Infecto FINAL

Question 1

Linezolid no se puede usar en

Answer 1

Embarazadas duh, meningitis ni endocarditis ni IVU

Question 2

COlera embarazadas y chamaquitos

Answer 2

eritromicina

Question 3

Toxoplasmosis embarazo

Answer 3

espiramicina

Question 4

Neumonia por anaerobios

Answer 4

moxifloxacina o clindamicina

Question 5

Profilaxis infecciones en paceintes con sida

Answer 5

menos de 200: TMP-SMX (pneumocisti), menos de 100 TMP-SMX (pneumocisti y toxoplasma). Menos de 50 azitromicina o claritromicina (M. avium). Si es alergico a las sulfas VIH pos dar dapsona

Question 6

Si la cuero ta embaraza y tiene jirovecci o toxo

Answer 6

Clindamicina

Question 7

IVU no complicada embarazadas

Answer 7

acido nalixidico, nitrodurantoina, fosfomicina

Question 8

erradicar estado portador staph

Answer 8

mupirocina (inhibe ARN se une a la isoleucil ARN sintetasa). Ya sea piel o neumonia a repeticion

Question 9

NAC

Answer 9

Eleccion: ceftriazona mas azitromicina
hospitalizar: ampicilina/sulbactam o cefotaxima+claritromicina
Levo o moxi caundo el paciente es alergico a beta lactamicos
ambulatorio: doxiciclina o azitromicina, amox/clavulanico

Question 10

Legionella sabemos que convenciones, diarrea, nuemonia alteracion conciencia

Answer 10

Azitromicina, levo, moxi, cipro

Question 11

Neumonia nosocomial definicion

Answer 11

3 dias despues ingresado, luego de 10 dias egresado o 1 semana. 6 meses si tiene protesis

Question 12

Tratamiento neumonia nosocomial (cubrir psudomonas y MRSA)

Answer 12

Meropenem+vancomicina
ceftaxidima/amikacina+linezolid
cefepime/ tobramicina+ linezolid
levo/ cefepime/ +vanco
meropenem+linezolid
piperatazo+cipro+linezolid
cefepime+tobramicina+linezolid

Question 13

Neumonia por anaerobios

Answer 13

moxi

meropenem

Question 14

Pnumocisti jiroveci

Answer 14

TMP-SMX, alegicosy embarazadas clindamicina

Question 15

Erisipela

Answer 15

ampicilina, cefalexina, cafazolina, amoxicilina, clindamicina, vanco, moxi, levo, macrolido, doxacilina, , doxiciclina

Question 16

Impetigo

Answer 16

mupirocina

Question 17

Fascitis necrotizante

Answer 17

clindamicina+penicilina

Question 18

Herpes Zosteer

Answer 18

Aciclovir (800mg 5 veces al dia)

valaciclovir 3 veces al dia

Question 19

Herpes labial

Answer 19

aciclovir

Question 20

herpes genital

Answer 20

valaciclovir

Question 21

Ulcera sacra (cocos post, bacilos gram neg, anaerobios

Answer 21

moxi, cefoxitin
piperatazo
amoxicilina+acido clavulanico
ampicinlina+sulbactam
levo + metro
cipro + metro

Question 22

Mordedura humana: positivos y aerobio

Answer 22

amoxi/clavulanico
ampi/sulbactam
ceftraxona+moxi
ceftraixona+doxiciclina
ceftraixona mas carbapenemicos

Question 23

Perro y gato mordedura

Answer 23

Pasteurella multicocida; amoxi/aci clavulanico

Question 24

Arañzo de gato

Answer 24

bartonella henselae: azitro+docloxacilina

Question 25

Pie diabetico

Answer 25

Levo+metro
cipro+clinda
cefepime+metro
ceftriaxoona+metro

Question 26

Osteones

Answer 26

vibrius vulnificus: doxiciclina

Question 27

onicomicosis

Answer 27

terbinafina 3 meses

griseofulvina 6 meses

Question 28

contr whippeli

Answer 28

doxiciclina, tmp=tmx

Question 29

coxiella (endocardits en veterinarios placenta vaca)

Answer 29

doxiciclina, tigeciclina, cloranfenicol

Question 30

endocarditis por brucela

Answer 30

doxiciclina, tigecilcina

Question 31

Endocarditis empirico

Answer 31

genta mas vanco

Question 32

Endocarditis HACEK ( con cultivos negativos)

Answer 32

ceftriaxona+ gentamicina+ vancomicina

Question 33

Endocarditis ambulatorio

Answer 33

teicoplanina con daptomicina

Question 34

resistente gentamicina

Answer 34

estreptomicina, tigeciclina

Question 35

Cirugia endocarditis

Answer 35

compromiso hemodinamico por destruccion de la valvula
fiebre persistente apesar buen tratamiento
fistulas o absesos perivalvulares
organismos pilas de resistentes y hongos
vegetaciones de mas de 10mm
valvulas prostesicas nuevas

Question 36

Major blood culture criteria for IE include the following:
Two blood cultures positive for organisms typically found in patients with IE
Blood cultures persistently positive for one of these organisms, from cultures drawn more than 12 hours apart
Three or more separate blood cultures drawn at least 1 hour apart
Major echocardiographic criteria include the following:
Echocardiogram positive for IE, documented by an oscillating intracardiac mass on a valve or on supporting structures, in the path of regurgitant jets, or on implanted material, in the absence of an alternative anatomic explanation
Myocardial abscess
Development of partial dehiscence of a prosthetic valve
New-onset valvular regurgitation
Minor criteria for IE include the following:
Predisposing heart condition or intravenous drug use
Fever of 38°C (100.4°F) or higher
Vascular phenomenon, including major arterial emboli, septic pulmonary infarcts, mycotic aneurysm, intracranial hemorrhage, conjunctival hemorrhage, or Janeway lesions
Immunologic phenomenon such as glomerulonephritis, Osler nodes, Roth spots, and rheumatoid factor
Positive blood culture results not meeting major criteria or serologic evidence of active infection with an organism consistent with IE
Echocardiogram results consistent with IE but not meeting major echocardiographic criteria

Answer 36

2 major criteria
1 major criterion and 3 minor criteria
5 minor criteria

Question 37

Osteomilietis diabeticos

Answer 37

piperatazo
cefepime+metronidazol o clindamicina
levofloxacina+metronidazol
moxi

Question 38

Osteomielitis falcemicos

Answer 38

ceftriaxona+vancomicina

Question 39

s epidermidis y rotesis

Answer 39

vanco+rifampicina