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bacterial infxn 1
FM 2 EOC 2
61
Health Care
Graduate
08/25/2009

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Cards

Term
Focus of Tx of GABHS
Definition
to prevent rheumatic fever and glomerulonephritis
Term
strepptococcus is a gram _____ bacteria
Definition
positive
Term
how does strep grow
Definition
in chains/pairs
Term
____ hemolysis is caused by a reduction in iron with a _____ color on blood agar
Definition
Alpha; greenish
Term
_____ hemolysis causes complete rupture of RBC with _____ areas around colonies on blood agar
Definition
Beta;  clear
Term
what sx are NOT suggestive of GABHS pharyngitis
Definition
hoarseness, cough, coryza
Term
tx of choice for GABHS
Definition
PCN>Macrolides
Term
Tx for strep skin infxn
Definition
PCN (vancomycin if allergic)
Term
Tx of choice for TSS caused by strep
Definition
Beta-lactam
Term
Endocarditis caused by group A strep is tx w/
Definition
PCN G and Vancomycin
Term
Enterococcal infxns cause
Definition
wound infxns, UTI, and endocarditis
Term
what meds are used to tx enterococci
Definition
PCN
Term
What type/group of strep infxn is an important cause of sepsis, bacteremia, and meningitis in the neonate
Definition
Group B
Term
what is the most common cause of Community acquired pyogenic bacterial pneumo?
Definition
Pneumococcal pneumo
Term
initial tx of pneumococcal infxns
Definition
initially BROAD--> PCN or ceftriaxone
Term
most common cause of meningitis in adults
Definition
S. pneumonia
Term
s. pneumo meningitis tx
Definition
ceftriaxone + vancomycin + dexamethasone
Term

tx of skin and soft tissue staph aureus?

MRSA?

Definition

I&D

PCN/cephalexin

MRSA: clindamycin/doxycycline

 

Term
what is the causative agent in most cases of osteomyelitis?
Definition
S. aureus
Term
what would you use to tx osteomyelitis
Definition
IV PCN:  oxacillin, nafcillin
Term
what must also be considered in pts w/ + blood cx for S. aureus?
Definition
endocarditis, osteomyelitis, and other deep metastatic ifxn
Term
tx of staphylococcal bacteremia
Definition

IV PCN: nafcillin, oxacillin

if more serious: Vancomycin

Term
"scalded skin sx" in kids
Definition

TSS by staph aureus

--> shock!

Term
are blood cx + or - in pts w/ TSS (staph aureus)
Definition
NEGATIVE!--> sx d/t effects of toxin not systemic infxn
Term
brown or blood tinged exudates w/ skin discolorations to area indicates what type of infxn?
Definition

clostridial myonecrosis (gas gangrene)

**Anaerobic**

Term
Jaw stiffness followed by spasms, hx of infected wound, convulsions are indicative of what dz
Definition
tetanus
Term
how do you treat tetanus?
Definition

tetanus immune globulin

PCN

Term
honey ingestion in an inftant (<1yr) can cause what dz
Definition
botulism
Term
2 positive blood cx, endocardial envolvement w/ echo, and new murmer are involvements of what dz
Definition
endocarditis--> DUKE criteria
Term
who is most commonly affected by bordetella pertussis?
Definition
kids < 2 yoa;  adults=reservoir
Term
3 stages of pertussis
Definition

catarhl

paroxysmal

convalescent

Term
insiduous onset, lacramation, sneeking, coryza, hacking night cough indicate what infxn?
Definition
pertussis (catarhl stage)
Term
tx of pertussis
Definition
Macrolides-> erythromycin, azithromycin, ect
Term
tx of N. meningitis
Definition
PCN
Term
this bacterial infx may cause sinusitis, otitis, bronchitis, ect and is usually present w/ purulent sputum
Definition
H. flu
Term
tx of H. flu epiglottitis
Definition
ceftriaxone
Term
severe sore throat w/ PE findings not relating to severity of complaint indicates what dz
Definition
epiglottitis (H. flu)
Term
tx of moraxella catarrhalis
Definition
augmentin, bactrim, ect
Term
tx of gram - bacteremia and sepsis
Definition

PCN, ampicillin if CNS

for + and - use aminoglycosides

Term
Salmonellosis dx by
Definition

blood cx, "pea soup" diarrhea

 

NOT STOOL CX!!

Term
tx of salmonellosis
Definition
ampicillin, azithromycin, bactrim
Term
salmonella with + stool cx should be tx w/ what ABX?
Definition
bactrim
Term
salmonella bacteremia should be treated w/ what ABX
Definition
Cipro
Term
travelers diarrhea caused by
Definition
ETEC e. coli infxn
Term
shigellosis should NOT be treated w/ this ABX
Definition
amoxicillin! --> use fluoroquinolone!
Term
gold standard of gonococcal infxn
Definition
culture!
Term
tx of gonococcal infxn alone; + chlamydial infxn
Definition

alone: ceftriaxone

+ chlamydia: doxycycline

Term
tx of chancroid
Definition
azythromycin
Term
tx of oral anaerobes; CNS infxns; intra-abd infxns
Definition
PCN; PCN + flagyl; moxifloxacin
Term
salpingitis is usually caused by what bacteria
Definition
gonococcal
Term
most common site of actinomyces
Definition
cericofacial area--> following dental work/trauma
Term
tx of actinomyces (Drug of choice)
Definition
PCN G
Term
tx of MAC
Definition
azithromycin, Rifabutin
Term
Pulm infxn in most commonly caused by what non TB mycobacteria?
Definition
MAC
Term
"swimming pool granuloma" caused by, tx w/?
Definition
mycobacterium marinum--> doxycycline
Term
Tx of TB meningitis
Definition
rifampin, isoniazid, and pyrazinamide
Term
bilateral ulnar neuropathy is highly suggestive of what dz
Definition
leprosy--> tx w/ prednisone
Term
ABX of choice in tx lymphogranuloma venereum (chlamydia)
Definition
doxycycline
Term
leading cause of infertility in females
Definition
chlamydia
Term
2nd most common cause of atypical CAP
Definition
chlamydia (mycoplasm is 1st)
Term
tx of chlamydia pneumo
Definition
erythromycin/tetracycline
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