Hospital acquired infections

Question 1

What are some HAI?

Answer 1

MRSA
C difficile 
E coli 
MSSA 
R gram negs 
Yeasts / Candida

Question 2

What is the most common syndrome of HAI?

Answer 2

Hospital acquired pneumonia

Question 3

What is the gram stain of C difficile

Answer 3

Gram +ve
Spore forming
Anaerobe

Question 4

What is the first line treatment for severe c difficile

Answer 4

Oral vancomycin

Oral metronidazole - mild c difficile

Fidaxomicin (Macrocyclin abx) - To lower the recurrence

Question 5

What are the most common organisms causing UTI

Answer 5

E coli
Klebsiella
S. Saprophyticus
Proteus

Question 6

Which gram -ve bacteria are becoming resistant

Answer 6

Enterobacter > Klebs > E Coli

Question 7

What are the 3 factors contributing to surgical site infection

Answer 7

Host defence
Wound environment
Pathogens

Question 8

What is MRSA

Answer 8

Meticillin resistant staph aureus

Question 9

What abx would you use for MRSA?

Answer 9

Vancomycin or Teicoplanin

Question 10

What abx would you use for pseduomonas

Answer 10

Meropenem

Question 11

How can you classify Staph aureus

Answer 11

MRSA (Methicillin resistant) or MSSA (Methicillin susceptible)

Question 12

Which environmental factor is associated with Legionella

Answer 12

Cooling towers

Question 13

Which environmental factor is associated with Aspergillus

Answer 13

Building works

Question 14

Which environmental factor is associated with TB, chick pox, RSV

Answer 14

Negative pressure isolation