antibiotics Flashcards

1
Q

what are the four types of infective endocarditis

A

native valve endocarditis
intravenous drug use
prosthetic valve
gut bound bacterial endocarditis

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2
Q

what microbacteria causes native valve endocarditis

A

viridans streptococci

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3
Q

what causes intravenous drug use endocarditis

A

staphylococcus aureus

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4
Q

what causes prosthetic valve endocarditis

A

staphylococcus epidermidis

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5
Q

what causes gut bound bacterial endocarditis

A

enterococcus faecalis and streptococcus boulis

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6
Q

antibiotic for native valve endocarditis

A

amoxicillin IV

Gentamicin IV

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7
Q

antibiotic for intravenous drug use endocarditis

A

fluoxacillin IV

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8
Q

antibiotic for prosthetic valve endocarditis

A

vancomycin
gentamycin IV
Rifampicin PO

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9
Q

antibiotic for gut bound bacterial endocarditis

A

amoxicillin

vancomycin and gentamicin IV

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10
Q

antibiotic for viridans streptococci

A

amoxicillin IV

gentamicin IV

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11
Q

antibiotic for staphylococcus aureus

A

Fluoxacillin IV

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12
Q

antibiotic for staphylococcus epidermis

A

vancomycin
gentamicin iv
rifampicin PO

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13
Q

antibiotic for enterococcus faecalis and streptococcus boulis

A

amoxicillin

vancomycin and gentamicin IV

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14
Q

three main types of pneumonia

A

community acquired
hospital acquired
aspiration

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15
Q

how is the severity of pneumonia graded

A

CURB 65 score

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16
Q

antibiotics for mild/moderate (0-2) pneumonia

A

amoxicillin IV/PO 5 days

or doxycycline PO (penicillin allergy)

17
Q

antibiotics for severe (3-5) pneumonia

A

Co-amoxiclav IV and Doxycycline PO

or Levofloxacin IV 500mg (penicillin allergy)

18
Q

antibiotics for severe and ICU/NBM pneumonia

A

Co-amoxiclav IV and Clarithromycin IV 500mg

or Levofloxacin IV 500mg (penicillin allergy)

19
Q

antibiotics for non-severe HA pneumonia

A

amoxicillin
or (penicillin allergy)
doxycycline

20
Q

antibiotics for severe HA pneumonia

A

amoxicillin and gentamicin
or (P.A.)
co-trimoxazole +/- gentamicin

21
Q

antibiotics for previous ICU/MRSA HA pneumonia

A

seek help bitch

22
Q

antibiotics for non severe aspiration pneumonia

A

Amoxicillin and metronidazole
or (PA)
doxycycline and metronidazole

23
Q

antibiotics for severe aspiration pneumonia

A

amoxicillin and metronidazole and gentramicin
or (PA)
replace amoxicillin w doxycycline/clarithromycin

24
Q

effect of antibiotics on exacerbations of asthma/bronchitis?

A

no real effect clinically

should be considered for the elderly

25
Q

when to give antibiotics for COPD

A

increased sputum purulence
signs of consolidation on XCR
signs of pneumonia

26
Q

first line antibiotics for copd/asthma/bronchitis exacerbation

A

Amoxicillin

27
Q

second line antibiotics for copd/asthma/bronchitis exacerbation

A

doxycycline

28
Q

non severe symptoms of clostridium difficile

A

just diarrhea

29
Q

severe symptoms of clostridium difficile infection

A

abdominal tenderness
Albumin >3 g/dL
WBC> 15,000

30
Q

antibiotics for non severe clostridium difficile infection

A

Metronidazole

31
Q

antibiotics for severe clostridium difficile infection

A

Vancomycin

+/- Metronidazole

32
Q

antibiotics for peritonisis/biliary tract/intra abdominal infection

A

amoxicillin and metronidazole and gentamicin
or (PA)
vancomycin and metronidazole and gentamicin

33
Q

next step after first line for peritonitis/biliary tract/intra-abdominal infection

A

step down to

co-trimoxazole and metronidazole

34
Q

proven spontaneous bacterial peritonitis mild disease

A

co-trimoxazole

35
Q

proven spontaneous bacterial peritonitis severe disease

A

piperacillin/tazobactam