Factors that place a patient at risk of developing an antimicrobial-resistant organism include: -
- Inappropriate use of antimicrobials
Infants and young children are at higher risk of developing antibiotic- resistant infections due to: -
- the fact that children this age are more likely to be in daycare and exposed to pathogens
from other children
Providers should use an antibiogram when prescribing. An antibiogram is: - - A chart of the
local resistance patterns to antibiotics developed by laboratories
there is often cross-sensitivity and cross-resistance between penicillin's and cephalosporin's
because: - - both drugs classes contain a beta-lactam ring that is vulnerable to beta-
lactamase-producing organisms
Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic. He says
the last time he had penicillin he developed a red, blotchy rash. An appropriate antibiotic to
prescribe would be: - - Azithromycin
Sarah is a 25-year-old female who is 8 weeks pregnant and has a urinary tract infection. What would
be the appropriate antibiotic to prescribe for her? - - amoxicillin (Trimox)
Pong-tai is a 12-month-old child who is being treated with amoxicillin for acute otitis media. His
parents call the clinic and say he has developed diarrhea. The appropriate action would be to: -
, - Advise the parents that some diarrhea is normal with amoxicillin and recommend
probiotics daily
Lauren is a 13-year-old child who comes to clinic with a 4-day history of cough, low-grade fever, and
rhinorrhea. When she blows her nose or coughs the mucous is greenish-yellow. The appropriate
antibiotic to prescribe would be: - - None
Joanna had a small ventricle septal defect (VSD) repaired when she was 3 years old and has no
residual cardiac problems. She is now 28 and is requesting prophylactic antibiotics for an
upcoming dental visit. The appropriate antibiotic to prescribe according to current American
College of Cardiology and American Heart Association guidelines is: - - None, no antibiotic is
required for dental procedures
to prevent further development of antibacterial resistance it is recommended that fluoroquinolones
be reserved for treatment of: - - community-acquired pneumonia in patients with
comorbidities
Fluoroquinolones have Black box warning regarding ________ even months after treatment - -
tendon rupture
Janet was recently treated with clindamycin for an infection. She calls the advice nurse because
she is having frequent diarrhea that she thinks may have blood in it. What would be the appropriate
care for her? - - Asses her for pseudomembranous colitis
Keng has chronic hepatitis that has led to mildly impaired liver function. He has an infection that
would be best treated by a macrolide. Which would be the best choice for a patient with liver
dysfunction? - - Erythromycin (E-mycin)