Umass ID Tx

Question 1

Symptomatic Cystitis, uncomplicated

Answer 1

Ciprofloxacin PO (250mg)
or
Nitrofurantoin PO

Question 2

Symptomatic Cystitis, complicated

(anatomic abnormality, indwelling Foley cath, recent instrumentation, most men, diabetes/immunosuppression)q

Answer 2

Ceftriaxone IV
or
Ciprofloxacin PO (500mg)

Question 3

Acute Pyelonephritis

Answer 3

Ceftriaxone IV

Question 4

Nosocomial UTI

Answer 4

Ceftazidime IV

Question 5

Extra-Biliary Abdominal infection
(mild-mod, CA)

i.e. intra-abdominal abscess, diverticulitis, appendicitis

Answer 5

Ceftriaxone IV
PLUS
Metronidazole IV/PO

Question 6

Extra-Biliary Abdominal infection
(severe, CA)

severe = debilitated or immunocompromised host, severe organ dysfunction

Answer 6

Cefepime IV
PLUS
Metronidazole IV/PO

Question 7

Extra-Biliary Abdominal infection

Hospital-Acquired

Answer 7

Piperacillin-Tazobactam IV

**if gram stain reveals GCP in clusters add Vancomycin

Question 8

What would you add to Cephalosporin Tx for Biliary infection to cover for Enterococcus?

Answer 8

Vancomycin

Question 9

Clostridium dificile

mild-mod

Answer 9

Metronidazole PO

Question 10

Clostridium dificile

severe

Answer 10

Vancomycin PO

Question 11

Clostridium dificile

severe, complicated

Answer 11

Metronidazole IV
+
Vancomycin PO

Question 12

Bacterial Meningitis

age 18-50

Answer 12

Ceftriaxone IV
\+
Vancomycin IV
\+
Decadron