Antibiotics

Question 1

anti-pneumococcal beta lactam

Answer 1

ceftriaxone

Question 2

anti-pseudomonal beta lactam for those WITHOUT penicillin allergy

Answer 2

pip-tazo, cefepime, meropenem

Question 3

anti-pseudomonal beta lactam for those WITH penicillin allergy

Answer 3

aztreonam

Question 4

anti-pneumococcal fluoroquinolones

Answer 4

moxifloxacin, levofloxacin

Question 5

anti-pseudomonal fluoroquinolones

Answer 5

ciprofloxacin, levofloxacin

Question 6

groups of drugs to use against atypicals

Answer 6

macrolides and tetracyclines

Question 7

CAP in previously healthy person

Answer 7

macrolide + doxycycline

Question 8

only macrolides we care about

Answer 8

azithromycin and clarithromycin

Question 9

CAP in patient with co-morbidities WITHOUT penicillin allergy

Answer 9

anti-pneumococcal beta lactam + macrolide

Question 10

CAP in patient with co-morbidities WITH penicillin allergy

Answer 10

anti-pneumococcal fluoroquinolone + aztreonam

Question 11

if pseudomonas is suspected

Answer 11

antipseudomonal beta lactam (pip-tazo, cefepime, meropenem) + antipseudomonal fluoroquinolone (ciprofloxacin, levofloxacin)

Question 12

if aspiration suspected

Answer 12

add clindamycin for oral anaerobes

Question 13

if MRSA suspected

Answer 13

vancomycin or linezolid

Question 14

risk factors for multidrug resistant organisms (5)

Answer 14

1. current hospitalization
2. recent hospitalization
3. nursing home
4. recent IV antibiotics, chemotherapy
5. dialysis

Question 15

HCAP in patient with MDRO risk factors

Answer 15

suspect pseudomonas, give antipseudomonal beta lactam + antipseudomonal fluoroquinolone

Question 16

HCAP in patient without MDRO risk factors

Answer 16

anti-pneumococcal beta lactam + antipneumococcal fluoroquinolone