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Collège Royal 2023 > Infectio > Flashcards

Infectio Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

Bactéries productrices de beta-lactamase Amp-C (8)

A

SPICE-HAM
Serratia
Providencia
Indole positive proteus
Citrobacter
Enterobact
Hafnia
Acinetobacter
Morganella

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2
Q

Indication de TDM tête avant PL (6)

A
  1. AEC
  2. Convulsions
  3. ATCD masse SNC
  4. Sx neuros focaux
  5. Papilloedème
  6. Immunosuppression
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3
Q

Organismes groupe HACEK

A

Haemophilys
Aggregatibacter
Cardiobacterium
Eikenella
Kingella

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4
Q

Germes typiques d’endocardite (5)

A

Staph aureus
Strept groupe viridans
Strept gallolyticus
HACEK
Enterococcus

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5
Q

Germes d’endocardite du coeur gauche pour lesquels on peut considérer compléter tx ATB PO (4)

A

Staph aureus
Staph coag neg
Streptocoque
Enterocoque faecalis

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6
Q

Indications chirurgicales précoces pour endocardite (6)

A
  1. Mycose ou germe difficile à traiter
  2. Bactériémie persistante > 5 jours post tx
  3. Défaillance cardiaque
  4. Végétation > 10 mm
  5. Embolies récurrentes malgré tx
  6. Bloc de conduction, abcès annulaire/racine aortique
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7
Q

Types de procédures nécessitant prophylaxie pour endocardite si indiquée ? (3)

A
  1. Dentaire avec manipulation gingivale ou rupture de la muqueuse orale
  2. Tractus respiratoire avec rupture de la muqueuse (ex. BTB, amygdalectomie)
  3. Perçage/rupture de peau infectée
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8
Q

Indications de prophylaxie pour endocardite (4)

A
  1. Valve cardiaque (incluant TAVI, clip, annuloplastie, LVAD)
  2. ATCD d’endocardite
  3. CMP congénitale cyanotique non opérée, prothèse/patch < 6 mois ou défaut résiduel
  4. Greffé cardiaque AVEC valvulopathie
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9
Q

Traitements 1re intention PAC individu en santé (3)

A
  1. Amoxicilline
  2. Doxycycline
  3. Azithro (ou clarithro)
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10
Q

Traitements 1re intention PAC individu comorbide (2)

A
  1. Clavulin ou cefuroxime (ceftin) ET doxy ou macrolide (azithro/clarithro)
  2. Quinolone (lvq ou moxiflocacine)
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11
Q

Durée de traitement du PAC si réponse favorable

A

5 jours

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12
Q

3 rx contre-indiqués si déficit en G6PD

A

Pentamidine
Dapsone
Rasburicase
Quinine

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13
Q

E2 spécifique anti-TB (PIRE)

A

Pyrazinamide = arthralgies
Isoniazide = neuropathie
Rifampin = interaction RX, sécrétions oranges
Ethambutol = toxicité oculaire

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14
Q

Traitement malaria p. falciparum (résistant)

A

atovaquone + proguanil

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15
Q

Traitement malaria non falciparum (ovale, vivax)

A

chloroquine + primaquine (r/o défici G6PD)

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16
Q

Traitement malaria sévère

A

Artesunate IV x 48h puis atovaoquone/proguanil

Collège Royal 2023 (14 decks)

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