Nosocomial

Question 1

hand washing organisms?

Answer 1

c dif

norovirus

Question 2

contact precaution organisms

Answer 2

MRSA, VRE, MDR GNR, c dif

Question 3

Droplet precaution organisms?

Answer 3

influenza, pertussis, adenovirus, Neisseria, diptheria

Question 4

uncompliated UTI should be treated with what? complicated?

Answer 4

nitrofurantoin, TMP-SMX or FQ

TMP-SMX, FQ

Question 5

What FQ can’t be used for UTI?

Answer 5

moxifloxacin

Question 6

When can we keep a central venous catheter in during bacteremia?

Answer 6

if staph epidermidis

Question 7

what antibiotics are common causes of C dif?

Answer 7

clinda, ampi, cephalasporins, FQ

Question 8

What do we use to treat C dif with during complications such as ileus, megacolon, shock, peritonits

Answer 8

both flagyl and vanco

Question 9

when do we treat C dif with vanco>

Answer 9

severe- wbc>15 Cr. > 1.5x baseline, 65+

Question 10

what do we treat MRSA with?

Answer 10

vanco, dapto, linezolid

Question 11

When can we not use dapto?>

Answer 11

pneumonia

Question 12

What do we treat VRE with>

Answer 12

daptomycin, linezolid and tigecycline

Question 13

how do we prevent ventilator associated pneumonia?

Answer 13

raise head of the bed (recumbent), chlorhexidine rinse, increase stomach pH, reduce use

Question 14

cefazolin is usually used for surgical site prevention? what about for stomach GI stuff?

Answer 14

2nd generation cephalosporin

cefuroxime

Question 15

if someone has a penicillin allergy what should we use for surgical site prevention?

Answer 15

vanco and clinda

or

aztreonam and clinda/flagyl if distal colon