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Factorsnthatnplacenanpatientnatnrisknofndevelopingnannantimicrobial-resistantnorganismninclude:n-
nCORRECTnANSWERSnInappropriatenusenofnantimicrobials
Infantsnandnyoungnchildrennarenatnhighernrisknofndevelopingnantibiotic-
nresistantninfectionsnduento:n-
nCORRECTnANSWERSnthenfactnthatnchildrennthisnagenarenmorenlikelyntonbeninndaycarenandnexposedn
tonpathogensnfromnothernchildren
Providersnshouldnusenannantibiogramnwhennprescribing.nAnnantibiogramnis:n-
nCORRECTnANSWERSnAnchartnofnthenlocalnresistancenpatternsntonantibioticsndevelopednbynlaborato
ries
therenisnoftenncross-sensitivitynandncross-
resistancenbetweennpenicillin'snandncephalosporin'snbecause:n-
nCORRECTnANSWERSnbothndrugsnclassesncontainnanbeta-lactamnringnthatnisnvulnerablentonbeta-
lactamase-producingnorganisms
Jonathannhasnbeenndiagnosednwithnstrepnthroatnandnneedsnanprescriptionnfornannantibiotic.nHensay
snthenlastntimenhenhadnpenicillinnhendevelopednanred,nblotchynrash.nAnnappropriatenantibioticntonpr
escribenwouldnbe:n-nCORRECTnANSWERSnAzithromycin
Sarahnisnan25-year-
oldnfemalenwhonisn8nweeksnpregnantnandnhasnanurinaryntractninfection.nWhatnwouldnbenthenapprop
riatenantibioticntonprescribenfornher?n-nCORRECTnANSWERSnamoxicillinn(Trimox)
, Pong-tainisnan12-month-
oldnchildnwhonisnbeingntreatednwithnamoxicillinnfornacutenotitisnmedia.nHisnparentsncallnthenclinicnan
dnsaynhenhasndevelopedndiarrhea.nThenappropriatenactionnwouldnbento:n-
nCORRECTnANSWERSnAdvisenthenparentsnthatnsomendiarrheanisnnormalnwithnamoxicillinnandnreco
mmendnprobioticsndaily
Laurennisnan13-year-oldnchildnwhoncomesntonclinicnwithnan4-daynhistorynofncough,nlow-
gradenfever,nandnrhinorrhea.nWhennshenblowsnhernnosenorncoughsnthenmucousnisngreenish-
yellow.nThenappropriatenantibioticntonprescribenwouldnbe:n-nCORRECTnANSWERSnNone
Joannanhadnansmallnventriclenseptalndefectn(VSD)nrepairednwhennshenwasn3nyearsnoldnandnhasnnonr
esidualncardiacnproblems.nShenisnnown28nandnisnrequestingnprophylacticnantibioticsnfornannupcomi
ngndentalnvisit.nThenappropriatenantibioticntonprescribenaccordingntoncurrentnAmericannCollegenofn
CardiologynandnAmericannHeartnAssociationnguidelinesnis:n-
nCORRECTnANSWERSnNone,nnonantibioticnisnrequirednforndentalnprocedures
tonpreventnfurtherndevelopmentnofnantibacterialnresistancenitnisnrecommendednthatnfluoroquinol
onesnbenreservednforntreatmentnof:n-nCORRECTnANSWERSncommunity-
acquirednpneumonianinnpatientsnwithncomorbidities
FluoroquinolonesnhavenBlacknboxnwarningnregardingn________nevennmonthsnafterntreatmentn-
nCORRECTnANSWERSntendonnrupture
Janetnwasnrecentlyntreatednwithnclindamycinnfornanninfection.nShencallsnthenadvicennursenbecausen
shenisnhavingnfrequentndiarrheanthatnshenthinksnmaynhavenbloodninnit.nWhatnwouldnbenthenappropr
iatencarenfornher?n-nCORRECTnANSWERSnAssesnhernfornpseudomembranousncolitis
Kengnhasnchronicnhepatitisnthatnhasnledntonmildlynimpairednlivernfunction.nHenhasnanninfectionnthat
nwouldnbenbestntreatednbynanmacrolide.nWhichnwouldnbenthenbestnchoicenfornanpatientnwithnlivernd
ysfunction?n-nCORRECTnANSWERSnErythromycinn(E-mycin)