrocentesis, or arthrotomy), contiguous infection, diabetes, or cancer


Anaerobes (eg, Propionibacterium acnes,Peptostreptococcus magnus,Fusobacteriumsp, Clostridiumsp, Bacteroidessp); often as mixed infections with facultative or aerobic bacteria such as S. aureus,Staphylococcus epidermidis,E. coli

Pharyngitis, cellulitis, GI and GU infections

Abdomen, genitals, odontogenic infections, sinuses, ischemic limbs, decubitus ulcers

HIV-infected patients

S. aureus, streptococci, Salmonella sp, mycobacteria

Skin, mucous membranes, catheters

Injection drug use, indwelling vascular catheters (eg, for hemodialysis, apheresis, or parenteral nutrition)

Gram-negative bacteria, S. aureus,streptococci



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