ID Flashcards

(62 cards)

1
Q

Neonatal Infections

Common organisms

A

GBS, E. coli, Listeria

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2
Q

Neontal Infections TX

A
Empiric tx:
ampicillin 
gentamicin
cefotaxime
acyclovir if HSV suspected
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3
Q

Acute bacterial sinusitis

A

worsening and severe with new fever after symptom resolvement

daytime cough not improving by 10 days

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4
Q

Acute bacterial sinusitis treatement

A

amoxicillin

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5
Q

Acute pharyngitis organism

A

B-hemoytic group A strep

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6
Q

Treatment for GAS

A

Amoxicillin or PRN - first line therapy

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7
Q

Pneumonia Neonates <30 days

A

E. coli
Group B strep
Listeria

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8
Q

Pneumonia 1-3 months

A

S. pneumonia
Chlamydia trachoma’s
B. Pertusis

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9
Q

Pneumonia 3mo-18yo

A

Mycoplasma pneumonia
Chylmadia tracomatis
Strep pneumonia

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10
Q

Treatment pneumonia 1 m- 3m we’ll appearing

A

amoxicillin

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11
Q

Treatment pneumonia <1mo

A

ampicillin

gentamicin

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12
Q

4m-5yo pneumonia tx

A

amoxicillin

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13
Q

> 5yo pneumonia tx

A

macrolide alone if low suspicion for s. pneumonia

if concern for s. pneumonia add amoxicillin or cephalosporin

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14
Q

cause of croup

A

parainfluenza

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15
Q

treatment of croup

A

dex 0.6mg/kg

repeat every 20 mins 1-2 hours racemic epic if needed

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16
Q

Adenovirus

A

URI, LRI, gatro tract infection, Conjunctivitis

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17
Q

tx of adenovirus in immunocompromised pt.

A

cidofovir

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18
Q

Meningitis organisms in neonates

A

GBS, E. coli, listeria

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19
Q

What virus can cause severe encephalitis when the virus is contracted from their mother

A

herpes simplex virus type 2

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20
Q

meningitis common organisms 3m-9yo

A

S. pneumoniae

N. meningitis

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21
Q

10yo-18yo common meningitis organisms

A

N. meningitis

H. influenza (unvaccinated population)

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22
Q

Most common cause of viral meningoencephalitis

A

Enteroviruses

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23
Q

encephalitis in older patients WITHOUT nuchal rigidity.

A

triad of fever, headache, and altered level of consciousness

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24
Q

treatment of meningitis newborn

A

cefoaxime plus ampicillin with or without gentamicin

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25
Tx of meningitis 1m-4yo
Cefriaxone/ cefotaxime plus vancomycin
26
Tx of meningitis 5-13 years and adults
Ceftriaxone or cefotaxime plus vancomycin
27
Tx duration N. Meningitis
5-7 days Vanc + 3rd generation cephalosporin
28
Tx duration H. Influenza
7-10 days
29
Tx duration of S. pneumonia 10-14 days
Vanc + third generation cephalosporin (ceftrizxone)
30
Tx of gram negativee bacilli time of treatment
minimum of 21 days or 14 days beyond the first negative CSF culture whichever is longer
31
Otitis media common organism
Streptococcus pneumonia Moraxella Catarrhalis H. influenza
32
AOM first line tx
amoxicillin
33
AOM tx not tolerating PO
IM ceftriaxone
34
Failure of initial therapy with amoxicillin at 3 days suggests infection with
B-lactamase producing h. influenza M. catarrhalis S. pneumoniae
35
Antibiotic therapy appendicitis
broad spectrum of gram positive, gram negative, and anaerobic bacteria Single dose B-lactam (ampicillin) and flagyl
36
multi dosing amingolycoside based combo therapy for appendicitits
Ampicillin, gentamicin and flagyl
37
C. diff abx tx
d/c abx causing issues PO flagyl PO vanc for ill children who do not respond to flagyl PO or may start Iv flagyl
38
Fever of unknown origin most likely
EBV, bartonella henselae, UTI and osteomyelitis
39
Tuberculosis (TB) organism
M. Tuberculosis
40
age group most likely for TB to progress to disease
under 2 peaks at adolescence Kids with HIV
41
TX of TB meningitis
dexamethasone for first 2 weeks then tapered for 2 weeks
42
TX of tb
rifampin (hepatitis concern) Isoniazid Rifampin Ethambutol Pyrazinamide
43
testing TTB
PPD IGRA Chest x ray
44
xDR TB
fluoroquinolone amikacin
45
common organisms of maleria
P. falciparum P. Vivax P. ovale P. malaria P. Knowlesi
46
A traveder returning from an endemic area has _______ until proven otherwise
maleria
47
Diagnosis of Maleria
used to compare thick and thin blood during fever spikes now have rapid diagnostic test
48
Tx of maleria chloroquine resistant
Atovaquone-proguanil and artemether lumefantrine are first line treatment for chloroquine resistant maleria
49
Tx of severe malaria
IV quinidine combined with dox and clindamycin or artesunate
50
Pertusis tx
Macrolide abx Azithromycin, Clarithromycin, erythormycin
51
what abx would you not give to an infant when treating for pertussis
erythromycin -pyloric stenosis
52
Prevention of pertussis
DTAP
53
lyme dx organism
borrelia burgdorferi spirochetes
54
early localized lyme dx
erythema migrans rash Fever, HA, myalgia, arthralgia,
55
Early disseminated lyme dx
weeks to months after infection multiple erythema migrans lesions, bell palsy, myocarditis with or without various degrees of heart block, and lymphocytic meningitis
56
Late disease Lyme disease
monoarticular large joint arthritis
57
Treatment of lyme disease
Doxycline for 10 days Amox for 14 days cefuroxime 14 days
58
alternative tx for lyme dx
azithromycin for 14 days
59
Tx of arthritis in lyme dx
same tx as initial tx but for 28 days if reoccurent give IV doxy for 14-28 days
60
Tx of mycarditits from lyme dx
cetriaxone 14-21 days
61
CNS dx due to lyme dx
Ceftriazone for 14 days
62
Treatment of Rocky Mountain spotted fever
Do NOT wait to start treatment for serologic confirmation Doxcycline is favored for all ages 7-10 days and continue until fever has ceased for 72 hours and clinical disease has resolved. Fluoroquinonlones may be effective.