ID Flashcards

1
Q

Mammal/human bite tx

A
  • Amp/Sulbactam and then Amox/Clavulanic acid
  • clinda + fluoroquinolone
  • clinda+bactrim
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

clindamycin uses

A

tx lung abscesses and femle genital tract infxns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Legionnaire dz tx

A

erithryomycin, CAP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

bacterial meningitis empiric tx

A

IV ceftriaxone + vancomycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pseudomonas tx

A
  • imipenem/cilastatin
  • cipro
  • cefepime (4th gen cephs)
  • gentamicin (AG)/amikacin/tobramycin
  • aztreonam
  • pip/tazobactam
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

CF with Pseudomonas infxn tx

A
  • multi-drug tx

- ceftazidime (3rd gen) or ticarcillin + gentamicin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

endocarditis tx

A

beta lactam + AG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

pharyngitis tx

A

beta-lactam: PCN, amox

Group A strep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Lyme dz tx - nonpregnant

A

doxy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lyme dz tx - pregnant and <8yo

A

amox

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Scarlet fever tx

A

PCN V

gp A strep
erythro, first gen ceph, clinda

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

cocci tx

A

fluconazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

histo and blasto tx

A

itraconazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

toxo

A

pyrimethamine, sulfadiazine, clinda

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

why is cipro avoided in children?

A

cartilage destruction and growth retardation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

cellulitis tx

A

oral cephalosporins (cefazolin) or nafcillin

-Staph aureus, GAS

17
Q

Necrotizing fasciitis empiric tx

A
  1. DEBRIDEMENT!
  2. imipenem or meropenem +/- vancomycin
    - If strep or clostridia: PCN G + clinda
18
Q

Whipple dz tx

A

TMP-SMX x 1 yr

19
Q

Abx to avoid in pregnancy

A

doxycycline
fluoroquinolone!
TMP-SMX

20
Q

UTI tx in pregnancy

A
  • amoxicillin
  • nitrofurantoin
  • cephalexin
21
Q

GBS pregnancy tx

A

IV beta-lactams (PCN, amp)
PCN allergic but only rash: cefazolin

PCN allergic w/ anaphylaxis: clinda, erythromycin, vanc

22
Q

IE tx

A

beta-lactam + AG

23
Q

Pertussis tx

A

Macrolide (erythro, azithro, clarithro) whenever suspected

24
Q

pneumovax vaccine indications

A

all > 65

<65 if smoker, immunocomp, DM, chronic lung or heart dz, asplenia

-revaccinate after 5 years if IC or asplenia

25
Q

Nocardia asteroides

A

gram positive, partially acid-fast, filamentous/branching aerobe in soil

TMP SMX = tx

-wt loss, fever, nt sweats, pulm

26
Q

Actinomyces tx

A

PCN G

27
Q

impetigo tx

A
  • oral erythro, dicloxacillin, cephalexin, clinda

- TOPICAL mupirocin

28
Q

tx lyme dz/RMSF/erhlichiosis in pregnancy

A

chloramphenicol

29
Q

Common gram negative bacteria causing PNA

A

E coli, Klebsiella, Pseudomonas, Enterobacter, Proteus, Serratia, Acinetobacter

-usually infants, elderly, alcoholics, IC (neutropenia)

30
Q

MOE tx

A

psuedomonas –> cipro

31
Q

IE ppx

A

single dose amox

32
Q

Who gets IE ppx

A

prosthetic valve, prior IE, unrepaired congenital heart defect

33
Q

PCP tx if PaO2<70

A

TMP AND ORAL PREDNISOLONE!!

34
Q

tx for cervicofacial actinomycosis

A

high-dose PCN 6-12 weks

35
Q

Blastomycosis

A

Ohio (South central, North central)

-lungs, skin, bones, joints, prostate

36
Q

Histoplasmosis

A

Southeast, mid-Atlantic, central US

-PNA, HIV

37
Q

Febrile neutropenic pts empiric tx

A

ceftazidime (3rd) or cefepime or imipenem or meropenem