Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

internal 5th year > infectology > Flashcards

infectology Flashcards

1
Q

Erysipelas treatment

A

penicillin, cefuroxime

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cellulitis th

A
  • no MRSA risk out pt: cefazolin, cephalexin
  • MRSA out pt: TMP-SMX, clindamycin
  • MRSA, in pt: vancomycin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Toxic Shock Syndrome th

A

vancomycin+ clindamycin+ carbapenem or piperacillin tazobactam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Necrotizing Fasciitis th

A
  • type 1 : clindamycin + piperacillin tazobactam/ carbapenem

- type 2: clindamycin + penicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Gas Gangrene th

A

Clindamycin + Penicillin G

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Diabetic Foot Ulcer th

A
  • Mild infection: Oxacillin or Cephalexin
  • Chronic infection: Fluoroquinolone + Clindamycin
  • Life-threatening infection :Vancomycin + Imipenem or Vancomycin + Piperacillin/tazobactam
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Osteomyelitis th

A

empiric: Vancomycin + Ceftazidime/ Cefepime

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Bacterial (non-gonococcal) Arthritis empiric th

A

Ceftriaxone or Vancomycin (if MRSA risk)

Consider adding Cefepime if elderly and/or immunocompromised.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Gonococcal Arthritis th

A

Ceftriaxone for 7 days with empiric doxycycline 7days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lyme erythema migrans th

A

doxycycline 1st line
amoxicillin (preganant 1st choice)
cefuroxime

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lyme Cranial nerve palsy th

A

doxycycline
amoxicillin
cefuroxime

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Lyme meningitis Lyme carditis Lyme arthritis

A 
#1 Ceftriaxone (IV, once daily x 14 days)
#2 Cefotaxime (IV, 3 times daily x 14 days)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cystitis Non-complicated th

A

Fosfomycin (3 g PO single dose)

Nitrofurantoin (PO 3-5 days)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cystitis complicated th

A
  • Fosfomycin
  • Nitrofurantoin
  • TMP-SMX
  • Amoxicillin/clavulanate
  • Ciprofloxacin/Levofloxacin
    10-14 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

catheterized patient UTI th

A

before culture result give empirical AB imipenem then step down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Urethritis th

A

Neisseria coverage → Ceftriaxone (IM, 250 mg single dose)

Chlamydia coverage → Azithromycin (PO, 1 g single dose) OR Doxycycline (PO, 100 mg, twice daily x 7 days)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Prostatitis th

A

TMP-SMX
Ciprofloxacin/Levofloxacin
6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Pyelonephritis th

A

out pt ciprofloxacin, levofloxacin, TMP-SMX 14 days amoxicillin/calvulanic acid 10-14 days
in pt Ceftriaxone, piperacillin-tazobactam, imipenem (sepsis only iv) 14 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

strep throat th

A

amoxicillin 10 days

20
Q

Diverticulitis Outpatient th

A

TMP-SMX
Cipro+metronidazole
Clindamycin+gentamycin

21
Q

Diverticulitis In-hospital Treatment

A

Ampicillin+/-aminoglycoside+/-metronidazole

Carbapenems for more severe cases

22
Q

Cholecystitis Cholangitis AB th

A
  • Ciprofloxacin + Metronidazole

- Ampicillin/sulbactam + Gentamicin + Metronidazole

23
Q

1° (spontaneous) bacterial peritonitis th

A

Cefotaxime or ceftriaxone

24
Q

2° bacterial peritonitis th

A 
Piperacillin/tazobactam 
Imipenem
Ciprofloxacin + Metronidazole 
Ceftriaxone + Metronidazole
\+Surgical intervention
25
Q

Pelvic inflammatory disease (PID) th

A

Ceftriaxone + Doxycycline

Clindamycin + Gentamycin

26
Q

Intra-abdominal abscess th

A

Percutaneous drainage
Piperacillin/tazobactam Imipenem
Ciprofloxacin + Metronidazole
Ceftriaxone + Metronidazole

27
Q

Acute bacterial meningitis th

A

Ceftriaxone+ Vancomycin + Dexamethasone

+/- Ampicillin for Listeria coverage (if patient > 50 y’)

28
Q

Brain Abscess th

A

Ceftriaxone/Cefepime + Metronidazole (usually 4-8 weeks)

29
Q

Neutropenic Fever low risk outpt th

A

Amoxicillin/clavulanate and Ciprofloxacin

30
Q

Neutropenic Fever high risk hospitalization th

A

Imipenem or Meropenem
Piperacillin/tazobactam
add Vancomycin in selected cases ex: indwelling catheter
add antifungal therapy if neutropenic fever > 5 days

31
Q

Endemic mycoses (Coccidiomycosis Histoplasmosis Blastomycosis) th

A

Localized disease: Itraconazole, Fluconazole
Disseminated disease:
- Amphotericin-B
- Itraconazole (consider as maintenance therapy)

32
Q

Candidiasis (Opportunistic mycoses)

A 
Mucocutaneous infection:
- Nystatin (topical)
- Fluconazole 
Esophageal infection:
- Fluconazole 
Disseminated infection:
- Caspofungin
- Liposomal Amphotericin-B
33
Q

Cryptococcosis (Opportunistic mycoses)

A

CNS involvement:

  • Amphotericin-B and Flucytosine
  • Fluconazole (maintenance)
34
Q

Aspergillosis (Opportunistic mycoses)

A

Disseminated infection:

  • Voriconazole
  • Amphotericin-B
35
Q

Mucormycosis (Opportunistic mycoses)

A

Amphotericin-B

Surgical

36
Q

Disseminated Mycobacterium avium complex (MAC) th

A

clarithromycin + ethambutol +/- rifabutin.

37
Q

HIV CART

A

Tenofovir+Emtricitabine+Ritonavir

Tenofovir+Emtricitabine+Raltegravir

38
Q

HIV pre-exposure prophylaxis

A

Tenofovir + Emtricitabine

39
Q

HIV post-exposure prophylaxis

A

Tenofovir + Emtricitabine +/- Raltegravir

40
Q

HIV Pregnancy prophylaxis (prevent vertical transmission)

A

‘2+1 regimen’ + Zidovudine

41
Q

Inflammatory diarrhea with positive warning signs

A

empiric antibiotic treatment (azithromycin or ciprofloxacin x 3-5 days).

42
Q

Clostridium difficile Initial episode, mild-moderate

A

Metronidazole (PO), 10-14 d’

*alternatively use Fidaxomicin

43
Q

Clostridium difficile Initial episode, severe

A

Vancomycin (PO), 10-14 d’

*alternatively use Fidaxomicin

44
Q

Clostridium difficile fulminant

A

Vancomycin (PO or NGT) PLUS Metronidazole (IV)

*consider rectal vancomycin

45
Q

Clostridium difficile First recurrence

A

Repeat 14-days course with metronidazole or vancomycin

46
Q

Clostridium difficile Second recurrence

A

Vancomycin taper for 6 weeks

47
Q

Clostridium difficile Multiple recurrences

A

repeat vancomycin (PO) taper/pulse, fecal transplantation

internal 5th year (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions