3-Bugs and Drugs

Question 1

What are Gram (+) catalase (+) cocci in clusters?

Answer 1

Staph aureus

Question 2

What is the DOC for Staph aureus?

Answer 2

Keflex

Cefazolin (Ancef)

Question 3

Alternative DOC for Staph?

Answer 3

Clindamycin, Levaquin, Vancomycin, Azithromycin, dicloxacillin, nafcillin

Question 4

Alternative DOC for Staph if PCN allergy?

Answer 4

clindamycin
Vancomycin
Azithromycin
Levaquin

Question 5

What is the DOC for MRSA?

Answer 5

IV Vancomycin 
PO Bactrim (if sensitive)

Question 6

Alternative DOC for MRSA?

Answer 6

Linezolid (Zyvox)

or Synercid

Question 7

topical DOC for MRSA?

Answer 7

bactroban

Question 8

DOC for strep?

Answer 8

Keflex

or Ancef

Question 9

alternative DOC for strep?

Answer 9

clindamycin
Levaquin
Vancomycn

Question 10

alternative DOC for strep if PCN allergy?

Answer 10

clindamycin
Levaquin
vancomycin

Question 11

DOC for enterococcus?

Answer 11

amoxicillin

vancomycin

Question 12

alternative DOC for enterococcus?

Answer 12

augmentin

Linezolid

Question 13

alternative DOC for vancomycin-resistant enterococcus (VRE)?

Answer 13

linezolid

or synercid

Question 14

DOC for diptheroids?

Answer 14

vancomycin

Question 15

what is a short Gram (-) rod?

Answer 15

E. coli

Question 16

DOC for E. coli?

Answer 16

Keflex or Ancef

Question 17

alternative for E. coli if PCN allergy?

Answer 17

cipro

or levaquin

Question 18

DOC for Proteus?

Answer 18

Keflex or ampicillin

Question 19

alternatives for proteus if PCN allergy?

Answer 19

Cipro of levaquin

Question 20

DOC for psuedomonas?

Answer 20

Cipro

Question 21

alternative DOC for pseudomonas?

Answer 21

3rd gen Ceph
Aztreonam
Zosyn
Timentin

Question 22

DOC for lyme disease?

Answer 22

doxycyline

or Rocephin

Question 23

alternative DOC for lyme disease?

Answer 23

amoxicillin

Question 24

DOC for bacteroides?

Answer 24

Augmentin
Zosyn
Unasyn
Timentin

Question 25

Name some Gram (-) examples.

Answer 25

E. coli Proteus Pseudomonas

Question 26

Name some anaerobes.

Answer 26

Bacteroides | Clostridium

Question 27

alternative DOC for bacteroides if PCN allergy?

Answer 27

clindamycin/ Cipro Primaxin Flagyl

Question 28

DOC for clostridium?

Answer 28

penicillin imipenem clindamycin tetracycline

Question 29

what are 2 soft tissue manifestations caused by Clostridium?

Answer 29

anaerobic cellulitis and gas gangrene

Question 30

Why is gas gangrene a surgical emergency?

Answer 30

rapidly progresses to shock and renal failure and is fatal in 30% of cases

Question 31

DOC for necrotizing fasciitis?

Answer 31

primaxin (imipenem/cilastatin)

Question 32

DOC for superficial thrombophlebitis?

Answer 32

timentin

Question 33

DOC for cutaneous larva migrans?

Answer 33

promethia under occlusion

Question 34

what is the most common organism causing osteomyelitis following a puncture wound?

Answer 34

pseudomonas aeruginosa

Question 35

what is the msot common organism that causes acute hematogenous osteomyelitis?

Answer 35

adults- staph aureus | elderly- Gram neg. rods

Question 36

what is teh difference btwn cellulitis and erysipelas?

Answer 36

cellulitis- confined superficial infection | erysipelas- superficial infection that extends into lymphatics

Question 37

if the patient is currently on an abx, how long should it be stopped before taking a wound culture?

Answer 37

48 hours (at least)