36.3 Antibiotic Resistance

Question 1

4 things to consider for empiric therapy

Answer 1

severity of infection
host susceptibility
range of causative organisms
anatomic site

Question 2

2 most common bacteria in otitis media?

Answer 2

pneumococcus

non-tapeable haemophilus

Question 3

who gets most benefit from Abx in otitis media?

Answer 3

bilateral
pyorrhoea
<6months
indigenous
trisomy 21

Question 4

what is watch and wait approach to otitis media?

Answer 4

give a script and say to fill if not better in 24-48hours

Question 5

sore throat, what are you worried about?

Answer 5

Group A strep/Strep Pyogenes

Question 6

sore throat, which group of kids risk?

Answer 6

previous complications

high risk, maori, torres strait islanders

Question 7

what score to use for sore throat?

Answer 7

centaur score
temp >38
no cough
tender anterior cervical nodes
tonsillar swelling/exudate
age 3-14

Question 8

which groups have higher risk of bacterial pneumonia?

Answer 8

low

middle income countries

Question 9

most common cause of meningitis in neonates?

Answer 9

strep agalectiae (GBS)
can be e.coli

Question 10

risk factors for neonatal sepsis?

Answer 10

prematurity
low birth weight
maternal chorioamnionitis
PROM

Question 11

how long to give empirical Abx if culture is negative?

Answer 11

2-3 days only, safe to stop if culture is negative

Question 12

pneumococcal resistance if meningitis, what empiric?

Answer 12

vancomycin

Question 13

fluoroquinolone in kids, in which settings? 3 main ones

Answer 13

resistant UTI
typhoid
pseudomonas

Question 14

adverse effects of antibiotics?

Answer 14

GI
self-limiting rashes
non-effect (eg. viruses)

Question 15

neisseria meningitidis appearance?

Answer 15

gram negative cocci