Bcps Skin And Soft Tissue

Front 1

Organisms of consideration of cellulitis?

Back 1

S pyogenes, S aureus

Front 2

AB's of choice in Cellulitis?

Back 2

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

Front 3

IF MRSA + cellulitis, what is the outpatient therapies?

Back 3

X 10 DAYS
Clindamycin, Linezolid, TMP/SMZ or doxycycline (+ beta-lactam if strep is present),

Front 4

If MRSA + cellulitis, what is the inpatient therapies?

Back 4

vancomycin, linezolid, daptomycin, clindamycin, telavancin, tygacil, quinupristin/dalfopristin

Front 5

What is erysipelas?

Back 5

infection of superficial dermis that can spread through lymphatic system. Infants/elderly/pt with nephrotic syndrome highest risk. Mostly seen in legs/feet.

Front 6

Organisms causing erysipelas?

Back 6

S pyogenes (group A), also G,C,B can be seen

Front 7

Tx of erysipelas?

Back 7

7 - 10 days
PEN G 6,000,000 u IMBID or PCN VK 250 - 500mg qid
Pen allergic (clindamycin, Erythro)

Front 8

Organisms associated with necrotizing fasciitis?

Back 8

S pyogenes, mixed flora w/ facultative and anaerobic bacteria

Front 9

Treatment for necrotizin fasciitis

Back 9

surgical debridement **
AB not curative - beta lactamase combo + clinda + cipro
or carbapenem/cefotaxime + clinda or metro

Front 10

Streptococcal necrotizing fasciitis is tx with what?

Back 10

High dose IV PCN plus Clindamycin

Front 11

What is the varicella vaccine?

Back 11

Live, attenuated, identical to chicken pox vaccine BUT has more plaque forming units of virus per vaccine

Front 12

T/F, varicella vaccine reduces the incidence and persistence of post herpetic neuralgia.

Back 12

TRUE by up to 40% effective

Front 13

WHo gets the varicella vaccine?

Back 13

ONe dose for all adults > 60 (regardless of chxn pox or varicella hx). (indicated in pts > 50 also)

Front 14

T/F, Varicella vaccine can be used for tx of active HZ infection OR post herpetic neuralgia?

Back 14

FALSE