Diarrheal Diseases Flashcards
treatment for Cyclospora
TMP-SMX
Treatment of choice for Giardia
Tinidazole
watery diarrhea without vomiting, incubation time <24 hours
clostridium perifringens
causes of acute gastroenteritis (+ vomiting) < 24 hours
bacillus cereus and staph aureus
when should campylobacter resolve by
7 days, no treatment necessary
clinical presentation of s. aureus and bacillus cereus
watery diarrhea and vomiting
incubation period of norovirus and rotavirus
1-2 days
clostridium perifringens incubation time
8-16 hours
clostridium perifringens can be acquired rom
meat, poultry, canned foods
GI bug that is a mimic of appendicitis
yersenia enterocolitica and yersinia pseudotuberculosis
management of ETEC/STEC
supportive care
no anti motility agents
no antibiotics
two post infectious complications of campylobacter
GBS
reactive arthritis
two countries with high rates of macrolide resistance to campylobacter
thailand and ireland
treatment of campylobacter
azithromycin
cipro or levo
antibiotics to treat salmonella
FQ
TMP-SMX
Azithromycin
Ceftriaxone
indications for treatment of shigella
IC
HIV
Bacteremia
Food handlers, HCWs, Childcare workers, SNF residents
treatment of shigella
FQ or Ceftriaxone
type of meat associated with yersinia
pork
GI disease that can present with pharyngitis
yersinia
treatment of yersinia
only indicated for severe disease or underlying IC condition
yersinia treatment
FQ or Ceftriaxone
treatment of vibrio cholera
fluid resuscitation
macrolides, FQ, tetracyclines
risks for invasive disease with vibrio vulnficus
hemochromatosis
cirrhosis
treatment of vibrio vulnificus
Tetracycline plus Ceftriaxone
OR
FQ alone
gram stain of aeromonas
gram negative
treatment of listeria diarrhea in pregnant women
Amoxicillin
criteria for severe CDI
SCR >1.5 and WBC >15k
clostridium perifringens treatment
supportive, no antibiotics
risk factor for development of scombroid
not storing fish 4C or lower, causes bacterial overgrowth and build up of histamine and other biogenic amines
flushing, hives, headache, diarrhea, tachycardia, palpitations after eating dark fish
scombroid
severe features of scombroid poisoning
bronchospasm, arrhythmias
treatment of scombroid
antihistamines
ciguatera toxin is found in which types of fish
reef fish
where does ciguatera toxin come from
dinoflagellates
diarrhea, vomiting, weakness, paresthesias, bradycardia, hypotension following eating fish
ciguatera toxin
reversal of ciguatera toxin with neuro effects
mannitol, gabapentin, amitriptyline, pregabalin
