ID treatments Flashcards

1
Q

VRE

A

ampicillin

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2
Q

e. faecium

A

linezolid, daptomycin, synercid

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3
Q

e. faecalis

A

linezolid, daptomycin

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4
Q

pharyngitis

A

PCN VK

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5
Q

erysipelas superficial cellulitis

A

PCN, cephalosporin, macrolide

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6
Q

Impetigo

A

bactroban ointment or po

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7
Q

Necrotising faciitis

A

broad spectrum abx

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8
Q

Toxic shock

A

Abx, pressors, ventilation, transfusion, fluids, IVIG, surgery

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9
Q

botulism

A

supportive for resp. failure, alimentation, anti-toxin from cDC

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10
Q

Anthrax

A

fluoroquinolone

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11
Q

Cholera

A

LR, bactrim/quinolone, temporary vaccine (booster q6mos)

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12
Q

Tetanus

A

tetanus Igg IM + intubation, sedation, PCN if active and tetanus toxoid after recovery

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13
Q

Salmonellosis

A

fluoroquinolone

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14
Q

Shigellosis

A

Fluids, electrolytes, bactrim/fluoroquinolone

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15
Q

Diptheria

A

bactrim/erythromycin, antitoxin

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16
Q

Gonorrhea

A

ceftriaxone/cefixime/azithromycin

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17
Q

N. meningiditis treatment

A

PCN G, ceftriaxone if allergy, chloramphenicol for severe allergy + adjuvant dexamethasone in 4 divided dose

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18
Q

N. meningiditis prevention

A

MCV 4 vaccine

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19
Q

N. meningiditis prophylaxis

A

Rifampin (alt: cipro)

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20
Q

ehrlichiosis

A

doxycycline, rifampin in pregnancy/peds

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21
Q

antyhing resistant

A

linezolid or daptomycin

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22
Q

Pasturella

A

augmentin

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23
Q

Eikinella

A

augmentin

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24
Q

cutaneous candida

A

topical lotrimin/miconazole

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25
Q

mucosal candida

A

fluconazole/nystatin

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26
Q

vulvovaginal candida

A

diflucan (tid if resistant), miconazole,

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27
Q

disseminated fungemia

A

IV amphotericin + flucytosine

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28
Q

invasive candidal infection

A

amphotericin, micafungin

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29
Q

ADR amphotericin

A

hypokalemia, renal failure, HOTN, fever, chills

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30
Q

histoplasmosis

A

amphotericin + itraconazole for 1 year

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31
Q

cryptococcus

A

amphotericin, pre-med with APAP and Benadryl followed by fluconazole for life

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32
Q

PJP treatment

A

bactrim, Dapsone (AE: anemia), corticosteroids?

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33
Q

Prophylaxis for PJP

A

nebulized pentamidine, bactrim if CD4 <200

34
Q

Aspergillus

A

Posaconazole

35
Q

Aspergilloma

A

oral azole, surgical resection, intracavitary amphotericin

36
Q

Sporothrix

A

azole

37
Q

MAC prophylaxis in AIDS CD4 <100

A

MAC azithromycin

38
Q

Atypical mycobacterial disease

A

clarithromycin + ethambutol X 12 mos

39
Q

Leprosy

A

dapsone for 2 years

40
Q

Malaria (non-falciparum sp)

A

chloroquine

41
Q

Severe malaria infection

A

Quinine IV + doxycycline (Not in G6PD deficiency!)

42
Q

Malaria (all species rx and prophylaxis)

A

Mefloquine

43
Q

ADR mefloquine

A

CNS

44
Q

Falciparum/resistant malaria

A

doxycycline, malarone

45
Q

Severe falciparum infection

A

artemisinins

46
Q

Malaria treatment of ovale and vivax

A

primaquine

47
Q

Prophylaxis of malaria in sensitive regions

A

chloroquine*, doxycycline, malarone, mefloquine

48
Q

amebiasis

A

flagyl + diloxaninde, supportive, surgical drainage of abscess + chloroquine

49
Q

hookworms

A

mebendazole + ferrous sulfate

50
Q

Pinworms

A

albendazole

51
Q

strongyloidiasis

A

ivermectin or albendazole

52
Q

ascariasis

A

albendazole, pyrantel pamoate in pregnancy

53
Q

babesiosis

A

quinine + clindamycin

54
Q

Cryptosporidiosis

A

Nothign curative until CD4 restored… either nitazoxanide/paromycin + azythromycin, HAART

55
Q

giardiasis

A

flagyl or albendazole

56
Q

toxoplasmosis

A

bactrim, pyrimethamine

57
Q

EBV

A

supportive, steroids for severe illness

58
Q

EBV + GABHS

A

macrolide

59
Q

HPV warts

A

liquid nitrogen, Aldara, slicylic acid, podophyllum, dissection

60
Q

Cervical neoplasia of HPV

A

LEEP procedure via colonoscopy for CIN, conization

61
Q

HSV

A

acyclovir, valacyclovir

62
Q

Recurring HSV

A

acyclovir, valtrex, famivir

63
Q

Erythema multiforme

A

6 mos acyclovir

64
Q

Rabies

A

rabies Igg*, IFN alpha, ribavirin, ketamine

65
Q

Post-exposure rabies immunization

A

rabies Igg in wound and IM, HDCV

66
Q

CMV

A

leukocyte reduced, irradiated blood, CMV IG and IV gancyclovir* or valganciclovir, foscarnet, cidofovir

67
Q

Progressive multifocal leukoencephalopathy

A

reduce immunosuppressionm=, HAART, cidofovir if not aids related, plasma exchange

68
Q

BK virus

A

cidofovir, GCSF, decrease immunosuppression

69
Q

West nile virus

A

supportive, ribavirin, IFN, Igg, corticosteroids

70
Q

Lyme disease

A

doxycycline, or PCN/cephalosporins

71
Q

RMSF

A

doxycycline

72
Q

plague

A

streptomycin, gentamicin, chloramphenicol (meningitis)

73
Q

Hantavirus

A

droplet isolation, supportive, ribavirin, 25% require MV d/t cardiopulmonary disease

74
Q

Ebola

A

nothing! supportive

75
Q

Dengue

A

supportive, fluids, APAP - avoid NSAIDs and ASA

76
Q

Traveler’s diarrhea

A

lomotil, cipro, self-limiting

77
Q

Tick-borne encephalitis

A

supportive

78
Q

Trypanosomiasis

A

suramin, melarsoprol, eflornithine

79
Q

schistosomiasis

A

praziquantel

80
Q

initial treatment for cryptosporidiosis

A

self-limited in healthy people

81
Q

neonatal HSV

A

cesarean necessary with active infection