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Infectio > ATB d'apres ECN PILLY > Flashcards

ATB d'apres ECN PILLY Flashcards

1
Q

Gale

A

Benzoate de Benzyle
Ivermectine
Spraygal

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2
Q

Fievre immunoD

A

C3G

+ Piperaciline/Tazo

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3
Q

EI:
Proba
Staph MS/MR
Strepto

A

Augmentin+Genta
Oxacilline(peniM)+Genta / Vanco+Genta
Amox+Genta

+ Rifampicine si valve meca

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4
Q

Grippe

A

Oseltamivir

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5
Q

VHB

A

Interferon pegylé alpha (CI pdt grossesse)
Analogues Nucleotidiques
Analogues Nucleosidiques

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6
Q

VHC

A

Interferon+Ribavirine

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7
Q

VIH
Objectif
Complication

A

2INTI+IPboosté
CV indetectable (200
Sd métabolique

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8
Q

Pneumococcie

ttt et seuil CD4

A

Amox
pas de seuil (comme tuberculose)
(pneumonie)

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9
Q

Candidose oedsophagienne

ttt et seuil CD4

A

Fluconazole
200
(oesophagienne ++ : Dlr retrosternale)

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10
Q

Pneumocystose pulmonaire hypoxemiante

ttt et seuil CD4

A

Bactrim+CTC
200
(toux seche : sd interstiel bilat aux apex)

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11
Q

Cryptococcose

ttt et seuil CD4

A

Amphotericine B + Flucytosine
100
(meningite ou ME, HTIC)

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12
Q

Toxoplasmose cerebrale

ttt et seuil CD4

A 
Pyrimethamine
Sulfadiazine
Acide Folinique
[ENTERAL!!(SNG)]
200
(Abces cerebraux)
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13
Q

CMV

ttt et seuil CD4

A

Ganciclovir
50
(Retinite, ou dig…)

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14
Q

Mycobacterie

ttt et seuil CD4

A 
Clarythro
\+Euthambutol
\+Rifabutine
50
(infection disseminée)
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15
Q

ttt SRIS

A

AINS
Antalgique
CTC

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16
Q

PAC non grave

et si commorbidité?

A
  • Amox

- Augmentin

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17
Q

PAC Grave :
sans fdr pseudomonoas aeruginosa
avec fdr
(2 bacteries ciblée:)

A
  • C3G+Macrolide +/- Genta
  • +Piperacilline+Tazo+Genta

Pneumocoque et Legionelle

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18
Q

Impetigo :

germe et ttt

A

Staph

Peni M ou Augmentin

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19
Q

Erysipele : DHBNN

germe et ttt

A

SGA
Amox
si allergie : pristinamycine

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20
Q

Infection Genitale :
ttt:
germe selon ecoulement :
saignement, vert, blanc, jaune

A

C3G + Azythro en DU

  • saignement : Chlamydia
  • verdatre : trichomonas
  • blanchatre : candida
  • jaunatre : gonocoque
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21
Q

Ethmoidite

A

C3G+Genta

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22
Q

Spondylodiscite

A

C3G ou glycopeptide +-Amino

23
Q

Cystite compliqué

A

Nitrofurantoine

24
Q

Bacturie asympto chez femme enceinte

A

Augmentin

25
Q 
Agent de : 
Roseole
Scarlatine
Rougeole
Rubeole
MNI
Oreillon
MegalErytheme
A 
Roseole : HHV6
Scarlatine : SGA
Rougeole : paramyxo virus
Rubeole : toga virus
MNI : EBV
Oreillon : paramyxo virus
ME : parvo virus B19
26
Q

Les deux ATB commencant par P ds la tuberculose et la toxo

A

Tuberculose : pyRAsinamide

Toxo : pyRImethamine

27
Q

Meningite :
- Pn / Meningo / HI / Coli
- Listeria
Meningo Encephalite

A

C3G
Amox+Genta

C3G+Amox+Genta+Aciclovir

28
Q

Palu :

Prophylaxie groupe 1 2 3

A

1 : Chloroquine
2 : Chloroquine + Proganil
3 : Proganil + Atovaquone

29
Q

Palu, ttt curatif

  • Non grave : sans ou avec vomissement
  • Grave
A
  • Atovaquone+Proganil
  • Quinine IVSE ds G5 puis relais A+P
  • Artesunate IV H0,H12,H24 puis relais A+P
    +/- Quinine IVSE si zone a risque elevée de resitance (cambodge,vietnam..)
30
Q

Inoculation :

  • Pasteurellose
  • Tularemie
  • Bartonella Hensela
  • Lyme (Borrelia)
A
  • Amox
  • Doxy+Genta
  • Azythro
  • Ph1 : Amox / Ph2et3 : C3G
31
Q

5 patho du migrant

A 
Palu++
BK
VIH
VHB
Gale
32
Q

Tetanos

A

Vaccination

+Serotherapie en urgence dans l’autre bras

33
Q

3 Buts d’une BiAntibitherapie

A
  • Elargir le spectre
  • Augmenter la bactericidie
  • Eviter l’emergence de souche resistante

[SBR : Spectre/Bactericide/Resistance]

34
Q

Fasciite Necrosante (DHBN)

A

Peni G forte dose (T/P) +Clindamycine+Genta

35
Q

Rage

A

Ig spé + Vaccination

36
Q

4 etio de SMN

A

PI VIH
EBV
CMV
Toxo

37
Q

5 BGN

A 
Enterobacteres
HI
Bartonella Henselae (griffe de chat)
Bordetella Pertusis (coqueluche)
Legionnelle
38
Q

3 BGP

A

Listeria
Diphterie
Clostidium D

39
Q

3 CGP

A

Staph
Strepto
Enterocoque

40
Q

2 CGN

A

Meningo

Gono

41
Q

2 bacteries intracelullaires

A

Chlamydia T

Mycobacterie

42
Q

2 Bacteries spirallées

A

Borrelia (lyme)

Treponema Palidum

43
Q

Cryptosporidose

ttt et seuil

A

Albendazole
100
(diarrhée)

44
Q

LEMP

ttt et seuil

A

LeucoEncephalopathie Multifocale Progressive
pas de ttt : ttt ARV
100
(trouble neuro demelyelinisant : JC virus)

45
Q

Salpingite

  • ATB standart
  • Si allergie
  • Germes cible
A

C3G+Flagyl+Doxy
Si allergie FQ+flagyl+Doxy ou pristinamycine

Germes : chlam,gono et anaerobie

46
Q

Vaccination avant voyage :
Obligatoire
Recommandées

A

Obl: rappel DTPC, fièvre jaune si Afrique ou Amerique S

Reco : ROR, VHA (si hygiene precaire), VHB et fievre typhoide (si sejour prolongée), Rage

47
Q

Prostatite chro

A

Cotrimoxazol (bactrim) 12S

48
Q

Clostridium

A

Metronidazol (flagyl) + isolement

49
Q

SARM

A

Glycop (Vanco) + Isolement contact + DO CLIN

50
Q

Eradication HP

ttt + surv

A

ttt sequentiel sur 10j

  • 5j : IPP DD + Amox
  • 5j : IPP DD + Clarythromycine + Metronidazol (flagyl)

surv : - UD simple : Test respi a l’urée marquée
- UG ou UD compliqué : EOGD / sero

51
Q

Angiocholite

A

Augmentin + Genta
Drainage biliaire : CPRE ac prelvmt

à 2S : Cholecystite avec CholangioG per op

52
Q

Sigmoidite diverticulaire simple

A

Ambu : augmentin PO

  • Colo a distance
  • +- chir ssi <50A ou SdG au TDM initial
53
Q

Infection Coulée Necrose post PA

A

Tienam+Genta+Drainage chir

après ponction a l’aiguille fine

Infectio (1 decks)

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