TSS, CAP Flashcards

1
Q

In TSS, exfoliation of skin occurs

A

several days after onset of infection

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2
Q

Causative organisms in TSS

A

Staph aureus and S. pyogenes

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3
Q

Treatment for TSS

A

High volume IVF
Carbapenem or penicillin with a B-lactamase inhibitor plus clinda.
(Clinda and Nafcillin if MSSA)

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4
Q

Penicillins with B lactamase inhibitors

A

Augmentin
Zosyn
Unasyn
Ticarcillin-Clavulanate

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5
Q

Pathogen in Alcoholism

A

S. pneumo, Anaerobes, Klebsiella, Acinetobacter, M. tuberculosis

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6
Q

COPD/smoking

A

H flu, Pseudomonas, Legionella, S. Pneumo, Moraxella, C. pneumoniae

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7
Q

HIV early

A

S. pneumo, H flu, M. tuberculosis

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8
Q

Flu

A

flu, S. pneumo, S. Aureus, H flu

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9
Q

Nursing home resident, Cardiopulm disease, recent antibiotics

A

Enteric gram negatives

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10
Q

Structural lung disease, glucocorticoid therapy, broad antibiotic therapy, malnutrition

A

Pseudomonas, Burkholeria cepacia, Stenotrophomonas, S. aureus

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11
Q

Travel to southwestern US

A

Coccidioides, Hanta virus

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12
Q

Travel to Southeast and East Asia

A

Burkholderia pseudomallei (melioidosis)

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13
Q

Bat or bird droppings

A

Histoplasma

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14
Q

Exposure to birds

A

Chlamydophila psittaci

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15
Q

Rabbits

A

Francisella Tularensis

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16
Q

Farm animals or parturient cats

A

Coxiella Burnetii

17
Q

Rodent excretia

A

Hantavirus

18
Q

Out patient CAP in healthy patient

A

Macrolide or Doxy

19
Q

Outpatient CAP in region with macrolide resistance

A

Respiratory Quinolone or B lactam +macrolide

20
Q

Outpatient CAP in pt with comorbidites or antibiotic use in last 3 months

A

Respiratory quinolone or B lactam plus macrolide

21
Q

Macrolides

A

Azithromycin, Carithromycin, Erythromycin

22
Q

B lactams

A

Cephalosporins
Penicillins
Carbapenems
Monobactam

23
Q

Inpatient non-ICU CAP

A

B lactam plus macrolide or respiratory quinolone

24
Q

CAP in ICU

A

B lactam + Azithomycin or respiratory quinolone

If penicillin allergic- resp quinolone + aztreonam

25
Q

Antipseudomonal B-lactam

A
Piperacillin
Ceftazidime
Cefepime
Imipenem
Aztreonam
26
Q

Antipseudomonal Quinolone

A

Cipro

Levoquine