Sepsis and Antibiotic Stewardship
Cellulitis, Diabetic Foot Infections, and Osteomyelitis
STIs
Meningitis and UTIs
KC/Olathe Trivia
200
This is the location where antibiotic stewardship resources can be found at KU-Olathe
What is the ABX Sharepoint website? (Link in O2)
200
Empiric treatment for erysipelas should be primarily targeting this organism
What is Streptococcus? (beta-hemolytic Strep, primarily GAS)
200
This serovar of chlamydia can be associated with papules or ulceration, unilateral inguinal adenopathy, and severe proctitis
Private Practice ID Journal
What is lymphogranuloma venereum (LGV)?
200
This is the recommended antibiotic treatment for a non-pregnant patient with pyuria, positive urine culture, and no symptoms of cystitis
What is no antibiotic recommended? (asymptomatic pyuria/bacteruria)
200
These are the names of the MLB, NFL, MLS, and NWSL teams that represent the KC Metro
What are the Royals, Chiefs, Sporting KC, and KC Current?
400
These are the components of the qSOFA score
What are respiratory rate (>=22), altered mentation, and systolic blood pressure (<100 mmHg)?
400
For preseptal cellulitis, coverage for this organism is recommended if there has been recent skin trauma or abrasion
What is methicillin resistant Staphylococcus aureus (MRSA)?
400
This is the recommended treatment for syphilis in a pregnant patient with history of anaphylaxis to penicillin
What is benzathine penicillin G (with desensitization)?
400
This medication is recommended to be administered prior to or at the same time as empiric antibiotic therapy for patients with suspected bacterial meningitis
What is dexamethasone?
400
The Nelson Atkins Art Museum is famous for sculptures of these sports related items on its lawn
What are shuttlecocks?
Nelson-Atkins Museum
600
This potent alpha-1 and beta-1 adrenergic receptor agonist is recommended as the first line vasopressor for septic shock
What is norepinephrine?
600
A patient with subacute back pain is noted to have vertebral osteomyelitis/discitis on imaging; they are not septic and hemodynamically stable. This is your empiric antibiotic recommendation
What is observation off of antibiotic therapy? (in order to obtain blood cultures + vertebral bone biopsy/disc aspiration)
600
Painful genital ulcers and inguinal adenopathy in a returning traveler from sub-Saharan Africa with negative HSV PCR and syphilis testing is suggestive of this STI
BMJ Best Practice
What is chancroid (Haemophlius ducreyi)?
600
For simple cystitis, this is the recommended duration of nitrofurantoin
What is 5 days?
600
The name “Olathe” is derived from a Shawnee word which means this
What is “beautiful”?
800
This is the recommended duration or antibiotic therapy for intra-abdominal infections after source control, as per the “STOP-IT” RCT
What is 4 days?
800
In addition to prompt surgical debridement, empiric therapy for necrotizing skin/soft tissue infection should include this antibiotic for toxin inhibition
Lancet Inf Dis
What is clindamycin (or linezolid)?
800
You would recommend this treatment for a patient with newly diagnosed syphilis and hearing loss with CSF notable for a lymphocytic pleocytosis, elevated protein, bit with negative VDRL
What is IV pencillin G 18-24 million units/day x10-14 days? (VDRL lacks sensitivity for diagnosis of neurosyphilis)
800
For empiric meningitis coverage, Ampicillin is recommended for Listeria activity for pts who are immunocompromised and adults over this age
What is age 50?
800
This technology company, initially started as a producer of GPS devices for boating, is Olathe’s largest employer
What is Garmin?
1000
In sepsis with hypoperfusion or septic shock, it is recommended that 30 ml/kg of IV crystalloid fluid be administered within this time frame after recognition
What is 3 hours?
1000
The most recent IDSA diabetic foot infection guidelines (2023) recommend AGAINST empiric antibiotic therapy targeting this resistant, Gram-negative rod unless recent isolation from the wound site
What is Pseudomonas aeruginosa?
1000
Test of cure is not typically recommended for gonorrheal or chlamydial infections, except for gonorrheal infection of this site
What is pharyngeal gonorrhea?
1000
This yeast is the most common cause of fungal meningitis, in particular affecting patients with HIV/AIDS or other immunocompromising conditions
Pathology Outlines
What is Cryptococcus?
1000
This park in the largest in Johnson County and features a lake, hiking and bike trails, disc golf, a 44 acre off-leash dog area, and theater in the park in the summer
What is Shawnee Mission Park?
JCPRD