Antimicrobials

Question 1

Give examples of encapsulated organisms

Answer 1

Neisseria
H. Influenza
S. Pneumoniae/pneumococcus

Question 2

What infections can be reactivated in the immumosuppressed?

Answer 2

Herpes, CMV, EBV, TB, Hepatitis, Toxoplasmosis

Question 3

Give examples of endogenous organisms

Answer 3

Candida
Gram negatives
Anaerobes
Enterococcus

Question 4

Give examples of exogenous organisms

Answer 4

Encapsulated bacteria
Pseudomonas
Aspergillus
Pneumocystis carinii

Question 5

What is PCP? Describe the typical presentation

Answer 5

Pneumocystis carinii
Fungus that targets T cells specifically
Patient - hypoxic, signs may not be ausculated, non productive cough, HIV,

Question 6

How do you diagnose PCP?

Answer 6

Bronchoalveolar lavage for PCR

Beta D Glucan

Question 7

How is PCP treated?

Answer 7

Cotrimoxazole

Question 8

What organisms can infect via lines?

Answer 8

S. Aureus
S. Epidermidis
Pseudomonas
Candida
Enterococci
Treat with abx or take line out

Question 9

Why do immunosuppressed patients present differently with infection than other patients?

Answer 9

Cannot mount immune response which causes the symptoms

Question 10

How do you treat neutropenic sepsis?

Answer 10

Tazocin or Meropenem