Flashcards in supportive care Deck (12)
for F+N which patients would you consider adding vancomycin?
-AML patients receiving high dose cytarabine, due to risk of S.viridans infection associated with septic shock and ARDS
-presented with hypotension/shock
-prior history of alpha hemolytic strep infection
-colonization with resistant bugs
-vegetations on echo
for F+N when would you consider adding flagyl?
-significant mucosal breakdown
-perianal skin breakdown
-peritoneal signs or other abdominal pathology
what infections are BMT patients at risk for within the first 30 days post BMT?
what infections are BMT patients at risk for within 30-120 days post BMT?
CMV, adeno, EBV, HHV-6
what are three findings on imaging that suggest Invasive fungal infection of lower resp tract?
dense circumscribed lesion with or without halo sign
air crescent sign
what is the best antifungal to use to treat aspergillus
amphotericin does not cover which species of candida the best and is not recommended?
fluconazole is the treatment of choice
what is the treatment of choice for mucormycosis
for neutropenic patients what is the initial therapy for candidemia?
echinocandin is the therapy of choice
Ampho B is an alternative
What are the principles of chemotherapy?
- multi-drug therapy
- neo-adjuvant vs adjuvant therapy
- dose intensity
Identify 2 subtle CT signs suggestive of invasive aspergillosis.
- halo sign
- air-crescent sign