BLOOD INFECTIONS

Question 1

What type of drug do you give for community acquired septicaemia ?

Answer 1

broad spectrum anti-psuedomonal penicillin

e.g. piperacillin with tazobactam
e.g. ticaricillin with clavulanic acid

Question 2

Treatment of CA septicaemia if MRSA suspected

Answer 2

broad spectrum anti-psuedominal penicillin e.g. pipericillin with tazobactam, ticaricillin with clauvulanic acid

PLUS vancomyin (or teicoplanin)

Question 3

treatment of CA septicaemia if anaerobic infection suspected

Answer 3

broad spectrum cephalosporin + metronidazole.

Question 4

treatment of CA septicaemia if other resistant microorganism suspected

Answer 4

a more broad spectrum beta lactic abx e.g. meropenem

Question 5

treatment of hospital acquired septicaemia

Answer 5

Broad spectrum anti psuedomonal beta lactic abx

• piperacillin with tazobactam, - ticarcillin with clauvulanic acid, - ceftazidime
• imipenem with cilastatin,
• meropenem

Question 6

HA septicaemia treatment if MRSA suspected

Answer 6

MRSA suspected, add vancomycin or teicoplanin