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Peds > SSTIs > Flashcards

SSTIs Flashcards

1
Q

After an SSTI recurrence is {{BLANK}}% over 1-year

A

50% of patients experience reoccurrence within 1-year

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2
Q

What are the most common pathogens associated with SSTI?

A
  • S. aureus
  • GAS
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3
Q

A patient has an SSTI and the pathogen is cultured:
* GP cocci in clusters
* Suppurative
* Abscess

What pathogen do you think is present?

A

S. aureus

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4
Q

A patient has an SSTI and the pathogen cultured:
* GP cocci in chains
* no suppuration
* Beginning necrotization

What pathogen do you think is present?

A

GAS

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5
Q

T/F: lesions for both impetigo and bullous impetigo typically disappears without scarring

A

True

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6
Q

What (2) forms does impetigo typically appear in?

A
  • Non-bullous: yellow crust
  • Bullous: vesicles that enlarge into bullae
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7
Q

{{BLANK}} is an erythromatous rash along a patient’s skin that can look like a sunburn. Skin peels off with pressure (Nikolsky sign)

A

Staphylococcal scalded skin syndrome

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8
Q

What is the typical Tx for impetigo?

Superficial lesions, cleaning, large extent (MRSA)

A
  • Superficial lesions: Mupirocin
  • Clean: Chlorhexidine
  • MRSA (large extent): SMX/TMP
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9
Q

What is the typical Tx for staphylococcal scalded skin syndrome?

A
  • Nafcillin/Oxacillin + Clindamycin
  • If toxic appearance: Vancomycin and/or Clindamycin
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10
Q

A purulent furuncle, carbuncle, or abscess (SSTI) should all be treated by?

A

I&D

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11
Q

Regarding Staphylococcal scalded skin syndrome, what treatments are recommended and have been shown to be equivalent?

A
  • Clindamycin
  • Clindamycin + Nafcillin/Oxacillin
  • Clindamycin + Vancomycin
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12
Q

{{BLANK}} is the first diagnostic tool recommended for abscess evaluation

A

Ultrasound

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13
Q

Blood cultures are not recommended in abscess evaluation unless?

Due to high rates of contamination

A

Unless
* Pt is toxic appearing
* Immunocompromised
* Has a malignancy
* Immersion of injuries or animal bites

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14
Q

Typically, for a skin infection, clindamycin and TMP/SMX are both equally efficacious in treating the disorder; however, {{BLANK}} displays a lower recurrence rate

A

Clindamycin

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15
Q

{{BLANK}} is a common pathogen seen in infections precipitated by dog bites

A

Pasturella multicida

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16
Q

What is the recommended Tx for dog bite (Pasturella mutlicida)?

A

Augmentin +/- Clindamycin

17
Q

{{BLANK}} is defined as vesiculobullous eruptions in areas of eczema

Assoc. w/ coxsackievirus A6

A

Eczema coxsackium

18
Q

Why do immune modulators display efficacy in pyoderma gangrenosum treatment?

A
  • Overactive immune system
  • Immune modulation leads to mitigation of immunoactivity

Commonly seen in IBD, autoimmune arthritis, blood disorders (leukemia)

19
Q

{{BLANK}} is a condition of an overactive immune system with new or worsening ulcer formation

A

Pyoderma gangrenosum

Peds (9 decks)

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