Hospital Acquired Infections Flashcards
In the image, which 2 are the correct responses?
In the image, which of th responses are correct?
All options are correct
Which of the following is the 1st line treatment for cellulitis?
1 - Gentamicin
2 - Flucloxacillin
3 - Vancomycin
4 - Erythromycin
2 - Flucloxacillin
500mg-1g 4/day for 5-7 days
Which of the following is the 1st line treatment for cellulitis, if the patient has a penicillin allergy?
1 - Gentamicin
2 - Clindamycin
3 - Vancomycin
4 - Clarithromycin
4 - Clarithromycin
500mg BD for 5-7 days per oral
IV only in class III and IV
Which of the following is the 1st line treatment for cellulitis, if the patient has a penicillin allergy and is pregnant, which of the following is most suitable?
- Clarithromycin
- Erythromycin
- Erythromycin
Which 2 of the following are most likely to cause cellulitis and castheter infecitons?
1 - staphylococcus aureaus
2 - e. coli
3 - streptococcus pneumonia
4 - streptococci
1 - staphylococcus aureaus
4 - streptococci
Which gram negative bacteria are most common in IV fluids and sodium flushes?
1 - staphylococcus aureaus
2 - e. coli
3 - streptococcus pneumonia
4 - pseudomonas
4 - pseudomonas
Which gram negative bacteria are most common in lipid rich parental nutrition?
1 - staphylococcus aureaus
2 - candida
3 - streptococcus pneumonia
4 - pseudomonas
2 - candida
Which of the following defines when a patient is colonised by Methicillin-resistant Staphylococcus aureus (MRSA)?
1 - MRSA detect on skin and patient has symptoms
2 - MRSA detected on skin and patient has no symptoms
3 - MRSA not detected on skin and patient has no symptoms
4 - MRSA not detected on skin and patient has symptoms
2 - MRSA detected on skin and patient has no symptoms
Important to identify if infected or colonised as this affects treatment, i.e. previous resistance to antibacterial
If patient is colonised they should be decolonised asap
Which of the following defines when a patient is infected by Methicillin-resistant Staphylococcus aureus (MRSA)?
1 - MRSA detect on skin and patient has symptoms
2 - MRSA detected on skin and patient has no symptoms
3 - MRSA not detected on skin and patient has no symptoms
4 - MRSA not detected on skin and patient has symptoms
1 - MRSA detect on skin and patient has symptoms
Important to identify if infected or colonised as this affects treatment, i.e. previous resistance to antibacterial
Which 2 of the following are used as part of decolonisation of patients?
1 - IV Flucloxacillin and gentamicin
2 - nasal mupirocin
3 - chlorhexidine (antiseptic and disinfectant) body wash
4 - isolation
2 - nasal mupirocin
3 - chlorhexidine (antiseptic and disinfectant) body wash
Which of the following is likley to increase the risk of C-diff?
1 - atorvastatin
2 - amilodapine
3 - cephalexin
4 - gentamicin
3 - cephalexin
Any cephalasporin upset gut microbiome and c-diff dominates
Antimicrobials are the most common cause of c-diff infections
Which of the following is NOT a typicall risk factor for developing c-diff?
1 - antibacterials
2 - recent bowel surgery
3 - PPIs
4 - foreign travel
5 - malnutrition
6 - total parental feeding
4 - foreign travel
Patients must be isolated if c.diff is confirmed
Which of the following is the 1st line treatment for c. diff?
1 - Gentamicin
2 - Clindamycin
3 - Vancomycin
4 - Clarithromycin
3 - Vancomycin
125mg 4/day for 10 days
Fidaxomicin is 2nd line
Vancomycin is 1st line for c. diff. Is this given orally or IV?
- orally
Poor GIT uptake so remains in GIT
Infective endocarditis (IE) is an infection of the heart valves or the endocardium. Which of the following patients have the highest risk of IE?
1 - >65
2 - heart valve replacement
3 - recent surgery
4 - STEMI
2 - heart valve replacement
Valves are more likely to be infected
Which of the following is the MOST common cause of infective endocarditis?
1 - staphylococci aureus
2 - streptococci
3 - alpha haemolyic streptococci
4 - candida
1 - staphylococci aureus
Is the question in the image true or false?
- True
Is the question in the image true or false?
Is the question in the image true or false?
Which organism causes meningococcal disease?
1 - staphylococci aureus
2 - streptococci
3 - alpha haemolyic streptococci
4 - neisseria meningitidis
4 - neisseria meningitidis
Meningococcal disease is a medical emergency
All of the following can be given via IV or IM, EXCEPT which one to treat meningococcal disease?
1 - benzylpenicillin
2 - ceftriaxone
3 - vancomycin
4 - cefotaxime
3 - vancomycin
Due to the easy transmission of meningococcal disease, which 2 of the following can close contacts be treated with?
1 - co-amoxiclav
2 - rifampacin
3 - ciprofloxacin
4 - vancomycin
2 - rifampacin
3 - ciprofloxacin
CURB-65 can be used to assess community acquired pneumonia. A score of what would prompt the use of IV anti-bacterial due to severe pneumonia?
1 - 0-1
2 - 2
3 - >3
4 - >4
3 - >3
Mild infections can be managed with oral antibiotics
Review the image and select the correct image
What is the most common way to deliver anti-bacterials if an infection has spread to the kidneys causing pyelonephritis?
1 - oral
2 - sublingual
3 - IV
4 - IM
3 - IV
Review the image and select the correct image
Review the image and select the correct image
Review the image and select the correct image
Which antibiotic class has the highest risk of drug interactions?
1 - Cephalosporins
2 - Tetracyclines
3 - Macrolides
4 - Aminoglycosides
3 - Macrolides
Clarithromycin and Erythromycin
Erythromycin is a P450 drug inhibitor
Macrolides combined with which of the following can cause muscle toxicity?
1 - statins
2 - iron supplements
3 - furosemide
4 - methotrexate
1 - statins
Which 2 drug classes can commonly cause QT interval changes and increase the risk of arrhythmias?
1 - Tetracyclines
2 - Macrolides
3 - Aminoglycosides
4 - Quinolones
2 - Macrolides
4 - Quinolones
Quinolones are also linked to tendon problems
Which of the following is a notifiable disease?
- Legionnaires’ disease
Which of the following conditions, most likely requires IV treatment of medication?
- pyelonephritis
Which of the following statements is correct about MRSA?
Select the correct response
Select the correct response
Select the correct response
Select the correct response
Select the correct response