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Sepsis > Microman > Flashcards

Microman Flashcards

1
Q

What details should be known when asking for a micro consult?

A

Main complaint and history, current and recent antibiotic history
Initial assessment and investigations; radiology, samples
CRP, WCC; results and trends
Renal function; allergy
Observations (NEWS, SEPSIS 6, CURB65 etc)

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2
Q

What are coliforms (e.coli, klebsiella, enterobacter, proteus) and pseudomonas sensitive to?

A

Gentamicin and aztreonam

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3
Q

What is the cover used for ESBLs?

A

Temocillin
Pivmecillinam
Meropenem

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4
Q

What are VRE’s resistant to?

A

Vancomycin and meropenem

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5
Q

What bugs cause epiglottitis?

A

H. influenzae

Streptococcus

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6
Q

What bugs cause tonsillitis?

A

Group A streptococcus

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7
Q

What bugs cause sinusitis?

A

Pneumococcus

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8
Q

What bugs cause acute otitis media?

A

Pneumococcus

Haemophilus influenzae

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9
Q

What bugs cause mild/mod CAP?

A

Pneumococcus

H. influenzae

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10
Q

What bugs cause severe CAP?

A

Pneumococcus
H. influenzae
Coliforms
Atypicals - legionella, mycoplasma, chlamydia psticatti, coxiella, staph aureus (post influenza and PVL strains)

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11
Q

What is the treatment for legionella pneumonia?

A

IV co-amoxiclav and levofloxacin

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12
Q

What is the treatment for atypical CAP?

A

Doxycycline or clarithromycin

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13
Q

What bugs cause HAP?

A

Pneumococcus
H. influenzae
Coliforms
Legionella

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14
Q

What causes acute native valve endocarditis?

A

Staph aureus - take 2 sets of blood cultures and start antibiotics within the hour

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15
Q

What causes subacute native valve endocarditis?

A

Streptococcus viridans
Enterococci
HACEK

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16
Q

What causes prosthetic valve and MRSA endocarditis?

A

MRSA staph

Staph epi

17
Q

What is the treatment duration for endocarditis?

A

6 weeks

18
Q

What is the treatment for staph aureus bacteraemias?

A

2 weeks IV therapy

19
Q

What causes peritonitis/biliary tract sepsis and intra abdominal sepsis?

A

Polymicrobial coliforms
Anaerobes
Enterococci

20
Q

What causes spontaneous bacterial peritonitis?

A

Coliforms
Anaerobes
Strep pneumoinae

21
Q

What causes female and male uncomplicated UTI?

A

Coliforms

Enterococci

22
Q

What causes complicated UTI (pyelonephritis and urosepsis)?

A

Coliforms
Pseudomonas aeruginosa
Enterococci

23
Q

What causes cellulitis?

A

Staph aureus

GAS and other beta haemolytic strep

24
Q

What causes acute diabetic foot?

A

Stap eures

25
Q

What causes acute on chronic diabetic foot?

A

Staph aureus
Coliforms
Anaerobes

26
Q

What causes septic arthritis/ osteomyelitis?

A

Staph aureus
Staph epi if prosthetic joint
Salmonella if sickle cell

Sepsis (7 decks)

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