Name that Bug!
Monitor Parameters
Name that Drug
Bug–Drug Spectrum Review
100

When it comes to pseudomembranous colitis & antibiotic-associated diarrhea, this anaerobic Gram-positive bacillus is likely the culprit.

What is Clostridium difficile (Clostridioides difficile)?

100

 This glycopeptide antibiotic requires monitoring of AUC/MIC or serum concentrations along with renal function to minimize toxicity when treating serious MRSA infections.

 What is vancomycin?

100

This antibiotic combination is commonly known by the brand name Augmentin.

What is amoxicillin/clavulanate?

100

This first-line antibiotic class reliably covers atypical organisms such as Mycoplasma, Chlamydia, and Legionella.

What is a Macrolide?

200

This Gram-negative bacterium is often associated with peptic ulcer disease (PUD) & gastric ulcers. It is also considered a major risk factor for gastric cancer.

What is Helicobacter pylori?

200

This antibiotic is commonly used for MSSA infections causing neutropenia, making this laboratory parameter important to monitor.

What is CBC/white blood cell count?

200

This third-generation cephalosporin is given orally commonly used to treat a variety of serious gram-negative bacterial infection. It come in two main dosage forms such as capsules and powder for oral suspension. Give brand name only. 

What is cefdinir (Omnicef)?

200

This oral antibiotic is commonly used for both community‑acquired MRSA and Streptococcus species skin infections. (Give brand name)

What is Cleocin?

300

You have just obtained a culture & sensitivity report for a patient with a skin infection. The results show the bacteria is resistant to nafcillin & methicillin, but susceptible to Teflaro and Vancocin. The result of the culture was positive for this Gram-positive bacteria.

What is MRSA (Methicillin-resistant Staphylococcus aureus)?

300

 A patient receiving this fluoroquinolone for CAP has a history of arrhythmias. The pharmacist should closely monitor this cardiac parameter because the drug can prolong it.


What is the QTc interval?

300

This class works by inhibiting DNA gyrase and topoisomerase IV, interfering with bacterial DNA replication.

What are fluoroquinolones?

300

These two antibiotics both cover Pseudomonas aeruginosa and belong to different drug classes. (Give brand names)

What is Maxipime and Zosyn?

400

This opportunistic Gram-negative bacterium is covered by meropenem and imipenem-cilastatin, but not ertapenem. In wound or burn infections, it can be characterized by blue-green pus.

What is Pseudomonas aeruginosa?

400

A patient on prolonged therapy with this antibiotic for an ESBL-producing E. coli infection should have renal function and CNS effects monitored, particularly if renal impairment is present.

What is meropenem?

400

This broad-spectrum antibiotic belongs to the carbapenem class and is administered parenterally. 

What is meropenem?

400

A 50-year-old patient presents with diverticulitis, and imaging shows an abscess containing Bacteroides fragilis. This antibiotic is the best choice for anaerobic coverage below the diaphragm.

What is Metronidazole?

500

This Gram-negative bacterium, found in our upper respiratory tract, can cause meningitis & pneumonia. This can be prevented by vaccination with Hiberix.

What is Haemophilus influenzae Type B?

500

A patient taking this macrolide for Mycoplasma pneuomniae develops palpitations. The pharmacist should assess for this ECG abnormality and review other medications that may increase the risk.


What is QT prolongation?

500

This antibiotic is commonly used to treat serious infections caused by Gram-positive organisms, including MRSA. When given systemically, monitoring renal function is important to minimize toxicity. What is the drug?

What is vancomycin?

500

This carbapenem covers ESBL organisms, but does not cover Pseudomonas. (Give generic name)

What is Ertapenem?

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