H25: Bacterieel Flashcards

1
Q

R/ MRSA

A

vancomycine

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2
Q

staf aureus gelinkte huidbeelden

A

scarlatina
pso guttata

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3
Q

R/ impetigo

A

benzoyl peroxide

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4
Q

dekolonisatie staf aureus neus

A

mupirocine

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5
Q

D/ furunkel, karbonkel

A

klinisch
gramkleuring / cultuur
wisser

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6
Q

bij welke pt recurrent furunculosen?

A

diabeten

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7
Q

R/ abces furunkel karbonkel

A

incisie & drainage

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8
Q

R/ bacteriële folliculitis

A

penicilline

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9
Q

R/ gram - folliculitis

A

benzoyl peroxide wash
evt ampicilline / trimethoprim-sulfametoxazole

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10
Q

diepte cellulitis

A

dermis
subcutis

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11
Q

kiemen cellulitis

A

STAF AUREUS

b-hemolytische streptokok

koorts!!

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12
Q

echthyma gangrenosum

A

pseudomonas aeruginosa

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13
Q

vermoeden necrotiserende fasciitis

A

DIEP BIOPT!!!
en weefselcultuur

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14
Q

R/ staf aureus of b-hemolytische streptokok

A

flucloxacilline (Floxapen) PO/IV

clinda of clarithro bij allergie beta-lactam

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15
Q

R/ necrotiserende fasciitis

A

ASAP debrideren
breedspectrum AB

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16
Q

bij wie meer kans op wondinfectie?

A

pt die staf aureus dragen in de neus

wisser vd wonde nemen!

17
Q

SSSS

A

exfoliatieve toxines staf aureus
DESMOGLEINE 1
neonaten en jonge kinderen

18
Q

R/ SSSS

A

door staf aureus exotoxine

R/: floxapen (flucloxacilline)

19
Q

kiem scarlatina

A

GAS

–> keelwisser

20
Q

R/ scarlatina

A

penicilline

alternatief: clarithro, clinda, erythro, cefalosporines

21
Q

anthrax

A

GAS
penicilline!
20% mortaliteit

lokaal oedeem en necrose

herder boer slachthuis textiel

22
Q

R/ nocardia braziliensis

A

trimethoprim-sulfametoxazole

sinusvorming, fistels

23
Q

tâche noire

A

rickettsia
gram -
arthropod

levensbedreigend

24
Q

R/ ricketssia

A

doxycycline

25
Q

welke tick spotted fever geeft geen tâche noire

A

RMSF
(Rocky mountain spotted fever)

26
Q

R/ tekenziekten (rickettsia)

A

DOXY!!

27
Q

Janeway lesions

A

handpalmen voetzolen
infectieuze endocarditis

Osler noduli handen voeten

28
Q

meest voorkomende oorzaak sepsis

A

pseudomonas

29
Q

rauwe oesters eten

A

v.vulnificus

30
Q

D/ kattenkrabziekte (bartonella henselae)

A

regionale lymfadenopathie 2-3w na krab van een kat
en lokaal letsel

zelflimiterend 1-2m

31
Q

R/ bacillaire angiomatose

A

bartonella henselae bij pt met HIV

ERYTHROMYCINE

32
Q

fish tank granuloma

A

mycobacterium marinum
zuurvaste staven

CLARITHROMYCINE

33
Q

R/ lyme

A

doxycycline