Animals
Causative Organism of infection in the hand following punching someone in the mouth
What is Eikenella corrodens
This antibiotic is the most likely to cause a sunburn
What is Doxycycline
This is the initial test for Osteomyelitis
X-Ray
What 4 Oral Antibiotics Cover MRSA
Clindamycin
Doxycycline
Bactrim
Linezolid
True or False: Uninfected diabetic foot wounds should not be cultured or treated with antibiotics
What is True
Most concerning organism following a Cat Bite
What is Pasteruella multicoda
This antibiotics is highly associated with thrombocytopenia with extended use (>2 weeks)
What is Linezolid
This is the gold standard imaging for Osteomyelitis
MRI
Of the 4 Oral Antibiotics that treat MRSA which has the lowest Susceptibility at Unity Health
Clindamycin 60-70%
(Doxycycline 90%, Bactrim 90%, Linezolid 90-100%)
Name two of the five key hand hygiene moments.
1. Before Touching a Patient
2. Before Clean or aspetic procedure
3. After body fluid exposure risk
4. After touching a patient
5. After touching patient surroundings
Most concerning organism in a cirrhotic patient following eating oysters
What is vibrio vulfnificus
This antibiotic is associated with a red rash during infusion, can be improved with slowing of infusion rate.
What is Vancomycin
This is the imaging of choice for an abscess
What is CT w/ Contrast (weekends) and Ultrasound (weekdays)
Where can the Antibiogram be Found?
Unity Intranet Page
True or False: A bone biopsy is indicated for a patient with vertebral osteomyelitis and a positive blood culture for a typical pathogen of vertebral osteomyelitis
What is False
Causative organism in an asplenic patient after a dog bite?
What is capnyocytophaga canimorsus
This antibiotic can cause irreversible blindness (Optic Neuritis)
What is Linezolid
This is the test of choice for osteomyelitis in a patient with stage IV CKD
Triple Phase Bone Scan
True or False: Pharmacy can change your order from an IV antibiotics to a PO antibiotic (ex. Linezolid, Doxycycline, Clindamycin, Levaquin)
True (if you want IV document why they cant have PO!)
Why is plain radiography recommended as initial imaging in test for Osteomyelitis
Low Cost and Specificity
Causative Organism of Cellulitis following being barbed by a fishing hook while out catfishing
What is Edwardsiella tarda
This antibiotic can cause Eosinophilic Pneumonia
What is Daptomycin
This is the appropriate imaging for suspected necrotizing fasciitis
None - surgery consult
True or False: Pseudomonal Coverage is recommended for Diabetic Foot Infection
False - IDSA Guidelines on Diabetes-related Foot Infections
Name 3 Important Components of Antimicrobial Stewardship
1. Avoid unnecessary antibiotic use
2. simplify unnecessary combination therapy
3. Avoid double anaerobic coverage
4. convert IV to oral agents
5. Streamline de-escalation of antibiotics
6. minimize therapy durations