ID Flashcards
which abx should not be given ideally until age 8
tetracylcine and doxycycline
what to treat RMSF with even if under 8
doxy
what medications shoudl ideally not be given before 18
floroquinolones ( cipro/levofloxacin)
what is cipro used for
pyelo
complicated uti
shigella
when to not give erythromycin
to chidlren uder 6 weeks epecially under 2 weeks
qhat does clinda cover
gram positive including MRSA
to cover enterococcus what drugs?
vanco
ampicillin
linezolid
what does enterococcus cause
UTI
intrabdominal infections
endocarditis
bacteremia
do cephalosporins cover enterococcus
no
name two 1st gen cephalosporins
cefazolin ( IV) and cephalexin ( Keflex PO)
1st gen cephalosporins cover what
gram T but not MRSA
(PEcK - Klebsiella, e coli and proteus)
name some 2nd gen cephalosporins
cefaclor
cefuroxime
cefotetan
cefoxitin
what do 2nd gen cephalosporins cover
gram negative (HENPEck - haemophillus, enterobacter, neisseria, proteus, e coli and klebsiella )
name some 3rd gen cephalosporins
CTX, ceftazidime and cefotaxime and cefpodoxime
what do 3rd gen cephalosporins cover
gram negative and CNS infections
what 3rd gen cephalospirn can be used with amp and gent in a baby with concerns for meningitis
ceftazidime
which 3rd gen cephalosporin has pseudomonas coverage
ceftazidime
name the 4th gen cephalosporin
cefepime
4th gen cephalosporin covers what
psudomonas and gram T/-
name a carbapenem
imipenam
name a medicine that treats enterobacter
imipenam
name two medications used to treat worms
albendazole and pyrantel pamoate
what is the bug that causes pinworms
enterobius
how to treat pinworms
give first dose followed by another in 2 weeks
name the bugs that metronidazole is used to treat
giardia
entamoeba
trich
bacteroides
clostridium
gardnerella
what kind of bug is enterococcus
gram positive that can cause sepsis and NEC
gram positive dipthroid which can be associated with nodules on the placenta or mild maternal viral illness with fever
listeria
tc for listeria
ampicillin
what is the treatment for c. tetanus
debridement, tetanus IG+ metronidazole or PNC
progressive decending weakness in a baby less than 6 months
botulism
why does botulinum affect <6 months
because botulism can colonize in the gut
botulinium is what kind of organism
gram+
diptheria is what kind of organism
gram+rod
how to treat diptheria
erythromycin or PCN
gram + organism in Pairs and Chains that stains blue
streptococcus
can GAS cause rheumatic fever and PSGN
yes
strep skin infection cannot cause
rheumatic fever
hematuria, protienuria, swelling and HTN after GAS skin or throat
PSGN
how to treat PSGN
fluids, loop diuretics for HTN and maybe steroids if severe, follow C3 levels till they are normal
if C3 doesnt normalize in six weeks after PSGN what should you consider
lupus nephritis, membranoproliferative GN, RPGN
what will bopsy of PSGN show
lumpy bumpy IgG deposits and low C3
peritonsillar abscess and RPA are due to
GAS
IV treatment for GAS peritonsillar abscess or RPA
clinda or unasyn
Xray of lateral neck that shows widening of the retropharyngeal space
RPA
scarlet fever due to GAS will have rash were
in skinfolds and creases (sandpaper rash in groin or armpit)
pink or red lines near creases seen in scarlet fever is called
Pastia’s lines
most common cause of occult bacteremia ( no source)
strep pneumo
most common cause of PNA in kids
strep penumo
most common cause of PNA in kid with CF
staph aureas or pseudomonas
early onset GBS < 6 days causes
sepsis
GBS late onset causes
meningitis, cellulitis, ostep ( >6 days)
