GI sepsis

Question 1

What is cholangitis?

Answer 1

infection of the common bile duct - usually resulting from a common bile duct stone

Question 2

What could enterococcus found in the blood signal?

Answer 2

endocarditis

Question 3

What antibiotic causes a C. diff infection?

Answer 3

cephalosporin

Question 4

What is sepsis?

Answer 4

uncontrolled amplification of the immune response throughout the whole body
- life-threatening organ dysfunction caused by a dysregulated host response to infection

Question 5

What is septic shock?

Answer 5

subset of sepsis with circulatory and cellular/metabolic dysfunction associated with a higher risk of mortality

Question 6

What is spontaneous peritonitis?

Answer 6

intact abdomen and gut, translocation across a boggy bowel into the ascites

Question 7

What is secondary peritonitis?

Answer 7

spontaneous burst (the bacteria are introduced)

Question 8

What is the drug of choice for sepsis and enterococci in the gi tract?

Answer 8

Amoxicillin

Question 9

Apart from amoxicillin, what drug is also effective against enterococci?

Answer 9

vancomycin

Question 10

What is the drug of choice for sepsis and coliforms in the gi tract?

Answer 10

gentamicin

Question 11

What is the drug of choice for sepsis and anaerobes in the gi tract?

Answer 11

Metronidazole

Question 12

What is the back up drug if any of the others are contraindicated?

Answer 12

Co-trimoxazole

Aztreonam