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NSG6005 antibiotics, STDs, EENT- Questions and Answers

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NSG6005 antibiotics, STDs, EENT- Questions and Answers

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NSG6005 antibiotics, STDs, EENT- Questions and
Answers

, staph (MRSA, MSSA)


strep (non-purulent cellulitis, strep pyrogenes (throat), strep pneumoniae (lungs)


Gram-positive bacteria examples enterococcus (urinary tract)


c. diff


hint: If its not one of these common four, it may be gram negative

listerosis
diphtheria
less common gram positive bacteria botulism
tetanus
anthrax

neisseria gonorrhoea
meningitidis
E. coli
pasteurella
Gram-negative bacteria rickettsia (RMSF)
psuedomonis
legionella
mycoplasma pneumoniae
chlamydophila pneumoniae

Atypical Pathogens M.pneumonia, C.pneumonia, legionella

Beta-lactam antibiotics penicillins and cephalosporins

IgE mediated reaction also called a classic anaphylactic reaction

pruritus
flushing
IgE mediated reaction features urticaria (hives)
wheezing
anaphylaxis

maculopapular
aka morbilliform
Penicillin: rash (not allergic)

not itchy, not IgE mediated, commonly seen after given PCN for Epstein Barr Virus

have cross sensitivity due to their similar chemical structures.


90-98% of patients can take cephalosporin if have PCN allergy. Assess if reaction is
penicillin and cephalosporin
maculopapular or allergic response


many patients inappropriately diagnosed with PCN allergy

flat to slightly raised rash resembling measles
Morbilliform rash
non-pruritic rash

Augmentin
Amoxicillin/Clavulanate
protects beta lactam ring

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