infection cpc

Question 1

which infectoins are you at risk of with a CD4 count of 100 in HIV?

Answer 1

CMV

LYMPHOMA

Question 2

which infectoins are you at risk of with a CD4 count of 200 in HIV?

Answer 2

PCP - pneumocystic j pneumonia

Cryptococcosis

Toxoplasmosis

Question 3

which infectoins are you at risk of with a CD4 count of 300 in HIV?

Answer 3

TB

hairy leukoplakia

Question 4

which infectoins are you at risk of with a CD4 count of 400 in HIV?

Answer 4

kaposi sarcoma

Question 5

what are you at risk of with highs CD4 count in HIV?

Answer 5

lymphadenopathy

thrombocytopenia

Question 6

which infectoins are you at risk of with a CD4 count of 500 in HIV?

Answer 6

Herpes simplex and zoster

oral fungal infections

skin; bacterial and fungal infections

Question 7

Complement defect puts you at risk of which infections?

Answer 7

Neisseria

Question 8

T cell defect puts you at risk of which infections?

Answer 8

just remember - ‘most of the main ones’ except ;

Strep, Staph, Haemophilus

Question 9

B cell defect puts you at risk of which infections?

Answer 9

Strep, Staph, Haemophilus

giradia

Question 10

what are the most important considerations in Prosthetic joint Infections?

Answer 10

Removal of prosthesis and adequate debridement most important.

Antibiotics play a secondary role.

Question 11

apart from prosthetic joints, list other implants possibly causing infection?

Answer 11

Intravascular lines (venflons, central lines, pic lines, portacaths etc)

Prosthetic cardiac valves

Prosthetic implant (Cosmetic or reconstructive)

Question 12

which abx most likely to cause c diff?

Answer 12

fluoroquinolones - ciprofloxacin

Question 13

pt presents with clinically NOT severe c diff of ribotype 027. how to treat?

Answer 13

treat as severe disease - v dangerous strain - big killer!

Vancomycin!

Question 14

when you see a c difff patient on WR, what must you do differently?

Answer 14

hand hygiene -> soap and water not gels!