Microman Flashcards
What details should be known when asking for a micro consult?
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)
What are coliforms (e.coli, klebsiella, enterobacter, proteus) and pseudomonas sensitive to?
Gentamicin and aztreonam
What is the cover used for ESBLs?
Temocillin
Pivmecillinam
Meropenem
What are VRE’s resistant to?
Vancomycin and meropenem
What bugs cause epiglottitis?
H. influenzae
Streptococcus
What bugs cause tonsillitis?
Group A streptococcus
What bugs cause sinusitis?
Pneumococcus
What bugs cause acute otitis media?
Pneumococcus
Haemophilus influenzae
What bugs cause mild/mod CAP?
Pneumococcus
H. influenzae
What bugs cause severe CAP?
Pneumococcus
H. influenzae
Coliforms
Atypicals - legionella, mycoplasma, chlamydia psticatti, coxiella, staph aureus (post influenza and PVL strains)
What is the treatment for legionella pneumonia?
IV co-amoxiclav and levofloxacin
What is the treatment for atypical CAP?
Doxycycline or clarithromycin
What bugs cause HAP?
Pneumococcus
H. influenzae
Coliforms
Legionella
What causes acute native valve endocarditis?
Staph aureus - take 2 sets of blood cultures and start antibiotics within the hour
What causes subacute native valve endocarditis?
Streptococcus viridans
Enterococci
HACEK
What causes prosthetic valve and MRSA endocarditis?
MRSA staph
Staph epi
What is the treatment duration for endocarditis?
6 weeks
What is the treatment for staph aureus bacteraemias?
2 weeks IV therapy
What causes peritonitis/biliary tract sepsis and intra abdominal sepsis?
Polymicrobial coliforms
Anaerobes
Enterococci
What causes spontaneous bacterial peritonitis?
Coliforms
Anaerobes
Strep pneumoinae
What causes female and male uncomplicated UTI?
Coliforms
Enterococci
What causes complicated UTI (pyelonephritis and urosepsis)?
Coliforms
Pseudomonas aeruginosa
Enterococci
What causes cellulitis?
Staph aureus
GAS and other beta haemolytic strep
What causes acute diabetic foot?
Stap eures
