Nosocomial Infections

Question 1

Airborne precautions for:

Answer 1

TB, VZV, measles

Question 2

Droplet precautions for:

Answer 2

influenza, pertussis, adenovirus, neisseria meningitidis, diptheria

Question 3

contact precautions:

Answer 3

MRSA, VRE, MDR GNR

Question 4

UA for UTI in women, men:

Answer 4

women: >10^6
men: >10^3

Question 5

catheter associated UTI caused by orgs:

Answer 5

yeast 30%
E. coli 25%
other GNR

Question 6

Treat UTI:

Answer 6

Uncomplicated: nitrofurantoin, TMP-SMX, or fluoroquinolone (cipro/levo)

Complicated: TMP-SMX or fluoroquinolone

Can NOT use moxifloxacin - no urinary penetration

Question 7

Bacteremia orgs:

Answer 7

#1 Staph. epidermidis
-Staph. aureus, candida, enterococci, Klebsiella

TEE if S. aureus
Remove lines, central venous catheters, can keep central venous catheter if S. epi

Question 8

C. diff caused by these Abx:

Answer 8

Broad spectrum:

Clidamycin, Ampicillin, Cephalosporins, FQ

Question 9

C. diff eval:

Answer 9

Symptoms
Stool EIA or PCR
Glutamate dehydrogenase (GDH) - high sensitivity