GI Infectious Disease Flashcards

1
Q

Enteroinvasive E. coli (EIEC)

A

Symptomatic treatment (fluid & electrolytes)

FQ, macrolides, or rifamixin

abx only needed for bloody diarrhea or immunocompromised

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2
Q

Campylobacter jejuni

A

Fluid & electrolytes

Abx reserved for immunocompromised (azithromycin or FQ)

FQ resistance common

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3
Q

Shigella

A

Fluid and electrolytes

Abx for immunocompromised or public health reasons

Ceftriaxone, ciprofloxacin, azithromycin

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4
Q

Salmonella

A

Fluid and electrolytes

Abx for severely ill or risk for extraintestinal infx

Nontyphoidal: FQ, ceftriaxone, azithromycin

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5
Q

Enterotoxigenic E. coli (ETEC)

A

Clear liquids
Bismuth salicylate
Antimotility (loperamide)

FQ effective but not generally required

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6
Q

Enterohemorrhagic E. coli (EHEC)

A

Fluid and electrolytes

Abx not generally indicated due to possible increase of HUS

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7
Q

Vibrio cholerae

A

Fluid and electrolytes!!!

Doxycycline, azithromycin (also ciprofloxacin or TMP/SMX) for severely ill or hospitalized pts

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8
Q

Clostridium difficile

A

Metronidazole or
Vancomycin (oral) or
Fidaxomicin

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9
Q

Clostridium perfringens

A

Rehydration

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10
Q

Norovirus

A

Supportive care

Prevention (proper food holding practices, hand washing)

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11
Q

Rotavirus

A

Vaccine (RotaTeq, Rotarix)

Hand washing for prevention

Hydration

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12
Q

Entamoeba histolytica

A

Metronidazole followed by intraluminal agent (eliminates intraluminal cysts) like Paromomycin or Idoquinol

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13
Q

Giardia lamblia

A

Metronidazole or

Albendazole

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14
Q

Review IV fluids on her chart!!

A

Know why to pick one over the other!

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15
Q

3% NaCl

A

hypertonic solution

has no K, Ca, HCO3

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16
Q

0.9% NaCl

A

Normal saline or NS

has no K, Ca, HCO3

17
Q

0.45% NaCl

A

half normal saline

has no K, Ca, HCO3

18
Q

LR

A

lactated ringers

Has K, Ca, HCO3

19
Q

5% dextrose

A

DSW or D5 in water

Has only dextrose!

20
Q

D5/0.225% NaCl

A

D5 1/4 NaCl AKA
D5 and a quarter normal saline

Has no K, Ca, HCO3