ATB_espectro

Prévia do material em texto

Espectro de ação dos 
antimicrobianos
Penicilinas Cefalosporinas
Carbapenêmicos e 
Monobactâmico
Glicolipopeptídeos 
e Oxazolidinona Aminoglicosídeos
Lincosamida e 
Macrolídeos
Tetraciclinas e 
Polimixina Quinolonas Outros
 P
en
ic
ili
n
a 
G
 P
en
ic
ili
n
a 
V
 
 O
xa
ci
lin
a
A
m
p
ic
ili
n
a
 A
m
ox
-C
la
v
 P
ip
-T
az
o
 C
ef
al
ex
in
a
 C
ef
az
ol
in
a
 C
ef
ox
it
in
a
 C
ef
u
ro
xi
m
a
 C
ef
tr
ia
xo
n
a
 C
ef
ta
zi
d
im
a
 C
ef
ep
im
e
 C
ef
ta
z-
A
vi
b
ac
 C
ef
ta
ro
lin
e
 E
rt
ap
en
em
 Im
ip
en
em
 M
er
op
en
em
 A
zt
re
on
am
 T
ei
co
p
la
n
in
a
 V
an
co
m
ic
in
a
 D
ap
to
m
ic
in
a
 L
in
ez
ol
id
a
 G
en
ta
m
ic
in
a
 T
ob
ra
m
ic
in
a
 A
m
ic
ac
in
a
 P
la
zo
m
ic
in
a
 C
lin
d
am
ic
in
a
 E
ri
tr
om
ic
in
a
 A
zi
tr
om
ic
in
a
 C
la
ri
tr
om
ic
in
a 
 D
ox
ic
ic
lin
a
 M
in
oc
ic
lin
a
 T
et
ra
ci
cl
in
a
 T
ig
ec
ic
lin
a
 P
ol
im
ix
in
a 
B
 N
or
flo
xa
ci
n
a
 C
ip
ro
flo
xa
ci
n
a
 L
ev
of
lo
xa
ci
n
a
 M
ox
ifl
ox
ac
in
a
 S
M
X
-T
M
P
 M
et
ro
n
id
az
ol
 C
lo
ra
n
fe
n
ic
ol
Cocos Gram Positivos Legenda
Enterococcus ++ 0 0 ++ + + 0 0 0 0 +/- 0 0 0 0 +/- +/- +/- 0 ++ ++ + + +/- 0 0 0 0 0 0 0 +/- +/- +/- + 0 + +/- + + 0 0 +/-
VRE 0 0 0 +/- +/- +/- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 + ++ +/- 0 0 0 0 0 0 0 +/- +/- +/- +/- 0 0 0 0 0 0 0 +/- 0 Sem ação
Staphylococcus aureus +/- +/- ++ +/- + + + ++ + + + +/- + + + + + + 0 + + + + +/- ? ? 0 + +/- +/- +/- + + + + 0 0 0 + + + 0 +
MRSA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 + 0 0 0 0 ++ ++ ++ ++ +/- ? ? 0 +/- 0 0 0 + + +/- + 0 0 0 0 0 + 0 + +/- Ação variável
Staphylococcus epidermidis +/- +/- ++ +/- + + + ++ + + + +/- + + + + + + 0 + + + + +/- ? ? 0 + + + + + + + + 0 0 + + + + 0 +
Streptococcus sp. ++ ++ + + + + + + + + + + + + + + + + 0 + + + + +/- 0 0 0 + +/- +/- +/- ? ? ? + 0 0 +/- +/- +/- +/- 0 + + Ativo
Bacilos Gram Positivos
Listeria monocytogenes + 0 0 ++ + + 0 0 0 0 0 0 0 0 0 ? ? +/- 0 0 0 0 + +/- ? ? 0 0 0 0 0 0 0 0 0 0 0 0 + + + 0 0 ++ Droga de escolha
Nocardia sp. 0 0 0 0 +/- ? 0 0 0 0 +/- 0 0 0 0 0 ++ + 0 0 0 0 + 0 0 ++ 0 0 0 ? ? ? +/- 0 ? 0 0 0 0 0 ++ 0 0
BGN Enterobactérias ? Dados insuficientes
Campylobacter jejuni 0 0 0 0 + 0 0 0 0 0 + + + + ? + + + ? 0 0 0 0 + + + ? ? ++ ++ + +/- +/- +/- ? 0 0 + + + 0 0 ?
Escherichia coli 0 0 0 +/- + + +/- + + + + + + + + + + + + 0 0 0 0 + + + + 0 0 +/- 0 +/- +/- +/- + + + + + + +/- 0 +
ESBL 0 0 0 0 0 +/- 0 0 +/- 0 0 0 0 + 0 + ++ ++ 0 0 0 0 0 +/- +/- +/- ++ 0 0 0 0 0 0 0 + + +/- +/- +/- +/- +/- 0 +/-
ERC / KPC 0 0 0 0 0 0 0 0 0 0 0 0 0 ++ 0 0 0 0 0 0 0 0 0 +/- +/- +/- ++ 0 0 0 0 0 0 0 + + 0 0 0 0 +/- 0 0
Klebsiella pneumoniae 0 0 0 0 + + +/- + + + + + + + + + + + + 0 0 0 0 + + + + 0 0 0 0 0 +/- 0 + + + + + + +/- 0 +
Morganella sp. 0 0 0 0 0 + 0 0 + 0 + + ++ + + + +/- + + 0 0 0 0 + + + + 0 0 0 0 0 0 0 ? 0 + + + ? +/- 0 ?
Proteus vulgaris 0 0 0 0 + + 0 0 + + + + + + ? + +/- + + 0 0 0 0 + + + + 0 0 0 0 0 0 0 0 0 + + + + +/- 0 +/-
Providencia sp. 0 0 0 0 0 + 0 0 + 0 + + + + ? ++ +/- ++ + 0 0 0 0 +/- +/- + + 0 0 0 0 0 0 0 ? 0 + + + + +/- 0 ?
Serratia marcescens 0 0 0 0 0 + 0 0 0 0 + + + + ? + + + + 0 0 0 0 + + + + 0 0 0 0 0 0 0 + 0 0 + + + + 0 0
BGN não enterobactérias
Haemophilus influenzae 0 0 0 +/- ++ + 0 0 + + ++ + + + + + + + + 0 0 0 0 0 0 0 0 0 0 + + + + + + 0 0 + ++ ++ + 0 +
Legionella sp. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ++ ++ ++ + + + + 0 0 ++ ++ ++ + 0 0
Leptospira sp. ++ 0 0 + + + ? ? ? ? ++ ? + + ? + + + + 0 0 0 0 0 0 0 0 0 + ++ + ++ + + ? 0 0 + + + ? 0 +
Moraxella catarrhalis 0 0 0 0 ++ + 0 0 +/- + + + + + + + + + + 0 0 0 0 0 0 0 0 0 + + + + + + ? 0 0 + + + + 0 0
Neisseria meningitidis + 0 0 ++ 0 + 0 0 0 + ++ + + + ? + + + + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ? ? ? 0 0 +
Rickettsia rickettsii 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 +/- + + + ? 0 0 +/- +/- +/- 0 0 +
Treponema pallidum ++ 0 0 0 0 0 0 0 0 0 + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 + 0 + ? + ? 0 0 0 0 0 0 0 0
BGN não fermentadores
Acinetobacter baumannii 0 0 0 0 0 +/- 0 0 0 0 +/- +/- +/- ? ? 0 ++ +/- 0 0 0 0 0 0 0 +/- 0 0 0 0 0 0 +/- +/- + + 0 +/- +/- +/- +/- 0 0
Pseudomonas aeruginosa 0 0 0 0 0 + 0 0 0 0 0 + + + 0 0 + + + 0 0 0 0 + + + +/- 0 0 0 0 0 0 0 0 + 0 + + 0 0 0 0
Stenotrophomonas maltophilia 0 0 0 0 0 +/- 0 0 0 0 0 +/- 0 +/- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 + + 0 + + 0 0 +/- +/- ++ 0 +
Sem parede celular
Chlamydia trachomatis 0 0 0 + 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 + ++ + ++ + + 0 0 0 0 ++ + 0 0 0
Mycoplasma pneumoniae 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 +/- +/- +/- ++ ++ ++ + 0 0 + ++ ++ 0 0 0
BGN anaeróbios
Bacteroides fragilis 0 0 0 0 ++ ++ 0 0 +/- 0 0 0 0 0 0 ++ ++ ++ 0 0 0 0 0 0 0 0 0 +/- 0 0 0 +/- +/- +/- + 0 0 0 0 +/- 0 ++ +
Fusobacterium necrophorum +/- +/- 0 +/- + + ? 0 + ? + ? ? ? ? + + + 0 0 0 0 0 0 0 0 0 + 0 0 0 + + + + 0 0 0 0 ? 0 ++ +
Gram positivos anaeróbios
Clostridium difficille 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ++ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ++ 0