Crozer- bugs and drugs

Question 1

what are gram +, catalase +. cocci in clusters

Answer 1

staphylococcus aureus

Question 2

DOC for staph?

alternatives

Answer 2

keflex or ancef

clinda, levaquin, vanco, azithro, dicloxacillin, nafcilllin

Question 3

DOC mrsa?

alternatives

Answer 3

IV vanco, bactrim PO

synercid or linezolid

Question 4

Topical DOC mrsa

Answer 4

bactroban

Question 5

DOC for strep

Answer 5

ancef keflex

Question 6

what are gram +, catalase neg cocci that are in pairs or chains

Answer 6

streptococcus

Question 7

Strep in PCN allergy

Answer 7

clinda, levaquin, vanco

Question 8

DOC enterococcus

alternatives

Answer 8

amoxicillin or vanco

augmentin, linezolid

Question 9

Drug of choice for VRE

Answer 9

linezolid or synercid

Question 10

DOC for diptheroids

Answer 10

vanco

Question 11

short gram neg rod?

Answer 11

escherichia coli

Question 12

DOC E. Coli

Answer 12

keflex or ancef

Question 13

DOC proteus

Answer 13

keflex or ampicillin

Question 14

small gram neg rod w pili and polar flagella

Answer 14

pseudomonas aeruginosa

Question 15

DOC pseudomonas?

alternatives?

Answer 15

cipro

3rd gen cephalosporins, aztreonam, zosyn, timentin

Question 16

how does pseudomonas typically present

Answer 16

blue gree purulence. grape odor

Question 17

gram neg spirochete causes lyme disease?

Answer 17

borrelia burgdorferi

Question 18

DOC for lyme disease

Answer 18

doxycyline or rocephin

Question 19

DOC for bacteroides

Answer 19

augmentin, zosyn, unasyn, timentin

Question 20

large, gram positive, anaerobic, racquet shaped rod that forms spores?

Answer 20

clostridium perfringens

Question 21

DOC for clostridium

Answer 21

penicillin, imipenem, clinda, tetracyline

Question 22

what are 2 soft tissue clinical manifestations caused by clostridium

Answer 22

anaerobic cellulitis and gas gangrene

Question 23

why is gas gangrene a surgical emergency

Answer 23

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

Question 24

DOC for aeromanas

alternative?

Answer 24

cipro po/iv

bactrim

Question 25

DOC for pseudomonas cepacia

Answer 25

bactrim | ceftazidime

Question 26

DOC necrotizing fasciitis

Answer 26

primaxin

Question 27

DOC superficial thrombophlebitis

Answer 27

timentin

Question 28

DOC gonorrhea

Answer 28

ceftriaxone or PCN

Question 29

DOC cutane3ous larva migrans

Answer 29

promethia under occlusion

Question 30

what org may form gas in soft tissue

Answer 30

Gram positive – Clostridium perfringens, Staphylococcus, Streptococcus, Peptostreptococcus Gram negative – Bacteroides, E. coli, Klebsiella, Serratia

Question 31

What are some anaerobes

Answer 31

Gram positive – Actinomyces, Clostridium, Peptostreptococcus | Gram negative – Bacteroides, Fusobacterium

Question 32

Doc diabetic w PCN allergy

Answer 32

clindamycin

Question 33

DOC severe limb threatening infection

Answer 33

primaxin

Question 34

what are most common organism of bite wounds

Answer 34

Human-eikenella corrodens | cat/dog- pasteurella multocida

Question 35

gram neg associated w dog bites

Answer 35

DF2

Question 36

DOC cat and dog bites

Answer 36

augmentin

Question 37

most common organisms causing cellulitis

Answer 37

staph and strep

Question 38

which type of strep causes impetigo cellulitis and erysipelas

Answer 38

group a strep

Question 39

difference btwn cellulitis and erysipelas

Answer 39

Cellulitis – confined superficial infection | Erysipelas – superficial infection that extends into the lymphatics

Question 40

most common org that causes acute hematogenous osteomyelitis

Answer 40

Staphylococcus aureus (adults), Gram negative rods (elderly)

Question 41

what is most common org that causes osteo following puncture

Answer 41

pseudomonas aeruginosa

Question 42

whats an anaerobic gram + filamentous bacteria

Answer 42

actinomyces

Question 43

what org may be found in puncture wound in ocean

Answer 43

vibrio vulnificus

Question 44

what type of bacteria is gonorrhea

Answer 44

gram neg diplococci

Question 45

whats gonorrhea cultured on

Answer 45

chocolate agar

Question 46

tx for gonorrhea

Answer 46

ceftriaxone

Question 47

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

Answer 47

48 hours