Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
23 Cards in this Set
- Front
- Back
|
If MRSA is present in a Health-Care Associated Intrabdominal infection then need to add
|
Vancomycin
|
|
|
If enterococcus is colonized in a Health-Care Associated Intrabdominal infection then need to add _____ and especially in _____ patients
|
Ampicillin
Piperacillin-Tazobactam (Zosyn) Vancomycin Especially in immunocompromised, post op patients, recent ceph use, prosthetic heart valve |
|
|
If candida albicans is present in Health-Care associated intraabdominal infection then need to add
|
fluconazole
|
|
|
If non-candida albicans or fluconazole-resistant isolates are present in Health-Care associated intra-abdominal infection then need to add
|
caspofungin
micafungin andulafungin (CMA - candida minus albicans) |
|
|
For Health-Care Associated IA infections need to cover ___ & ____ so treat with _____
|
Enteric G(-) rods (enterobacter) & anaerobes
imipenem-cilastatin, meropenem, or doripenem Piperacillin/Tazobactam Ceftazidime or Cefepime + metro Aminoglycoside + metronidazole |
|
|
Define Primary peritonitis and what is it also known as
|
Spontaneous Peritonitis - an infection w/o an evident source in the abdomen
|
|
|
Acoholic cirrhosis is most commonly associated with what type of peritonitis
|
Primary Peritonitis (usually enteric organisms)
E. Coli Streptococcus spp. Klebsiella peritoneal dialysis (gram - bacilli) |
|
|
Define Secondary Peritonitis and what 3 things may it involve?
|
A focal disease process is evident within the abdomen
Perforation of the GI tract Postoperative Peritonitis Post-Traumatic Peritonitis (blunt or penetrating trauma) |
|
|
This is the most common cause of secondary peritonitis
|
Appendicitis
|
|
|
True or False: Abscess must present with bacteremia
|
False - abscess may not present with bacteremia
|
|
|
Most common organism in an intra-abdominal abscess
|
Bacteroides Spp (B frag)
|
|
|
What potential pathogens should be suspected with Primary peritonitis?
|
E. Coli
streptococcus spp Klebsiella |
|
|
What potential pathogens should be suspected with Secondary Peritionitis?
|
aerobes: KEEP
Klebsiella, E. Coli, Enterobacter, Proteus Anaerobes: Bacteriodes Peptostreptococcus Fusobacterium Clostridium Fungal: Candida Albican |
|
|
What potential pathogens should be suspected with Abscess
|
Aerobes:
E. Coli Proteus Klebsiella Anaerobes: Bacteroides spp |
|
|
What are the 3 drugs that B frag is resistant to?
|
Clindamycin
cefotetan Aztreonam B Frag is most common in all 3 types of infections! |
|
|
What is early mortality from an intra-abdominal infection influenced by?
|
Aerobic Bacteria!
|
|
|
____ antibiotic therapy is administered if an infection is suspected
|
Presumptive (Empiric)
|
|
|
____ antibiotic therapy is administered as treatment of an infection
|
Therapeutic
|
|
|
What are the most common pathogens associated with Surgical Site Infection's
|
Staphylococcus aureus 20%
Coagulase-negative staphylococci Enterococci E. Coli Pseudomonas |
|
|
What is the most common cause of nosocomial acquired multiresistant organisms?
|
Hospital Personnel
|
|
|
May need to redose if surgery is ___ hours
|
greater than 3 hours
|
|
|
For vancomycin or fluoroquinolones start infusion ___ prior to incision
|
60 to 120 minutes
|
|
|
Prophylaxis agent should be administered ____ prior to incision
|
with anesthesia (usually 60 minutes prior to incision)
Agent should be delivered to surgical site prior to incision |
