*Cough Cough*
Trust Your Gut
Can't Deny, it's a UTI
Skin Deep
The Kitchen Sink
100
Additional diagnostic tests that you might consider ordering for a patient admitted with pneumonia include (name 2)
Strep pneumo, urine legionella, MRSA nasal swab, sputum culture, procalcitonin, Resp viral panel, COVID, Influenza/RSV
100
For any suspected GI source of infection, antibiotics should broadly cover this type of bacteria
Gram Negative
100
Bactiuria in a urine culture requires the presence of greater than this many organisms
> 100,000 organisms
100
A chronic, non-purulent foot wound with many gram positive cocci on a wound culture likely represents.
Contaminant
100
The reference for antibiotic sensitivity of common bacteria in our community available through Epic is called this.
BWH antibiogram
200
A patient hospitalized with community acquired pneumonia is recommended for what antibiotic regimen
CTX (B-Lactam) + Azith (Macrolide) OR Levaquin (Resp quinalone)
200
If a patient is admitted with diverticulitis, you would most likely initiate this antibiotic regimen
Ceftriaxone IV + Flagyl PO
200
You should not treat asymptomatic bactiuria, except in these 2 patient populations.
1. Pregnancy
2. Undergone recent instrumentation
200
You would start with this antibiotic for treatment of an inpatient with non-purulent skin and soft tissue infection (cellulitis).
Cefazolin (Ancef) IV
200
Prior to starting antibiotics on a septic patient, it is extremely important (and the standard of care) to obtain these first.
Blood cultures x 2
300
The treatment for confirmed influenza infection for a high-risk or hospitalized patient, regardless of symptom onset includes this medication
Tamiflu 500mg PO BID x 5 Days
300
The antibiotic regimen is recommended for recurrent cdiff infection is this
PO Vancomycin Taper
300
You must change antibiotics when empirically treating a UTI with ceftriaxone if urine culture grows this organism.
Enterococcus spp
300
DAILY DOUBLE
A patient with fever, rash and pancytopenia presents in the summer after gardening at their vacation home in Cape Cod. You might empirically treat for this type of infection.
300
You should initiate treatment with this antibiotic when a blood culture grows gram + cocci in 2/4 bottles.
Vancomycin
400
You may need to broaden antibiotics from Ceftriaxone to Cefepime to include coverage of what important organism.
Pseudomonas
400
A patient is admitted with diarrhea and dehydration after traveling abroad. C diff is negative and you are concerned for traveler's diarrhea and you start this antibiotic
Azithromycin or Cipro
400
A patient with UTI and associated pyelonephritis (complicated UTI) should be treated for at least this many days.
7 days
400
You would use this antibiotic to cover for the bacteria Pasturella after an domestic cat bite. You can also use this antibiotic to cover Eikenella, bacteria found in human bites.
Unasyn IV (or PO augmentin)
400
Empiric antibiotics for a patient with sepsis includes these antibiotics.
Vancomycin + Ceftriaxone or Cefepime + Flagyl
500
This testing is required to rule out Tuberculosis
Sputum culture for AFB (mycobacterium) x 3
500
A patient is admitted with GI bleed and ascites, you start empiric antibiotics for what infectious process
Spontaneous Bacterial Peritonitis (SBP)
500
DAILY DOUBLE
To promote antibiotic stewardship, BWH micro lab does not routinely run sensitivities for these two commonly used antibiotics on urine cultures positive for most bacteria including klebsiella, e.coli and enterococcus.
500
This image represents what common condition seen on the medical service, sometimes inappropriately managed with antibiotics.
Chronic venous insufficiency
500
A patient with CKD is diagnosed with bacteremia requiring 6 weeks of IV antibiotics. You would discuss type of access with this consulting service.
Renal