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Prin of Infectiou Dz
Question | Answer |
---|---|
Systematic approach for selecting antimicrob therapy? | -Confirm presence of infex -ID specific pathogen -Select therapy |
What can cause a False - for a fever? | ASA, NSAIDS, APAP, Corticosteroids |
What can cause a False+ for a fever? | B-lactams:Penicillin, cephalosporins & salicylates & phenytoin |
Presence of immature band cells is an indication of? | Bone marrow response to an infection |
What are the measurements for CRP? | .5-1 = NL 1.0-1.5 = Moderate inflamm >10 = Sugg infex |
Inflamm tests can also be elevated w/what conditions? | Collagen vascular dz Arthritis |
Cell walls in G+ vs G- bacteria? | G+ = ^peptidoglycans, decrs L G- = ^lipids, decrs P |
Define bactericidal | Kills sensitive organisms so that the #of viable organisms falls rapidly after drug exposure; ex:Penicillin |
What is bacteriostatic? | -Inhibits growth of bacteria but doesnt kill them-pt's own immune system then kills them -ex:tetracycline |
What are the requirements for antimicrobial therapy? | -Penetrate the cell -Reach the target -Kill organism |
Mechanisms of resistance? | -Decrs permeability -Drug efflux -Drug/enzyme inactivation -Altered target |
H. flu commonly effects? | Kids and smokers |
Enterobacteriaeae common where? | Gut and GU |
Pseudomonas common where? | "water bug" |
Anarobes (B.fragilis) commonly seen where? | Gut, Aspiration, Chronic RTIs |
Enterococcus seen where? | Gut and wounds |