ID

Question 1

CA- meningitis bug

Answer 1

N.meningitis, H. influenzae: 7d
Strep pneumonia: 10-14d
Listeria monocytogenes: 21d

Question 2

CA- meningitis empiric coverage

Answer 2

<50yo: IV ceftriaxone 2g q12h + IV vancomycin

immunocompromised and >50yo: IV ampicillin 2g q4h + IV ceftriaxone 2g q12h + IV vanco

Question 3

CAP bugs

Answer 3

S. pneumonia, mycoplasma, H.influenza

Question 4

CAP empiric therapy

Answer 4

CAP non severe: IV augmentin 1.2g q8h + PO clarithromycin 500mg q12h

if risk pseudomonas: IV piptazo 4.5g q6h +/- IV vancomycin (if previous MRSA infection or colonisation within 3m)

Question 5

risk factors for pseudomonas

Answer 5

-prior hosp >5d in 3m
-received parenteral antibiotics on 3m
-prior resp pseudomonas colonisation in prev 6m
- structural lung disease that leads to frequent COPD exacerbations

Question 6

severe CAP empiric (cover s.areus, burkholderia)

Answer 6

IV penicllin 4MU q4h + IV ceftazidime 2g q8h + IV azithromycin 500mg q24h

Question 7

HAP empiric

Answer 7

IV piptazo 4.5g q6h +/- vanco

Question 8

bacterial gastroenteritis bugs

Answer 8

shigella, salmonella, C.difficle, E.coli

Question 9

severe bacterial gastroenteritis empiric

Answer 9

IV ceftriaxone 2g q24h / Po azithromycin 500mg q24h

Question 10

Spontaneous bacterial peritonitis bugs

Answer 10

gram -ve (e.coli)
gram +ve (strep pneumoniae, straphylococcus)

Question 11

SBP empiric

Answer 11

IV ceftriaxone 2g q24h

Question 12

diverticulitis abscess bugs

Answer 12

E.coli, klebsiella, B. fragilis

Question 13

diverticulitis abscess empiric

Answer 13

IV augmentin 1.2g q8h

Question 14

Community acquired acute cholecystitis/cholangitis/gallbladder empyema bugs

Answer 14

enterobacteriaceae, enterococci, bacteroides sp, c. difficle

Question 15

Community acquired acute cholecystitis/cholangitis/gallbladder empyema empiric

Answer 15

IV augmentin 1.2g q8h
(if critically ill) add amikacin IV 1-2doses

Question 16

Community acquired UTI bugs

Answer 16

e,coli, klebsiella, s.saprophyticus, enterococci and strep agalactiae

Question 17

community acquired UTI empiric

Answer 17

IV augmentin 1.2g q8h +/- IV amikacin 1 dose

Question 18

HA-UTI empiric

Answer 18

IV piptazo 4.5g q8h +/- amikacin 1 dose

Question 19

pelvic inflammatory disease

Answer 19

IV ceftriaxone 2g q24h + IV metronidazole 500mg q8h + PO doxy 100mg BD

Question 20

cellulitis bugs

Answer 20

strep A,B,C,G
staph aureus

Question 21

cellulitis empiric

Answer 21

IV cefazolin 2g q8h x5-7d

Question 22

DFI bugs

Answer 22

staph aureus
strep B
strep pyogenes

Question 23

DFI empiric

Answer 23

w/o osteomyelitis: IV cefazolin 2g q8h x7-14d

w osteomyelitis if no surgery 6wks: IV cefazolin 2g q8h
(unless critically ill IV augmentin 1.2g q8h or IV piptazo 4.5g q6h)

Question 24

necrotising fasciitis empiric

Answer 24

IV cefazolin 2g q8h + IV clindamycin 900mg q8h

if risk factors for gram-ve: IV penicillin 4U q4h + IV ceftazidime 2g 8h + IV clindamycin 900mg q8h

x14d