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Risk factors for spontaneous primary peritonitis? (2)
Specific type of bug in one.

Cirrhosis, nephrotic syndrome (encapsulated: pneumococcus - loss of IgG

1

Treatment of spontaneous peritonitis?

3rd gen ceph + aminoglycoside

2

common complication of chronic peritoneal dialysis

Staph epidermis peritonitis

3

common bug in VP shunt infx

staph epi

4

primary cause of occult bacteremia

strep pneumo

5

bug to worry about in asplenic pts

strep pneumo

6

Bugs causing septicemia in neonate

GBS, Ecoli, Strep pneumo, S aureus

7

Bug causing septicemia in infant

GBS, Ecoli, Strep pneumo, Saureus, salmonella

8

bugs causing septicemia in immunocompromised pts

GNR: pseudomonas, Ecoli, klebsiella
Staph

9

Abx for r/o sepsis in neonate

amp/cefotax or amp/gent

10

ecthyma gangenosum: large pustules on indurated inflamed base, think of what dz?

pseudomonas

11

rose spots, what dz?

salmonella typhosa

12

septicemia tx in >3 mo

vanc+CTX

13

prophylaxis for meningococcemia for who and with what?

all persons w/ contact w/ oral secretions, household contacts and close outside contacts
Tx w/ Rifampin q12 x2 days or CTX x1, or Cipro 500 x 1 in >18yo

14

Dx and Tx of DIC in sick kid

Expect low fibrinogen and high fibrin degredation products and high d-dimer.
Tx w/ ABX then clotting factors and platelets

15

what bugs does latex agglutination test for?

When to do this?

BINS: GBS, Influenza/H (HIB), Neisseria Mening, Strep pneumo
Helpful w/ partially treated infx when culture unreliable

16

latex agglutination caveats:
False positives in who?
cross reactivity w/ what?

False pos in children recently received HIB vaccine
Ecoli x-react w/ N. meningitidis.

17

transfusion related infx, esp pna?

CMV

18

pneumocystis jiroveci

PCP (pneumocystis carinii pneumonia)

19

tx for fever, neutropenia

-Zosyn (piperacillin-tazobactam) + aminoglycoside
-Ceftazidime or cefapime

20

water park bug, what does it cause

cryptosporidium (looks like viral gastro but lasts longer)

21

Tx of cryptosporidium or Giardia in child >1 yr w/ diarrhea
Tx if crypto and immunocompromised

Nitazoxanide
IF immunocompromised crypto: oral human IG or bovine colostrum

22

immigration + acute abdominal obstruction

ascaris lumbricoides, tx: albendazole x 1, mebendazole x 3d, ivermectin x1

23

staccato cough

chlamydia pna

24

intracytoplasmic inclusion bodies

chlamydia

25

definitive dx of chlamydial pna?

Ab-specific test or PCR

26

4Cs of chlamydia

Cough, conjunctivitis, chlamydia, cixteen wks

27

lab finding and possible tx for chlamydial pna in newborn

eosinophilia
emycin PO or azithro. Or if needed non-macrolide, sulfonamide

28

s/e of macrolides (azithro, clarithro)

diarrhea, abdominal stuff

29

dx of chlamydial pna in teen?

immunoflourescent Abs