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Flashcards in 3-Bugs and Drugs Deck (37)
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1

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

Staph aureus

2

What is the DOC for Staph aureus?

Keflex
Cefazolin (Ancef)

3

Alternative DOC for Staph?

Clindamycin, Levaquin, Vancomycin, Azithromycin, dicloxacillin, nafcillin

4

Alternative DOC for Staph if PCN allergy?

clindamycin
Vancomycin
Azithromycin
Levaquin

5

What is the DOC for MRSA?

IV Vancomycin
PO Bactrim (if sensitive)

6

Alternative DOC for MRSA?

Linezolid (Zyvox)
or Synercid

7

topical DOC for MRSA?

bactroban

8

DOC for strep?

Keflex
or Ancef

9

alternative DOC for strep?

clindamycin
Levaquin
Vancomycn

10

alternative DOC for strep if PCN allergy?

clindamycin
Levaquin
vancomycin

11

DOC for enterococcus?

amoxicillin
vancomycin

12

alternative DOC for enterococcus?

augmentin
Linezolid

13

alternative DOC for vancomycin-resistant enterococcus (VRE)?

linezolid
or synercid

14

DOC for diptheroids?

vancomycin

15

what is a short Gram (-) rod?

E. coli

16

DOC for E. coli?

Keflex or Ancef

17

alternative for E. coli if PCN allergy?

cipro
or levaquin

18

DOC for Proteus?

Keflex or ampicillin

19

alternatives for proteus if PCN allergy?

Cipro of levaquin

20

DOC for psuedomonas?

Cipro

21

alternative DOC for pseudomonas?

3rd gen Ceph
Aztreonam
Zosyn
Timentin

22

DOC for lyme disease?

doxycyline
or Rocephin

23

alternative DOC for lyme disease?

amoxicillin

24

DOC for bacteroides?

Augmentin
Zosyn
Unasyn
Timentin

25

Name some Gram (-) examples.

E. coli
Proteus
Pseudomonas

26

Name some anaerobes.

Bacteroides
Clostridium

27

alternative DOC for bacteroides if PCN allergy?

clindamycin/ Cipro
Primaxin
Flagyl

28

DOC for clostridium?

penicillin
imipenem
clindamycin
tetracycline

29

what are 2 soft tissue manifestations caused by Clostridium?

anaerobic cellulitis and gas gangrene

30

Why is gas gangrene a surgical emergency?

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

31

DOC for necrotizing fasciitis?

primaxin (imipenem/cilastatin)

32

DOC for superficial thrombophlebitis?

timentin

33

DOC for cutaneous larva migrans?

promethia under occlusion

34

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

pseudomonas aeruginosa

35

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

adults- staph aureus
elderly- Gram neg. rods

36

what is teh difference btwn cellulitis and erysipelas?

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

37

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

48 hours (at least)