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
Q

Severe CAP (3-5) penicillin allergic

A

IV levofloxacin monotherapy

26
Q

Non-severe HAP (0-2)

A

PO amoxicillin / PO doxycycline 5 days

27
Q

ICU/HDU CAP

A

Co-amoxiclav + clarythromycin IV

28
Q

Severe HAP (3-5) non penicillin allergic

A

IV amoxicillin + IV gentamicin

29
Q

Severe HAP (3-5) penicillin allergic

A

IV Co-trimoxazole + IV gentamixin

30
Q

Nonsevere Aspiration Pneumonia

A

PO amoxicillin/Doxy + PO metronidazole

31
Q

Severe Aspiration Pneumonia non allergic

A

IV amoxicillin + metronidazole + gentamicin

32
Q

Severe aspiration pneumonia allergic

A

IV clarythromycin/PO doxy + metronidazole + gentamycin

33
Q

how is strep diagnosed

A

blood agar

34
Q

what organism is grown on chocolate agar

A

H. influenza

35
Q

how is mycoplasma, coxiella and chlamydophilia and. legionella diagnosed

A

serology/PCR. legionella may be urine culture

36
Q

how is pneumocystis (fungi) and aspergullus diagnosed

A

bronchoalveolar lavage

37
Q

main cause of bronchiolitis

A

RSV

38
Q

second main cause of bronchiolitis

A

metapneumovirus

39
Q

treatment of aspergillus

A

Amphotericin B/Variconazole/Surgery

40
Q

treatment of mycoplasma, coxiella burnetti and chlaydophillia psticci

A

tetracycline or macrolide

41
Q

treatment of strep, H.influenza and moraxella

A

amoxicillin/doxy

42
Q

treatment of klebsiella and pseudomonas

A

gentamicin

43
Q

how is chlamdia trachomatis aquired

A

from mother. do PCR mothers urine

44
Q

treatment of giardiasis and etobius vermicularis

A

oral metronidazol

45
Q

treatment of salmonella typhi

A

cirpofloxacin

46
Q

H.pylori erradication therapy

A

omeprazol + amoxicillin/metronidazol + Clarithromycin

47
Q

treatment of campylobacter

A

supportive or erythromycin/ciprofloxacin

48
Q

Salmonella enteritca

A

Ciprofloxacin

49
Q

what treatment must be avoided in HUS

A

antibiotics and NSAIDs

50
Q

pseudomonas

A

ciprofloxacin

51
Q

severe pseudomonas

A

ceftizimide

52
Q

peritonitis/billary tract/intra-abdominal

A

IV amoxicillin/vancomycin + IV gentamicin + IV metronidazole

step down: cotrimoxazole + metronidazole

53
Q

mild subacute bacterial peritonitis

A

Co-trimoxazole

54
Q

severe subacute bacterial peritonitis

A

Piperacillin/Tazobactam

55
Q

endocarditis due to dental treatment (strep viridian’s)

A

amoxicillin + IV gent

56
Q

prosthetic valve endocarditis (stap epidermis)

A

IV vancomycin + IV gent + PO rifampicin