Cases Flashcards
first line antibiotic for c diff
vancomycin (oral)
true or false, PPI is a risk factor for c diff
true
is alcohol gel good enough to kill c diff
nope - hand wash.
spores resistant to alcohol gel
is c diff gram positive or negative
positive
name a gram-positive, anaerobic, spore-forming, toxin-producing bacilli
c diff
are IV antibiotics effect against C diff
nope - use oral
do c diff patients require isolation
yes
water vs bloody diarrhoea
watery - often small bowel
bloody -
meats/animal contact organisms
salmonella
campylobacter
acute visibly bloody diarrhoea - first thing to think of
e coli 0157
meats/cheese organism
listeria
additional test for suspected infectious diarrhoea
stool for GI PCR
shiga toxin-producing E. coli incubation period
1-10 days
shiga toxin-producing E. coli hallmarks of infection
painful bloody diarrhoea
with or without fever
What infection is associated with hemolytic uremic syndrome?
E Coli
why do we take 3 bottles blood culture
helps us identify any contaminants (they’re unlikely to be in all 3)
Prosthetic valve or Suspected MRSA infective endocarditis antibiotic choice
vancomycin IV + gentamicin
community acquired pneumonia most common pathogens
strep pneumoniae
Haemophilus influenzae
community acquired pneumonia can be caused by legionella - what group is legionella from
atypicals
community acquired pneumonia treatment
amoxicillin, doxycycline, levofloxacin and clarithromycin cover the typical organisms
staph aureus bacteraemia - how long is IV therapy recommended for?
at least 2 weeks
staph aureus bacteraemia gold standard treatment
IV flucloxacillin 2g QDS
staph aureus bacteraemia treatment in penicillin allergy
IV vancomycin
