Exam 4 - Bloodstream and Catheter-Related Infections Allen (not done) Flashcards
Leading cause of community-acquired and hospital-acquired bacteremia
staph aureus bacteremia (SAB)
two broad diagnostic tools in SAB
blood cultures
echocardiography
which is performed FIRST for diagnostic SAB, a TTE or TEE?
TTE
T or F: staph aureus is a common organism in UTIs
F
tx of MRSA bacteremia (2)
vanc
dapto
tx of MSSA bacteremia
naf
ox
cefazolin
which should NOT be used as an option for MSSA? (SELECT ALL THAT APPLY)
a. nafcillin
b. cefazolin
c. rifampin
d. oxacillin
e. gentamicin
f. vancomyin
c, e, f
duration of tx for uncomplicated SAB
a. 14 days
b. 4 weeks
c. 6-8 weeks
a. 14 days
duration of tx of complicated SAB but NO metastatic infection
a. 14 days
b. 4 weeks
c. 6-8 weeks
b. 4 weeks
duration of tx of complicated SAB with metastatic infection
a. 14 days
b. 4 weeks
c. 6-8 weeks
c. 6-8 weeks
tx duration bacteremia due to streptococci
14 days (IV -> PO)
drug tx for S. pyogenes, S. agalactiae bacteremia (2 steps)
penicillin IV -> high dose amox
drug tx for S. pneumoniae bacteremia (2 options)
ceftriaxone or penicillin (if susceptible)
tx duration for bacteremia due to enterococci
a. 7 days
b. 14 days
c. 28 days
d. 90 days
a. 7 days
tx for bacteremia due to E. faecalis (2 options)
ampicillin
vanc or dapto if allergy
tx for bacteremia due to E. faecium -> if vanA and vanB negative
a. vancomycin
b. daptomycin
c. ampicillin
d. linezolid
b. daptomycin
(10 mg/kg/day)
tx for bacteremia due to E. faecium -> if vanA and vanB positive (VRE). SELECT ALL THAT APPLY
a. vancomycin
b. daptomycin
c. ampicillin
d. linezolid
b, d