What is the Antibiotic treatment for Human Bites? -ANSWER Augmentin 875/125 mg PO
BID
or Clindamycin 300 mg PO BID plus Cipro 500 mg BID
or Clindamycin 300 mg PO BID plus Bactrim for kids
(Admit and give IV abs if injury above MCP joints; don't suture above MCP joints if human
bite cannot be ruled out; and treat any bite if skin is broken)
What are the common organisms from human bites? -ANSWER Eikenella corrodens
Streptococci
Staphylococci
Bacteroides
What is the most common lymphoma in AIDS related lymphoma? -ANSWER Stomach,
followed by rectum
Mostly non-Hodgkins, 70% B cell
What is the treatment of AIDS related lymphoma? -ANSWER - If tumor in CNS, treat
primarily with radiation
-If tumor is widely systemic, treat with primarily chemotherapy
Name and describe non-Hodgkin's and Hodgkin's lymphoma and treatment for each? -
ANSWER - Hodgkin's has Reed-Sternberg cells, NHL does not
- Tx for both is radiation + chemotherapy
What is the definitive way to confirm tuberculosis peritonitis? - ANSWER Peritoneal
, biopsy (NOT cx of ascitic fluid)
Patient is hypothermic during surgery. This puts the patient at risk for what
complication? - ANSWER SSI
Infection with what type of bacteria can present within hours postop? - ANSWER Group
A (beta hemolytic) Streptococcus and Clostridium
Which organisms are associated with acute wound infections? - ANSWER - The infection
is introduced through a break in the skin (e.g. incision, perineal decubitus ulcer,
enterostomy)
- These infections tend to be polymicrobial and synergistic in nature, and both aerobic
and anaerobic organisms are usually present
The most common organism implicated in this form of infection is Group A
Streptococcus
All of the following are factors that impact the chance of surgical site infection EXCEPT:
1) American Society of Anesthesiologists physical status
2) Duration of surgery
3) Serum glucose
4) Body temperature
5) Hemoglobin - ANS 5) Hemoglobin
It is associated with microbial contamination at the time of surgery
- It also depends on pt factors such as DM, nutritional state, obesity, chronic
inflammatory process, PVD, anemia, radiation, chronic skin disease, carrier
state-carrier state chronic staphylococcus carriage-recent operation and
immunosuppression-cancer, renal failure, immunosuppressive drugs, ?blood
transfusion
What tool can be used to assess the risk of wound infection? - ANSWER The National
Nosocomial Infection Surveillance risk index, which includes:
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