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10 Cards in this Set
- Front
- Back
DOC and MLP for lung abscess?
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DOC = Clindamycin + chest drainage
MLP = anaerobes. |
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DOC and MLP for brain abscess?
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DOC = metronidazole + ceftriaxone
MLP = Streptococci; anaerobes |
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DOC and MLP for primary bacterial peritonitis (abdominal infection)?
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DOC = Ceftriaxone, Cefotaxime (Levofloxacin in allergic pts)
MLP = enteric bacteria (GNR's) NOT ANAEROBES |
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DOC and MLP for for secondary bacterial peritonitis (due to injury)?
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DOC = Surgical repair + abx (monobactams + cephalosporins?)
MLP = enteric GNR's and some anaerobes |
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DOC and MLP for pelvic inflammatory disease (PID)?
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DOC =
MLP = N. gonorrhoeae, enteric bacteria, Chlamydia, anaerobes |
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Hallmarks of anaerobic infections?
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-stinky
-typically mixed species -forms abscesses -requires surgical drainage + debridement (even more important than abx) |
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Good abx for abscesses?
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Clindamycin
Metronidazole (sometimes Chloramphenicol) no beta-lactams!! |
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What makes abscesses difficult to treat?
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-low pH, low redox potential
-dead bacteria/metabolic byproducts may deactivate drugs -BLA's plentiful (gm negs) |
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DOC and MLP for CA-perforated appendicitis?
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DOC = surgery, Ampicillin/sulbactam; Piperacillin/tazobactam; Ertapenem
MLP = bowel anaerobes; enterobacteriaceae |
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DOC and MLP for diverticulitis?
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DOC = Imipenem/cilastatin; Piperacillin/tazobactam; vanco?
MLP = bowel anaerobes, enteric GNR's, Pseudomonas, Enterococci |