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6 Cards in this Set

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Host factors in selecting and antibiotic?

Age


Social history


Family Hx


Immunocompromised or competent


Organs system failure


co-morbid conditions (i.e. opportunistic infections)

What to consider when examining site of infection?

normal flora


common pathogens


community or hospital acquired


risk factors for infection

What PK characteristics of antimicrobial agent are important?

absorption- IV vs. PO vs. IM


distribution- lipophilicity, extracellular volume, extracellular vs. intracellular organisms


elimination- kidney and creat clearance, liver disease, biliary tract, active metabolites

Empiric Treatment?

"best guess"- based on physical exam and PMHx

Definitive treatment?

adjustment of therapy after course is known.



i.e. switching from levofloxacin to trimethoprim-sulfamethoxazole after urine culture returns positive for sensitive E.Coli

Prophylactic treatment?

used to prevent infection.



i.e. tell UTI patient with recurrent symptoms to take one Bactrim following sex. Also used in surgical setting to prevent surgical site infections.