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  #1  
Old 04-12-2012
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Idea! ending dilemma of infectious disease questions

i think like me others are having problem in choosing antibiotics for a specific infection.

since it is a group problem, i thought of group solution.

why dont each one contribute to infections antibiotics ... so here it goes...

this is the format

infection-
best initial antibiotic-
antiotic coverage\relevance-


lets hope to revise infection chapter and end this problem for ever.

Last edited by tyagee; 04-12-2012 at 12:46 PM.
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  #2  
Old 04-12-2012
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infection- Otitis Media
best initial antibiotic- Oral Amoxicillin
antiotic coverage\relevance- mcc of otitis media is strep pneumo and amoxi is anti strep.[can have better expln here, but enuf to solve q in ck ]

Last edited by tyagee; 04-12-2012 at 12:47 PM.
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  #3  
Old 04-12-2012
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Quote:
Originally Posted by tyagee View Post
infection- Otitis Media
best initial antibiotic- Oral Amoxicillin
antiotic coverage\relevance- mcc of otitis media is strep pneumo and amoxi is anti strep.[can have better expln here, but enuf to solve q in ck ]


empric Rx of meningitis:best:vancomycin+ceftrixone+ampicillin
-vancomycin+ceftrixone=cover:s.pneumonae,hae.inaflu nzae,neiss.meningitid
-Ampicillin add to cover =listeria monocytogenes(SP:in pt>55&in immunocompramise pts)
-ceftazidime+vancomycin=hospital acquired,cover=pseudomonas+staph.aurus.
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Old 04-12-2012
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Default Acute salpingoopheritis

Outpt: ofloxacin + metronidazole...cover staph and anaerobes.

Inpt: IV cefoxitin/cefotetan + IV doxycycline/clindamycin + IV gentamycin

Need to cover gram negatives and anaerobes:
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Old 04-12-2012
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Default

Quote:
Originally Posted by um aala View Post
empric Rx of meningitis:best:vancomycin+ceftrixone+ampicillin
-vancomycin+ceftrixone=cover:s.pneumonae,hae.inaflu nzae,neiss.meningitid
-Ampicillin add to cover =listeria monocytogenes(SP:in pt>55&in immunocompramise pts)
-ceftazidime+vancomycin=hospital acquired,cover=pseudomonas+staph.aurus.
little addition we also give STEROIDS as main part of treatment.
and frm what i read .the best cover is. Ceftriaxone+ Vancomycin + Steroids.
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  #6  
Old 04-12-2012
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Originally Posted by usmledee View Post
Outpt: ofloxacin + metronidazole...cover staph and anaerobes.

Inpt: IV cefoxitin/cefotetan + IV doxycycline/clindamycin + IV gentamycin

Need to cover gram negatives and anaerobes:
staph is not the main cause of Acute salpingo-oophoritis !


can any1 give better expln for the drug regimen for acute salpingo-oophoritis
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Old 04-12-2012
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Quote:
Originally Posted by tyagee View Post
staph is not the main cause of Acute salpingo-oophoritis !


can any1 give better expln for the drug regimen for acute salpingo-oophoritis
Oopsi...I meant STDs (like gonorrhea and chlamydia)..correction...not staph. Quinilones can sometimes be just as effective for GC as doxycycline.
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Old 04-12-2012
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What causes a staccato cough and peripheral eosinophilia? And what is the treatment?
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Old 04-13-2012
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Originally Posted by usmledee View Post
What causes a staccato cough and peripheral eosinophilia? And what is the treatment?
Chlamydia Trachomatis infection, usually in young infants.

Treatment:
erythromycin 50 mg/kg/day x14d was the conventional regimen, but due to adverse side effects, clarithro/ azithromycin is preferred.
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Old 04-14-2012
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Default Sinusitis

infection- sinusitis
best initial antibiotic- none. give decongestant. only in severe pain or purulent sputum, give antibiotic.
relevance-mcc of sinusitis is viral and antibiotics wont work there. therefore best initial therapy is just decongestant.

indication of antibiotics in sinusitis
1. severe symptoms with purulent discharge
2. symptoms more than 7 days.

come on guys, lets contribute...will help alot in ck ....
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Old 04-14-2012
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Default i.v. line

infection: IV line
best initial antibiotic: vancomycin
coverage/relevance: MSSA, MRSA, Staph epidermidis
considerations:
- if immunocompromised or susceptible host, add cefepime or piperacillin/tazobactam for coverage of pseudomonas, enterobacter
- if culture comes back Staph epidermidis, may not have to remove the line if remission in a week; if culture comes back Staph aureus (or if in doubt) or if it's a subcutaneous tunnel cath, the line should be removed immediately
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Old 04-14-2012
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Default PCP

first-line: TMP-SMX
add steroid when PaO2<70mmHg or A-a gradient >35mmHg
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  #13  
Old 04-15-2012
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infection- pharyngitis
best initial antibiotic- penicillin
antiotic coverage\relevance- S pyogenes
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