MICROBIOLOGY Flashcards

1
Q

staph aureus

A

Flucloxicillin

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2
Q

MRSA

A

IV vancomycin + flucloxicillin

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3
Q

Pneumococcal

A

amoxicillin, cephalosporins, benzylpenicillin

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4
Q

Klebsiella

A

Ceftaximine, Imipenem

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5
Q

Pseudomonas

A

Ceftazidime, Meropenim, ciprofloxacin, aminoglycoside eg. gentamicin

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6
Q

Mycoplasma

A

clarythromycin, tetracycline, floroquinolone

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7
Q

Legionella

A

levofloxacin (2-3 wks), clarythromycin + rifampicin

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8
Q

Chlamydrophillia

A

macrolide, doxy/florquinolone if contraindicated

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9
Q

chlamydrophillia psticci

A

Tetracycline, clarythromycin

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10
Q

Viral Pneumonia

A

Co-amoxiclav + ciprofloxacin, oselamivir prophylaxis

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11
Q

Pneumocystis pneumonia

A

high dose co-trimoxazole/ pentamidine + steroids

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12
Q

herpes liabis, lobar consolidation on Cxr

A

pneumococcal

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13
Q

bilateral caveating bronchopneumonia

A

staph aureus

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14
Q

opportunistic

A

pseudomonas, pneumocystis, mycoplasma

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15
Q

diabetes, caveatting pneumonia

A

klebsiella

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16
Q

flu like symptoms, homeless, Cxr: reticular shadowing. Comps: Gillian barre, myelitis, skin rash

A

mycoplasma

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17
Q

CF, bronchiectasis, HAP, ICU

A

pseudomonas

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18
Q

D+V, renal failure, confusion. Cxr: bi-basal consolidation. Lymphenia, deranged LFTs, haematuria. Inx: serology

A

Legionella

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19
Q

person-to-person spread, Ottis, pharyngitis, ear infection, hoarseness

A

Chlamydrophillia

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20
Q

mucoid sputum, headache dry cough, patchy consolidation

A

chlamydrophillia psticci

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21
Q

bilateral perihilar interstial shadowing + HIV

A

pneumocystis jirovecci

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22
Q

Non-severe CAP (0-2)

A

PO amoxicillin / Doxy PO

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23
Q

Non-severe CAP NBM

A

IV clarythromycin

24
Q

Severe CAP (3-5) non penicillin allergic

A

Co-amoxiclav IV + PO doxycycline

25
Severe CAP (3-5) penicillin allergic
IV levofloxacin monotherapy
26
Non-severe HAP (0-2)
PO amoxicillin / PO doxycycline 5 days
27
ICU/HDU CAP
Co-amoxiclav + clarythromycin IV
28
Severe HAP (3-5) non penicillin allergic
IV amoxicillin + IV gentamicin
29
Severe HAP (3-5) penicillin allergic
IV Co-trimoxazole + IV gentamixin
30
Nonsevere Aspiration Pneumonia
PO amoxicillin/Doxy + PO metronidazole
31
Severe Aspiration Pneumonia non allergic
IV amoxicillin + metronidazole + gentamicin
32
Severe aspiration pneumonia allergic
IV clarythromycin/PO doxy + metronidazole + gentamycin
33
how is strep diagnosed
blood agar
34
what organism is grown on chocolate agar
H. influenza
35
how is mycoplasma, coxiella and chlamydophilia and. legionella diagnosed
serology/PCR. legionella may be urine culture
36
how is pneumocystis (fungi) and aspergullus diagnosed
bronchoalveolar lavage
37
main cause of bronchiolitis
RSV
38
second main cause of bronchiolitis
metapneumovirus
39
treatment of aspergillus
Amphotericin B/Variconazole/Surgery
40
treatment of mycoplasma, coxiella burnetti and chlaydophillia psticci
tetracycline or macrolide
41
treatment of strep, H.influenza and moraxella
amoxicillin/doxy
42
treatment of klebsiella and pseudomonas
gentamicin
43
how is chlamdia trachomatis aquired
from mother. do PCR mothers urine
44
treatment of giardiasis and etobius vermicularis
oral metronidazol
45
treatment of salmonella typhi
cirpofloxacin
46
H.pylori erradication therapy
omeprazol + amoxicillin/metronidazol + Clarithromycin
47
treatment of campylobacter
supportive or erythromycin/ciprofloxacin
48
Salmonella enteritca
Ciprofloxacin
49
what treatment must be avoided in HUS
antibiotics and NSAIDs
50
pseudomonas
ciprofloxacin
51
severe pseudomonas
ceftizimide
52
peritonitis/billary tract/intra-abdominal
IV amoxicillin/vancomycin + IV gentamicin + IV metronidazole | step down: cotrimoxazole + metronidazole
53
mild subacute bacterial peritonitis
Co-trimoxazole
54
severe subacute bacterial peritonitis
Piperacillin/Tazobactam
55
endocarditis due to dental treatment (strep viridian's)
amoxicillin + IV gent
56
prosthetic valve endocarditis (stap epidermis)
IV vancomycin + IV gent + PO rifampicin