152.4 📌 章末速蚘

  • Gram + clusters, coagulase + = S. aureus
  • mecA → PBP2a = MRSA
  • HA vs CA-MRSA (PVL, SCCmec, treatment)
  • MSSA: nafcillin/cefazolin (NOT vanco!)
  • MRSA: vanco / daptomycin (not lung) / linezolid / ceftaroline
  • SAB: ID consult, TEE, repeat blood cx, source control
  • TSS: vanco + clinda (toxin) ± IVIG
  • CoNS: prosthetic / biofilm; S. lugdunensis aggressive
  • Decolonization pre-op cardiac/ortho 降 SSI