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14 Cards in this Set
- Front
- Back
Organisms of consideration of cellulitis?
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S pyogenes, S aureus
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AB's of choice in Cellulitis?
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antistaph pcn (naf, oxa, diclox)
PCN G (if def. strep) eryth (if pen allgy) Alt: Clindamycin, B-lactamase combo, 1st Gen Ceph. x 5 - 10 d |
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IF MRSA + cellulitis, what is the outpatient therapies?
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X 10 DAYS
Clindamycin, Linezolid, TMP/SMZ or doxycycline (+ beta-lactam if strep is present), |
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If MRSA + cellulitis, what is the inpatient therapies?
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vancomycin, linezolid, daptomycin, clindamycin, telavancin, tygacil, quinupristin/dalfopristin
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What is erysipelas?
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infection of superficial dermis that can spread through lymphatic system. Infants/elderly/pt with nephrotic syndrome highest risk. Mostly seen in legs/feet.
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Organisms causing erysipelas?
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S pyogenes (group A), also G,C,B can be seen
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Tx of erysipelas?
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7 - 10 days
PEN G 6,000,000 u IMBID or PCN VK 250 - 500mg qid Pen allergic (clindamycin, Erythro) |
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Organisms associated with necrotizing fasciitis?
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S pyogenes, mixed flora w/ facultative and anaerobic bacteria
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Treatment for necrotizin fasciitis
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surgical debridement **
AB not curative - beta lactamase combo + clinda + cipro or carbapenem/cefotaxime + clinda or metro |
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Streptococcal necrotizing fasciitis is tx with what?
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High dose IV PCN plus Clindamycin
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What is the varicella vaccine?
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Live, attenuated, identical to chicken pox vaccine BUT has more plaque forming units of virus per vaccine
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T/F, varicella vaccine reduces the incidence and persistence of post herpetic neuralgia.
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TRUE by up to 40% effective
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WHo gets the varicella vaccine?
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ONe dose for all adults > 60 (regardless of chxn pox or varicella hx). (indicated in pts > 50 also)
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T/F, Varicella vaccine can be used for tx of active HZ infection OR post herpetic neuralgia?
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FALSE
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