Staph aureus bacteraemias Flashcards
1
Q
Are staphylococci gram positive or negative?
A
Gram positive
2
Q
How is staph aureus acquisition classified?
A
Healthcare associated
Community acquired
3
Q
What infections can staph aureus cause?
A
Skin and soft tissue infections Deep seated abscesses Necrotising fasciitis Pyomyositis Osteomyelitis Septic arthritis Discitis Infective endocarditis Pneumonia Empyema Wound infection
4
Q
What are frequent sites of distant metastases?
A
Bones and joints
Epidural space and intervertebral discs
Native and prosthetic heart valves
Visceral abscesses in spleen, kidneys, lungs
5
Q
What investigations should be done if staph aureus is suspected?
A
Microscopy and culture of specimens Multiple blood cultures BEFORE commencing antibiotic therapy Biopsy samples for bone infections Imaging - X-ray, CT, MRI Transthoracic ECHO
6
Q
How is staph aureus treated?
A
Antibiotic therapy
Source identification and clearance
Appropriate surgical intervention
7
Q
What antibiotics should be given for staph aureus?
A
Flucloxacillin
Teicoplanin
Linezolid
Daptomycin
8
Q
How long should flucloxacillin be given for?
A
14 days minimum
