Infections - Liam Flashcards
Septic shock
Systolic blood pressure less than go despite fluid resuscitation
Hyperlactaemia (>4mmol/L)
Severe sepsis
- When sepsis is present and results in organ dysfunction
- Hypoxia
- Oliguria
- Acute kidney injury
- Thrombocytopenia
- Coagulation dysfunction
- Hypotension
- Hyperlactaemia
Sepsis 6
- Take
- Blood lactate
- Blood cultures
- Urine output
- Give
- Oxygen (maintain 94-98%)
- Empiracal broad spectrum antibiotics
- IV fluids
Chest infection cause
- Viral common
- Steptococcus pneumoniae (50%)
Chest infection antibiotics
Amoxicillin - community
UTI - cause
E-coli
UTI - management
- Duration
- 3 days for simple lower UTI of woman
- 7 days for men, pregnant woman or catheter related UTI
- Antibiotics
- Trimethoprim
- Nitrofurantoin
Pyelonephritis - management
Cefalexin
Co-amoxicalv
Trimethoprim
Ciprofloxacin
Cellulitis - cause
Staph aureus
Cellulitis - treatment
Fluxlocaccillin
URTI - cause
USUALLY viral
Bacterial tonsillitis cause
Streptococcus pyogenes
Common causes of intra-abdominal infections
Anaerobes (bacteroides and clostridium)
E coli
Klebsiella
Enterococcus
Streptococcus
Abdominal infection - treatment
Co-amoxiclav
Septic arthritis - cause
Staph aureus
Septic arthritis - treatment
Flucloxacillin plus rifampicin
Influenza - treatment
- Only for those at risk of complications
- Oral oselamivir
- Inhaled zanamivir
Gastroenteritis - cause
- Viral most common
- Rotavirus
- Norovirus
- If bacterial
- E-coli that produces shiga toxin (E-coli 0157)
- Compylobacter jejuni (travelling)
- Shigella
- Bacillus cereus
Bacterial meningitis - cause
- In adults and children
- Neisseria meningitides and streptococcus pneumonia
- In neonates
- Group B streptococcus
Bacterial meningitis community - treatment
IM or IV of benzylpenicillin
Bacterial meningitis hospital - treatment
- < 3 months
- Cefotaxime plus amoxicillin
- >3 months
- Ceftriaxone
Viral meningitis - cause
Herpes simplex virus
Enterovirus
Varicella zoster virus
Viral meningitis - treatment
Aciclovir
TB - cause
Mycobacterium tuberculosis
Management of acute pulmonary TB
- RIPE
- Rifampicin for 6 months
- Isoniazid for 6 months
- Pyrazinamide for 2 months
- Ethambutol for 2 months
What should be prescribed with the antibiotics for TB to counter side effects
Pyridoxine to counter the peripheral neuropathy caused by isoniazid
Rifampicin - side effect
Red/orange urine and tears