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Crozer Keystone Residency Manual > 3-Bugs and Drugs > Flashcards

3-Bugs and Drugs Flashcards

1
Q

What are Gram (+) catalase (+) cocci in clusters?

A

Staph aureus

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2
Q

What is the DOC for Staph aureus?

A

Keflex

Cefazolin (Ancef)

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3
Q

Alternative DOC for Staph?

A

Clindamycin, Levaquin, Vancomycin, Azithromycin, dicloxacillin, nafcillin

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4
Q

Alternative DOC for Staph if PCN allergy?

A

clindamycin
Vancomycin
Azithromycin
Levaquin

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5
Q

What is the DOC for MRSA?

A 
IV Vancomycin 
PO Bactrim (if sensitive)
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6
Q

Alternative DOC for MRSA?

A

Linezolid (Zyvox)

or Synercid

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7
Q

topical DOC for MRSA?

A

bactroban

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8
Q

DOC for strep?

A

Keflex

or Ancef

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9
Q

alternative DOC for strep?

A

clindamycin
Levaquin
Vancomycn

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10
Q

alternative DOC for strep if PCN allergy?

A

clindamycin
Levaquin
vancomycin

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11
Q

DOC for enterococcus?

A

amoxicillin

vancomycin

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12
Q

alternative DOC for enterococcus?

A

augmentin

Linezolid

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13
Q

alternative DOC for vancomycin-resistant enterococcus (VRE)?

A

linezolid

or synercid

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14
Q

DOC for diptheroids?

A

vancomycin

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15
Q

what is a short Gram (-) rod?

A

E. coli

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16
Q

DOC for E. coli?

A

Keflex or Ancef

17
Q

alternative for E. coli if PCN allergy?

A

cipro

or levaquin

18
Q

DOC for Proteus?

A

Keflex or ampicillin

19
Q

alternatives for proteus if PCN allergy?

A

Cipro of levaquin

20
Q

DOC for psuedomonas?

21
Q

alternative DOC for pseudomonas?

A

3rd gen Ceph
Aztreonam
Zosyn
Timentin

22
Q

DOC for lyme disease?

A

doxycyline

or Rocephin

23
Q

alternative DOC for lyme disease?

A

amoxicillin

24
Q

DOC for bacteroides?

A

Augmentin
Zosyn
Unasyn
Timentin

25
Q

Name some Gram (-) examples.

A

E. coli
Proteus
Pseudomonas

26
Q

Name some anaerobes.

A

Bacteroides

Clostridium

27
Q

alternative DOC for bacteroides if PCN allergy?

A

clindamycin/ Cipro
Primaxin
Flagyl

28
Q

DOC for clostridium?

A

penicillin
imipenem
clindamycin
tetracycline

29
Q

what are 2 soft tissue manifestations caused by Clostridium?

A

anaerobic cellulitis and gas gangrene

30
Q

Why is gas gangrene a surgical emergency?

A

rapidly progresses to shock and renal failure and is fatal in 30% of cases

31
Q

DOC for necrotizing fasciitis?

A

primaxin (imipenem/cilastatin)

32
Q

DOC for superficial thrombophlebitis?

33
Q

DOC for cutaneous larva migrans?

A

promethia under occlusion

34
Q

what is the most common organism causing osteomyelitis following a puncture wound?

A

pseudomonas aeruginosa

35
Q

what is the msot common organism that causes acute hematogenous osteomyelitis?

A

adults- staph aureus

elderly- Gram neg. rods

36
Q

what is teh difference btwn cellulitis and erysipelas?

A

cellulitis- confined superficial infection

erysipelas- superficial infection that extends into lymphatics

37
Q

if the patient is currently on an abx, how long should it be stopped before taking a wound culture?

A

48 hours (at least)

Crozer Keystone Residency Manual (8 decks)

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