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23 Cards in this Set
- Front
- Back
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The lesion has clearly demarcated raised margins and often with lymphatic streaking
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Erysipelas
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Treatment for Erysipelas
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Penicillin G procaine IM (if severe = daily) or
Penicillin VK for 7 to 10 days + corticosteroid allergic: clindamycin or erythromycin |
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Superficial Skin infection most common in children - HIGHLY CONTAGIOUS
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Impetigo
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Treatment for Lymphangitis
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Pen G 1 to 2 million units IV q4-6h x 48 - 72 hrs followed by Pen VK PO for 10 days
Allergy: use clindamycin |
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Post-exposure Rabies Treatment
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Administration of BOTH passive antibody and vaccine
irrigation of the wound with soap or iodine solution Vaccine: Five 1-mL IM injections on day 0, 3, 7, 14, 28 Hyperimmune globulin: 40 international units/kg |
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True or False: Animal bites are more serious than human bites
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FALSE: Human bites are more serious!
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Regardless of appearance of wound, what is the prophylaxis treatment of human bites
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Augmentin 500 mg q8h for 3 to 5 days
Pen alt: Fluoroquinolones or Bactrim with clindamycin or metronidazole |
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Treatment for serious infection from Human Bite
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Cefoxitin 1 gram q6-8h,
ampicillin-sulbactam 1.5 - 3 grams q6h or ertapenem 1 gram q24 h for 7 to 14 days |
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What is the treatment for Spontaneous Bacterial Peritonitis?
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D/C Alcohol!
Ascites = Paracentesis (remove fluid) 4 to 6 L sodium Restrictions to 2000 mg/d Diuretics - spirinolactione 100 mg qam or furosemide 40 mg qam 0.5 kg/d weight loss goal |
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What is the secondary prophylaxis of spontaneous bacterial peritonitis?
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treated indefinitely with:
Norfloxacin 400 mg PO Daily Ciprofloxacin 750 mg once weekly Bactrim DS 1 tab PO 5 x/week (m-f) |
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What are associated with post-operative infections?
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MRSA
Candida Pseudomonas Enterobacter Enterococci Proteus |
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What’s the difference between PRIMARY skin infections and SECONDARY?
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Primary usually 1 pathogen & affect previously healthy skin.
Secondary are usually polymicrobial and involve areas of previously damaged skin |
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Diabetic foot is an example of which?
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Secondary (typically the foot was previously injured leading to polymicrobial infxn)
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Cellulitis is an example of which?
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Primary (usually 1 pathogen infects healthy skin)
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Lymphangitis is an example of which type of infection?
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Primary Infection
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Decubitus ulcer is an example of which type of infection?
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Secondary
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Osteomyelitis involving the vertebrae; occurs in patients older than 50
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Hematogenous Osteomyelitis
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Infection results from spreading through the bloodstream
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Hematogenous Osteomyelitis
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"Disease of Children"; occurs most often in patients younger than 16
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Hematogenous Osteomyelitis
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Bone will continue to be produced however this new bone is separated because the periosteum has been raised from the infection
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Involucrum
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Impairment of blood flow to the outer portion of the cortical bone can occur = dead bone is separated from the healthy bone
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Sequestra
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What is the duration of therapy to treat osteomyelitis?
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4 to 6 weeks! High doses - Needs to penetrate bone!
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What is the vancomycin dose for MRSA?
If not responding swtich to what? |
15 mg/kg IV Q 12 hrs
if not responding switch to linezolid, tigecycline, synercid |
