Side Effects
Empiric treatment
BUGS
Guidelines
Potpourri
100
Most common side effect of using Azithromycin and FQ
What is QTc prolongation
100
The empiric treatment for CAP
What ceftaixone + azithromycin, or levofloxacin
100
3 of the most common organisms causing bacterial meningitis
What are Streptococcus pneumoniae, Neisseria meningitidis, group B Streptococcus, Haemophilus influenzae (Listeria monocytogenes in immunocompromised)
100
Duration of treatment for hospitalized community acquired pneumonia
What is 5 to 7 days?
100
The only monobactam available
What is aztreonam
200
Nitrofurantoin is contraindicated below this crcl
what is 30 ml/min
200
What is the IDSA guideline-recommended treatment for first episode of mild c. diff colitis.
What is oral metronidazole?
200
Most common organisms causing cellulitis
What are beta-hemolytic streptococci (groups A, B, C, G, and F) and Staph aureus?
200
Duration of treatment for asymptomaic UTI
No treatment indicated
200
MIC below which psuedomona is susciptable to Pip/Tazo
what is 16
300
Side effect associate with porolonged use of linezolid, revesible or not
What is Myelosupprssion, common when use linezolid for more than 2 weeks. reversible upn discontinuation
300
2 drugs that can be used to treat suspected community-acquired MRSA skin infection
What are are clindamycin, Bactrim, doxycycline
300
3 bacterira to think about in ventilated patient with hospital acquired pneumonia
What is pseudomonas, MRSA, acinetobacter
300
Per IDSA guidelines empiric treatment for high risk neutropenic fever
What is cefepime, ceftazidime, zosyn or carbepenem? NOT vancomycin initially (not empirically)?
300
beta lactam that cover pseudomonas
What is Piperacillin-tazobactam, cefepime, ceftazidime, aztreonam, meropenem, imipenem, doripenem, ceftolozane-tazobactam, ceftazidime-avibactam
400
A medication used with one beta-lactam to inhibits the renal metabolism and increases the urinary recovery of active form of the antibiotic
what is Cilastatin with Imipenem
400
Empiric antibiotic treatment for acute bacterial meningitis in an adult
What is vancomycin, 3rd generation cephalosporin (ceftriaxone or cefotaxime) plus ampicillin in patients over 50 or pregnant?
400
Resistant markers that indicate infection with the following, MRSA, VRE, ESBL, and Carbapenemase producing organism
What is mecA (MRSA), vanA or vanB (VRE), CTX-M (ESBL), and KPC NMD VIM IMP OXA (cabapenemase)
400
recommended antibiotic for MRSA if vancmycin MIC> 2
what is daptomycin
400
Definition of neutropenia
What is ANC<1500 severe is <500 (WBCxPMN/bands)/100
500
antibiotic reportedly causing isolated eosilophilc pneumonia
What is daptomycin?
500
WS is a 75 yo male with PMH significant for an aortic valve replacement 9 months ago (replaced with a mechanical valve). WS presents the ED complaining of a low grade fever, night sweats and increasing weakness over the past week. Blood cultures are positive for MRSA, and a TEE demonstrates a vegetation on the aortic valve. WS has NKDA. what is appropriate empiric treatment per IDSA guidelines
Vancomycin PLUS rifampin x > 6 weeks PLUS gentamicin x 2 weeks
500
In initial microbiology report for blood clutures, gram positive in chain and gram positive in clusrter or bunch give indicate those types of bacteria
what is strepcoccus (chains), staphylococcus (bunches)
500
Age at which adults should receive zoster vaccination to prevent shingles
What is once after 60?
500
The only approved cephalosporin/beta-lactamase inhibitors were approved for those indication
ceftolozane-tazobactam, ceftazidime-avibactam where approved for cUTI and cIAI
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