159 - Infections Due to Pseudomonas, Burkholderia, and Stenotrophomonas Species

Question 1

PA (Pseudomonas Aeruginosa) is a G(_) bacteria. More common in __ and X4 patients.

Answer 1

cystic fibrosis 
immunosuppressed
burn patients
intubated 
wide spectrum ABx

Question 2

PA bacteremia is common in __ patients. It causes a cutaneous presentation __ characteristic of __/__/__ patients

Answer 2

ICU
ecthyma gangrenosum
immunosuppressed
neutropenic 
AIDS

Question 3

Acute __ is the most common presentation of pseudomonas, especially- __

Answer 3

pneumonia

VAP

Question 4

Acute pneumonia caused by pseudomonas is __ and __. CXr will show bilateral nodular __ sometimes with __

Answer 4

galloping
necrotic
infiltrations
cavitation

Question 5

Treating pneumonia caused by pseudomonas is based on strong beta lactam ABx for pseudomonas: 4

Answer 5

ceftazidime
cefepime
tzocin (Piperacillin / Tazobactam)
imipenem/meropenem

Question 6

Treating pneumonia caused by pseudomonas should last for __ days.

Answer 6

7

Question 7

In high risk patients with pneumonia caused by pseudomonas consider adding: __/__

Answer 7

aminoglycoside

fluoroquinolone

Question 8

Which patients are most likely to suffer from an endovascular pseudomonas infection?

Answer 8

IVDU

Question 9

Endovascular pseudomonas infection can cause __ and __

Answer 9

endocarditis

mechanical valve infection

Question 10

Less likely PA infections include:

Answer 10

bone/joint
CNS
cornea
swimmer's ear (auricle infection) 
skin/soft tissue