Infectious diseases Flashcards
Mild/moderate cellulitis management?
oral flucloxacillin
if allergic to penicillin then oral clarithromycin, erythromycin (in pregnancy) or doxycycline
moderate/severe cellulitis management?
admit
oral/IV co-amoxiclav
OR
oral/IV clindamycin
OR
IV cefuroxime
OR
IV ceftriaxone
management of active TB?
Isoniazid, rifampicin, ethambutol, and pyrazinamide for 2 months
then
Isoniazid and rifampicin for a further 4 months.
management of ‘Tinea’?
topical anti-fungal such as clotrimazole and ketoconazole
OR
Systemic agents such as terbinafine or itraconazole for tinea capitis or onychomycosis
gastroenteritis viral causes?
- rotavirus
- noravirus
why should antibiotics be avoided in E.coli 0157?
increases risk of haemolytic uraemic syndrome
risk factors for campylobacter?
- uncooked poultry
- untreated water
- unpasteurised milk
severe campylobacter - consider which antibiotic?
azithromycin
OR
ciprofloxacin.
Which organisms cause bloody diarrhoea?
E.coli 0157
campylobacter
shigella
Haemolytic uraemic syndrome triad?
- AKI
- microangiopathic haemolytic anaemia
- thrombocytopenia
diarrhoea + dehydration + hypoglycaemia - what is it?
cholera
cholera treatment?
oral rehydration therapy
antibiotics = doxycycline, ciprofloxacin
Type of meningitis:
appearance: cloudy
glucose: low
protein: High
WBC: 10-5000 polymorphs
Bacterial
Type of meningitis:
appearance: clear/cloudy
glucose: 60-80% of plasma glucose
protein: normal/raised
WBC: 15-1000 lymphocytes
Viral
Type of meningitis:
appearance: slightly cloudy / fibrin web
glucose: low
protein: High
WBC: 30-300 lymphocytes
tuberculosis