Microbiology

Question 1

What is the start smart then focus algorithm?

Answer 1

Question 2

What is the surgical prophylaxis algorithm?

Answer 2

Question 3

What does a beta-lactam allergy look like?

Answer 3

– vague, or minor (e.g. gastrointestinal disturbance) → if appropriate, treatment with a beta-lactam is justified
– non-urticarial rash with penicillin, without angio-oedema or anaphylaxis → cephalosporins, carbapenems and monobactam could still be used with caution if appropriate
– urticarial rash or angio-oedema or anaphylaxis → all beta-lactams are contraindicated

Question 4

What is the guidance for catheter antimicrobial prescribing?

Answer 4

Question 5

What is the guidance for pneumonia antimicrobial prescribing?

Answer 5

Question 6

What antibiotics are active against MRSA and which have no activity against MRSA?

Answer 6

Question 7

What is the main cause of antibiotic associated diarrhoea?

Answer 7

C.diff

Treatment with vancomycin then fidaxomicin second line

Question 8

What is the guidance for C.diff antimicrobial prescribing?

Answer 8

Question 9

What is the guidance for sore throat antimicrobial prescribing?

Answer 9

Question 10

What are the causes of type 1 and 2 necrotising fascitis?

Answer 10

Type 1 –
- Polymicobial
- Typically synergy between an aerobe and an anaerobe

Type 2 –
- Monomicrobial
- Group A streptococcus