Intra-abdominal infections

Question 1

Empiric therapy for CAPD?

Answer 1

vancomycin OR cefazolin+ levofloxacin

Question 2

empiric therapy for SBP?

Answer 2

ceftriaxone or cefotaxime or FQ

Question 3

empiric therapy for mild-moderate secondary peritonitis?

name a single agent regimen and a combo agent regimen

Answer 3

single agent: timentin

combo agent: metronidazole+cephalosporins or FQ

Question 4

empiric therapy for severe, high risk secondary peritonitis?

name a single agent regimen and a combo agent regimen

Answer 4

single agent: anti-pseudomonal carbapenems OR pip/tazo

combo agent: ceftazidime or cefepime+ metronidazole

Question 5

what are common pathogens for primary CAPD?

Answer 5

s. aureus, may include GN

Question 6

what are common pathogens for primary SBP?

Answer 6

E. coli, other GN

Question 7

what are common pathogens for mild-moderate secondary peritonitis?

Answer 7

GN+strep+anaerobes

Question 8

what are common pathogens for severe, high risk secondary peritonitis?

Answer 8

GN+strep+anerobes PLUS pseudomonas and possibly MRSA