Bugs in bact. menigitis

Question 1

bugs in bact. meningitis

Answer 1

1. strep. pneumo
2. H. influenza
3. n. meningitis

Question 2

coverage for these bugs

Answer 2

ceftriaxone + vanco for Strep that is resistant

Question 3

other possible bug to worry about

Answer 3

listeria

Question 4

coverage for listeria

Answer 4

ampicillin

Question 5

people to suspect listeria

Answer 5

1. over 50
2. preg
3. EtOH
4. immnucompromised

Question 6

adjunct for meningitis

Answer 6

dexa

Question 7

bugs in UTI

Answer 7

KEEPS
Klebsiella
E coli - most
Enterococcus
Proteus
Staph staprophyticus

Question 8

2 main drugs for uncomplicated

Answer 8

1. nitro for 3-5

2. TMP-SMX - 3

Question 9

2 alternatives for uncomplicated

Answer 9

1. cipro 3 days

2. amox-clav -5-7

Question 10

3 regimens for compolicated

Answer 10

1. Trimethoprim-sulfamethoxazole (TMP-SMX) – 7-14 days
   2, Fluoroquinolone - 7 days
   NB: Moxifloxacin is NOT excreted in urine!
2. Amoxicillin-clavulanate (Clavulin®) – 10-14 days

Question 11

2 main bugs in cellulitis

Answer 11

1. Group A strep

2. staph aureus

Question 12

2 main drugs for cellulits

Answer 12

1. ancef cefazolin

2. cepalexin (keflex)

Question 13

what if pen allergic

Answer 13

1. Clindamycin 300mg qid
2. Moxifloxacin 400mg daily or levofloxacin 500mg daily
3. Linezolid 600mg bid
   ? Trimethoprim-sulfamethoxazole

Question 14

drugs for mild foot ulcers

Answer 14

Cefazolin 1-2g IV tid or cephalexin 500mg PO qid

Question 15

drugs for severe or pre-treated

Answer 15

1. Ceftriaxone 1g IV daily + metronidazole 500mg IV/PO bid

2. Piperacillin-tazobactam 4.5g IV tid +/- vancomycin IV