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Tx of G+ and Atypical Infections (highlighted terms only)
Pharmacology Module 2
44
Medical
Graduate
06/24/2009

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Cards

Term
The following bacteria belong to what class: strep pneumoniae, s. pyogenes, s. aureus, enterococcus?
Definition
g+cocci
Term
The following bacteria belong to what class: clostridium spp., listeria, bacillus anthracis?
Definition
g+bacilli
Term
What is the smallest free living organism? What is unusual about its cell wall? What is it's incubation period?
Definition
Mycoplasma pneumonia.
smallest free living organism, no cell wall.
incubation period of 3 weeks
Term
What is an *intracellular* g- parasite?
Definition
chlamydophila pnemoniae, related to chlamydia
Term
What lives in an aquatic reservoir and is g- but hard to visualize or grow on a medium?
Definition
legionella pneumophila
Term
What are 3 atypical bacteria?
Definition
mycoplasma pneumoniae, chlamydophyla pneumoniae, legionella pneumophila
Term
Depending on bacterial spp, by what amount can MIC vary?
Definition
Minimum Inhibitory Concentration (MIC) of antibiotic can vary *100-fold* depending on bacterial species. Higher the MIC, more likely the bacteria will be resistant.
Term
What abx has mic: e.coli(8)>staph aureus(1)>s.pyogenes(.1), and involves a resistance breakpt>8mg/L?
Definition
1st gen cephalosporin: Cefazolin (MIC in mg/L):
Term
What abx has mic: enterobacter (16)>e.coli(.5)>s.pneumoniae(.05) and involves a resistance breakpt>8mg/L?
Definition
3rd gen cephalosporin: Ceftriaxone
Term
What abx has mic: s.pneumoniae(2)>p.aeruginosa(.5)>enterobacter(.1) and involves a resistance breakpt > 1 mg/L?
Definition
Fluoroquinolone: Ciprofloxacin
Term
What type of therapy requires no gstain or culture to guide therapy; involves taking best guess at cause of infection; choice of abx depends on infection, most likely organisms, resistance patterns, severity, location, and immune status; involves a tendency to use more broad spectrum agents and a greater chance of failure and adverse effects?
Definition
empiric tx
Term
What type of tx is based on IDing organism by gstain or culture?
Definition
targeted
Term
ac
Definition
before meals
Term
cc
Definition
w/meals
Term
pc
Definition
after meals
Term
sig
Definition
signa/signetur-label/write/let it be labeled=directions for use
Term
What is the moa of the following abx: penicillins?
Definition
Inhibit bacterial cell wall synthesis
Term
What is the moa of the following abx: cephalosporins?
Definition
inhibit bacterial cell wall synthesis
Term
What is the moa of the following abx: monobactams?
Definition
inhibit bacterial cell wall synthesis
Term
What is the moa of the following abx: monobactams?
Definition
inhibit bacterial cell wall synthesis
Term
What is the moa of the following abx: carbapenems?
Definition
inhibit bacterial cell wall synthesis
Term
What is the moa of the following abx: bacitracin?
Definition
inhibit bacterial cell wall synthesis
Term
What is the moa of the following abx: vancomycin?
Definition
inhibit bacterial cell wall synthesis
Term
What is the moa of the following abx: daptomycin?
Definition
inhibit cytoplasmic membrane synthesis
Term
What is the moa of the following abx: fluoroquinolones?
Definition
inhibit bacterial dna gyrase
Term
What is the moa of the following abx: macrolides and ketolides?
Definition
inhibit bacterial protein synthesis
Term
What is the moa of the following abx: tetracyclines?
Definition
inhibit bacterial protein synthesis
Term
What is the moa of the following abx: aminoglycosides?
Definition
inhibit bacterial protein synthesis
Term
What is the moa of the following abx: clindamycin?
Definition
inhibit bacterial protein synthesis
Term
What is the moa of the following abx: quinupristin-dalfopristin?
Definition
inhibit bacterial protein synthesis
Term
What is the moa of the following abx: mupirocin?
Definition
inhibit bacterial protein synthesis
Term
What is the moa of the following abx: linezolid?
Definition
inhibit bacterial protein synthesis
Term
What is the moa of the following abx: tmp-smx?
Definition
inhibit bacterial folic acid synthesis
Term
What gene codes for new pbp2a?
Definition
mecA gene- mrsa
Term
To which B-lactam Abx is mrsa resistant?
Definition
all
Term
What percent of s.aureus were mrsa in 2008 in sentara hospitals?
Definition
57%
Term
What percent of s.aureus were mrsa in 2008 in chkd hospitals?
Definition
50%
Term
What is the drug of choice for mrsa?
Definition
vancomycin
Term
To what is ca-mrsa sensitive?
Definition
clindamycin, doxycycline, bactrim
Term
What is the most common infection in children tx w/abx?
Definition
otitis media
Term
What is recommendation 3a for children w/uncomplicated acute otitis media?
Definition
*observation* w/o use of abx in child w/uncomplicated aom is an option for selected children based on diagnostic certainty, age, illness severity, and assurance of follow-up
Term
What is recommendation 3b for children w/ acute otitis media?
Definition
if decision is made to tx w/abx, clinician should rx *amoxicillin* for most children, dose *80-90 mg/kg/day*
Term
Describe the course of acute rhinosinusitis in most cases. (principle 4)
Definition
*Acute rhinosinusitis resolves without antibiotic treatment in most cases [A]*
Term
When are *abx recommended* in tx sinusitis in children?
Definition
*abx are recommended* for the management of acute bacterial sinusitis to achieve a more rapid clinical cure
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