UW bacterial gastroenteritis (S. aureus, campylobacter) 04-02 (2)

Question 1

UW. S. aureus. what other mo is vomiting-predominant?

Answer 1

Bacilus cereus

Question 2

Bacilus cereus - reheated rice
S. aureus - dairy, egg, salads (iskaitant potato salad), mustard.

Answer 2

.

Question 3

UW. S. aureus. Dx?

Answer 3

CLINICAL

Question 4

UW. S. aureus. TX?

Answer 4

supportive, fluids

Question 5

UW. S. aureus. resolution?

Answer 5

24-48h

Question 6

UW. S. aureus. why does not spread human to human?

Answer 6

because CP is caused by preformed enterotoxin

Question 7

UW. S. aureus. and B. cereus = within hours of ingestion, vomiting predominant.

Answer 7

.

Question 8

UW. campylobacter. transmission?

Answer 8

via undercooked poultry

Question 9

UW. campylobacter. CP?

Answer 9

Fever, abdominal pain, diarrhea (mucoid +/- blood)

Pseudoapendicitis (RLQ pain due to acute ileocecitis)

Question 10

UW. campylobacter. Tx?

Answer 10

SUPPORTIVE (resolve <7d)

Question 11

UW. campylobacter. Tx - when abs?

Answer 11

only in severe or high-risk cases (duration >7d; bloody stools; high fevers; patients who are pregnant; immunocompromised, or elderly)

Question 12

UW. campylobacter. Complications? 2

Answer 12

Gullain-Barre syndrome
Reactive arthritis

Question 13

UW. campylobacter. MUCOID DIARRHEA + low grade fever

Answer 13

.

Question 14

UW. campylobacter. other spread than puoltry?

Answer 14

contaminated water or contact with animal (eg dog, cat)

Question 15

UW. campylobacter. self-limited

Answer 15

.

Question 16

UW. campylobacter. in what patients stool culture obtained?

Answer 16

inflammatory diarrhea. (nu tiesiog kai severe disease, >7d)

Question 17

UW. bacterial gastroenteritis. when should be suspected?

Answer 17

BLOOD OR MUCUS

Question 18

UW. bacterial gastroenteritis. when suspected what is waranted?

Answer 18

STOOL STUDIES (multiplex PCR testing, culture)

Question 19

UW. bacterial gastroenteritis. if mild symptoms, Tx?

Answer 19

supportive (oral rehydration) + close followup

Question 20

UW. bacterial gastroenteritis. why empiric abs not recommended?

Answer 20

incr. risk for HUS, if the causative pathogen is high-risk STEC (ie Ecoli O157:H7)

Question 21

UW. bacterial gastroenteritis.

Severe illness (eg, prolonged symptoms, hemodynamic instability) due to bacterial gastroenteritis caused by certain pathogens (eg, Salmonella) may require antibiotic therapy to decrease illness duration and severity. In addition, those with high-risk STEC often warrant hospitalization with aggressive fluid administration to decrease the risk of HUS.

Answer 21

.

Question 22

UW. bacterial gastroenteritis. For tx zymejau ultrasound - wrong. Do if intussusception suspected, o ne tiesiog kad diarrhea

Answer 22

.