Organisms
|
First choice
|
Second choice
|
Third
choice
|
Gram (+)
cocci: lancet-shaped with capsule = S pneumoniae
|
Cefozalin
|
Penicilin G
|
Vancomycin /
ceftazimide
|
Gram (+) rods:
slender and varying in length-Mycobacterium fortuitum, Nocardia species,
Actinomyces species
|
Amikacin
|
Ciprofloxacin
|
|
Other gram (+)
organisms: cocci / rods
|
Cefozalin
|
Penicilin G
|
Vancomycin /
ceftazimide
|
Gram (-) cocci
|
Ceftriazone
|
Penicilin G
|
Vancomycin /
cefazolin
|
Gram (-) rods:
thin = Psedomonas
|
Tobramycin /
gentamicin
|
Ciprofloxacin
|
Polymycin B /
carbenicillin
|
Gram (-) rods:
large, square-ended diplobacilli = Morazella
|
Penicillin G
|
Gentamycin
|
Tobramycin
|
Other Gram (-)
rods
|
Tobramycin
|
Ceftazidime
|
Gentamycin /
carbenicillin
|
Yeast-like
organisms = Candida species
|
Natamycin
|
Amphotericin B
|
Nystatin,
miconazole / flucytosine
|
Hyphae-like
organisms = fungal ulcer
|
Natamycin
|
Amphotericin B
|
Miconazole
|
Cysts,
trophozoites = Acanthamoeba
|
Propamidine
and polyhexamethylene biguanide
|
Propamidine /
neomycin
|
Paromomycin /
miconazole
|
No organism
identified; ulcer suggestive of bacterial infection
|
Tobramycin and
cefozalin
|
Ciprofloxacin
|
Gentamycin,
ceftazimide / vancomycin
|
No organism
identified; ulcer suggestive of fungal infection
|
Natamycin
|
Amphotericin B
|
Miconazole
|
a. Tabel 1: Pengobatan untuk keratitis bakteri, jamur, atau amebik
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