Tx, Skin And Soft Tissue Infections

Front 1

organisms that usu cause folliculitis

Back 1

s aureus

p aeruginosa

Front 2

what's characteristic of a mrsa in furnucles

Back 2

necrotic center

Front 3

tx for furnucle:

Back 3

moist, heated compress

I and D

abx fever:

tmp-smx ds 2 gabs bid

alternative: clindamycin, doxycycline

if mrsa not suspected: dicloxacillin, cephalexin

tx 7-10 days

Front 4

why moist, heated compress

Back 4

causes it to localize so it can then drain on its own

Front 5

when do you tx w/ abx for furncles

Back 5

if there's fever or significant cellulitis

tmp-smx ds 2 tabs bid

Front 6

what are alternatives to tmp-smx for fununcles if mrsa suspected?

if mrsa not suspected

Back 6

mrsa suspected: clindamycin, doxycycline

mrsa no suspected: diclocacillin, cephalexin

Front 7

how long should you tx furncles w/ abx for

Back 7

7-10 days

Front 8

tx for folluliculitis

Back 8

moist, heated compress

topical abx applied 2-4 x day x 7 days

Front 9

what topical abx used for folliculitis

Back 9

clindamycin

mupirocin

benzoyl peroxide

Front 10

when will folliculitis usu resolve

Back 10

w/in several days w/ tx

Front 11

most common pathogens in erysipelas

Back 11

group a steptococci

s aureus

Front 12

carbuncles are coalescent furncles extending to the --- tssue

Back 12

subq

Front 13

burning, painful lesions w/ bright red edematous, indurated apprearnace and sharply demarcated, raised border

Back 13

erysipelas

Front 14

abx for erysipelas

Back 14

dicloxacillin 250-500 mg po q hr

cephalaxin 500 mg q 6 hr

Front 15

alternative to dicloxacillin and cephalexin w/ erysipelas

Back 15

pcn (G or VK)

Front 16

if the erysipelas pt has a pcn allergy what do you give

Back 16

marcrolide (caution w/ resistance)

Front 17

if pt has extensive disease w/ erysipelas what do you give

what do you suspect

Back 17

iv inpt tx

mrsa coverage ( vanco, daptomycin)

Front 18

how long do you tx erysipelas for

Back 18

7-10 days

c/s if no improvement

Front 19

what can provide symptom relief w/ erysipelas

Back 19

soaking in soap and warm water

Front 20

nonbullous impetigo cause by

Back 20

group a strep

s aureus

Front 21

bullous impetigo caused by

Back 21

s aureus

Front 22

impetigo tx

Back 22

dicloxacillin 250 mg 4 x day

cephalexin 250 mg 4 x day

amoxicillin and clavulanate 875/125mg bid or 500/125 mg tid

mrsa: clindamycin 300-400 mg 3 x day

mupirocin ointment apply to lesion 3 x day

Front 23

what can cause lymphagitis

Back 23

s pyogenes

Front 24

tx of lymphagitis

Back 24

pcn G x 48-72 hrs, VK

clindamycin (pcn allergy)

immobilization, elevation of limb

warm water soaks q 2-4 hrs

Front 25

usu pathogen in cellulitis

Back 25

group A strep

s aureus

Front 26

nail punture can introduce what bacteria

Back 26

p aeruginosa

Front 27

nonpharm tx of cellulitis

Back 27

elevateion and immobilization of extremitiy (decrease swelling)

cool compress (decrease pain), then moist heat

surgical I/D of necrotic tissue

Front 28

mild infection of cellulitis if mrsa not suspected

mrsa suspected:

Back 28

mrsa not suspected: dicloxacillin or cephalexin

mrsa suspected or pcn allergy: tmp/smx ds, clindamycin

Front 29

mod to severe infection of cellulitis

mrsa suspected:

mrsa not suspected:

Back 29

mrsa not suspected: oxacillin (infusion) or cefazolin

mrsa suspected or pcn allergy: vancomycin

Front 30

broad spectrum abx coverage of necrotizing infections should fight:

Back 30

streptococci

anaerobes

enterobacteriaceae

Front 31

abx used in nectortizing infections

Back 31

carbepenems

pipercillin-tazobactam

tigecycline

clindamycin or metronidazole

Front 32

what's givent for type 2 (s pyogenes) or gas gangrene

Back 32

pcn

clindamycin

Front 33

usu pathogen in hematogenous osteomyelitis

Back 33

kids: s aureus

neonates: s aureus, group b strep, e coli

adults: s aureus, e coli, p aeruginosa

Front 34

usu pathogen contiguous osteomyelitis

Back 34

s aureus

gnrs

skin flora

anaerobes (b fragilis)

Front 35

osteomyelitis tx for confirmed mssa

Back 35

oxacillin 12g/d continuous infusion

Front 36

osteomelitis for confirmed mrsa

Back 36

vanco adjusted trough of 15-20 mg/dL

daptomycin (2nd line)

Front 37

osteomylelits tx for kids who are Hib vaccinated:

not Hib vaccinated:

Back 37

Hib vaccinated: oxacillin or cefazolin

not Hib vaccinated: cefuroxime

Front 38

pseudomonal infection w/ osteomylelits

Back 38

ciprofloxacin 750 mg or

ceftazidime 2 g iv 1 8 hr +/- AG

Front 39

osteomylelitis w/ anaerobes tx

Back 39

atypical 2nd gen cephalo

metronidazole

clindamycin 900 mg iv q 8 hr

Front 40

when are abx needed for dog bites

Back 40

deep punture wounds

difficult to irrigate

pt immunocompromised

Front 41

pathogens in dog bie

Back 41

s aureus

pasteruella multocida

streptococci

capnycytophage spp

anaerobes

Front 42

abx for dog bites

Back 42

amoxicillin-clavulanate

clindamycin + tmp/smx or fq

Front 43

how long do you tx dog bite for

Back 43

5-7 days

longer if acute signs of infection present

Front 44

pathogens in cat bites

Back 44

p mutocida

s aureus

Front 45

abx for cat bites

Back 45

amoxicillin-clavulanate

cefuroxime

doxycycline

Front 46

pathogens for human bites

Back 46

strep viridans

s epidermidis

s aureus

eikenella corrodens

oral anaerobes

Front 47

abx for human bites

Back 47

amoxicillin-clavulanate x 5 days

in patient iv tx

Front 48

if the resistance is due to efflux then -- will work

Back 48

clindamycin

Front 49

if resistance due to ---, then clinda will not work

Back 49

methylation