what antibiotic to use?

Question 1

cystitis?

Answer 1

cipro - reserved from routine use to avoid resistance

nitrofurantoin in pregnant

TMP-SMX

cefixime

Question 2

diverticulitis?

Answer 2

• moxiflocacin alone

- levo or cipro + metronidazole

Question 3

oral anerobes above the diaphram?

Answer 3

penicllin and clinda

Question 4

abdominal/gi aneorobes

Answer 4

metronidazole, beta lactam/lacatamase combo

Question 5

gram negative rods?

Answer 5

quinolones
aminoglycosides
carbapenems
piperacillin, ticaracillin
aztreonam
some cephalosporins

Question 6

bacterial meningitis?

Answer 6

ceftriaxone
vanco
steroids

add ampicillin if patient is immunocompromized

Question 7

close contacts of people with n meningiditis

Answer 7

rifampin, cipro, ceftiaxone

Question 8

otitis media

Answer 8

amoxicillin

no response try amox/clav, azithro, clarithro, levo

Question 9

bacterial sinusitis

Answer 9

amox/clav

Question 10

strep throat

Answer 10

amoxicillin or penicillin

Question 11

chancroid from h ducreyi

Answer 11

azithro

Question 12

scabies or crabs

Answer 12

permethrin

Question 13

pyelo

Answer 13

outpatinet - cipro
ceftriaxone
ertapenem
amp and gent (until culture results are known)

Question 14

culture negative endocarditis

Answer 14

ceftriaxone

Question 15

when do you need ppx for endocarditis?

Answer 15

• prostehtic valves, previous endo, cardiac transplant with valvulplast, unrepaired cyanotic heart lesion
  WITH RISK
  -dental work, resp tract surgery

no diseases vavles do not need ppx (MVP, MS, AS etc)

Question 16

CD

Answer 16

CD

Question 17

cerebral toxo

Answer 17

sulfadiazine and pyrimethamine

Question 18

PPSV23 alone?

Answer 18

age 19-64 with chronic diseases

-heart, lungs, liver disease, DM, smokers, alcoholics

Question 19

sequenstial PCV12 and PPSV23?

Answer 19

> 65 years old

Question 20

sequential 13 and 23 for immunocompromized

Answer 20

-CSF leaks, choclear implants, sickle cell, no spleen, CKD

Question 21

actinomyces infection - sulfur granules

Answer 21

penicillin or clinda

Question 22

post transplant ppx

Answer 22

tmp smx PCP

gancyclovir or valancyclovir for CMV

Question 23

Diseemeninated MAC

Answer 23

azithro or clarithro

Question 24

nocardia

Answer 24

tmp smx

Question 25

Adult patient with CF who has influenza then PNA

Answer 25

pseudomonas

-cipro of ceftazidime

Question 26

Child CF who has influence then PNA

Answer 26

Staph

-vanc

Question 27

outpatient PNA in a healthy individual with no ABX recent suse

Answer 27

• macrolide like azithro or clarithro

- doxy

Question 28

outpatient PNA in an individual with comorbidities or recent ABX use

Answer 28

• levo

- moxiflox

Question 29

treat an empyema

Answer 29

you dont! you drain it!

Question 30

hospital aquired PNA - think gram negavtive rods

Answer 30

• antispeudoonal cefipime or ceftazidime
• piperacillin/tazobactam
• carbapenem imipenem, meropenem and doripenem

Question 31

ventilator assisten PNA 3 drugs

Answer 31

1. antipseudomonal like:
   antispeudoonal cefipime or ceftazidime
   -piperacillin/tazobactam
   -carbapenem imipenem, meropenem and doripenem
2. another anti pseudomonal like
   - aminoglycoside
   - fluoriquinolone
3. MRSA
   - vanc or linezolid

Question 32

febrile neutropenia think

Answer 32

pseudomonas aeruginosa

-pip-tazobactam or cefipime or meropenem

Question 33

what are the criteria for PCP treatment with TMP SMX + corticosteroids?

Answer 33

PaPO2 35

Question 34

treatment of acute bacterial rhinosinusitis?

Answer 34

strep pneumo, h influenzae

-amox and clavulanic acid

Question 35

acute diverticulitis

Answer 35

cipro with metro
amox/calvulanate
ticarcillin/clav or piper/tazobactram
ertapenem

Question 36

spontaneous bacterial peritonitis

Answer 36

cefotaxime or ceftriaxone.

norfloxacin and TMP/SMX for ppx

Question 37

how to treat endometritis?

Answer 37

polymicrobial

-gent and clinda