Staph. Infections

Question 1

Mainstay of treatment for Staph. Infections

Answer 1

Incision and Drainage

Question 2

MRSA Treatment
(Oral)

Answer 2

Clindamycin
Bactrim
Doxycycline

Question 3

MSSA Treatment
(Oral)

Answer 3

Dicloxacillin
Cephalexin

Question 4

MRSA Treatment (Complicated or Extensive)
(IV)

Answer 4

Vancomycin (1 gram every 12 hours)

or
Daptomycin or Linezolid

Question 5

MSSA Treatment (Complicated or Extensive)
(IV)

Answer 5

Cefazolin
Oxacillin
Nafcillin

Question 6

Staph Bacteremia Treatment

Answer 6

Vancomycin or Daptomycin
(4 - 6 weeks)

Question 7

What should you obtain if a patient has Staph Bacteremia?

Answer 7

Echocardiogram
- rule out infective endocarditis

Question 8

Staph. aureus produces toxins that can cause what 3 complications?

Answer 8

Scalded Skin Syndrome → Children

Toxic Shock Syndrome → Adults

Enterotoxin Food Poisoning

Question 9

Signs and Symptoms of Toxic Shock Syndrome

Answer 9

Abrupt High Fever
Vomiting
Watery Diarrhea
Rash
Conjunctivitis
Desquamation of palms and soles during recovery

Question 10

Toxic Shock Syndrome Blood Cultures

Answer 10

Negative
- symptoms are due to the effects of the toxin and not the systemic infection

Question 11

Toxic Shock Syndrome Treatment

Answer 11

Rapid Rehydration
+
Clindamycin → inhibits toxin production

Question 12

Coagulase-Negative Staph. is an important cause of infections of what?

Answer 12

Intravascular Devices
Prosthetic Devices

Question 13

How is Coagulase-Negative Staph. treated?

Answer 13

Vancomycin (6 weeks)

If prosthetic valve with MRSA:
- Vancomycin + Rifampin + Gentamicin