Infection 1 Flashcards
Infection signs and symptoms
- Fever / Malise / Sore body
- Swelling
- Inflammation
- Drowsiness
Clinical markers of infection
- High c – reactive protein
- High blood sugar levels
- Low BP
What is the not the correct choice of antibiotic in children
- Quinolones
- Tetracyclines <12 years
What consideration do you need to take when prescribing antibiotics in the elderly
- Increase risk of C-diff especially with Clindamycin
What antibiotic would also be contraindicated in people who can’t take Penicillin
- Cephalosporin and beta lactamases
- They can take macrolides instead or metronidazole
What consideration do you need to take when prescribing to patients with renal and impairments
Nephrotoxicity (aminoglycosides and tetracyclines)
- Avoid Nitro
What consideration do you need to take when prescribing to patients with hepatic impairment
- Rifampicin and Tetracyclines
- Flucloxacillin and Co-amoxiclav cause cholestatic jaundice
What consideration do you need to take when prescribing to patients who are pregnant -
Avoid MCAT
- Metronidazole
- Chloramphenicol
- Aminoglycosides
- Tetracyclines
What are the cautionary labels needed in antibiotics
- Space doses + Finish course
What are the GI side effects on antibiotics
- Nausea Vomiting + Abdominal pain + Diarrhoea
What is a superinfection
- Kills good bacteria , therefore selective organisms are able to grow
What allergic reactions do you have to be cautious about in penicillin’s and cephalosporins
- Penicillin allergy
- In 1/15 people
What are your rule of thumb antibiotics in
- Staphylococci –
- MRSA –
- Streptococci –
- Anaerobic bacteria –
- Pseudomonas aeruginosa –
- Staphylococci – Flucloxacillin
- MRSA – Vancomycin
- Streptococci – – Benzylpenicillin / Phenoxymethylpenicillin
- Anaerobic bacteria – Metronidazole
- Pseudomonas aeruginosa – Gentamycin