Pharm GI Antibotics
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Questions and Answers

What is the first-line antibiotic for treating a dental abscess?

  • Metronidazole
  • Azithromycin
  • Amoxicillin (correct)
  • Ciprofloxacin
  • Which antibiotic is preferred for dental abscesses in patients with penicillin allergy?

  • Amoxicillin-clavulanate
  • Piperacillin-tazobactam
  • Ceftriaxone
  • Clindamycin (correct)
  • What is the most common gram-negative pathogen in intra-abdominal infections?

  • Pseudomonas aeruginosa
  • Klebsiella species
  • Proteus species
  • Escherichia coli (correct)
  • Which anaerobic pathogen is most commonly associated with intra-abdominal infections?

    <p>Bacteroides fragilis</p> Signup and view all the answers

    What is the preferred empiric treatment for low-risk community-acquired intra-abdominal infections?

    <p>Ceftriaxone with metronidazole</p> Signup and view all the answers

    Which antibiotic class is commonly used for high-risk community-acquired intra-abdominal infections?

    <p>Carbapenems</p> Signup and view all the answers

    Which gram-positive anaerobic pathogen is often implicated in intra-abdominal infections?

    <p>Peptostreptococcus species</p> Signup and view all the answers

    Which antibiotic is most strongly associated with a high risk of C. difficile infection?

    <p>Clindamycin</p> Signup and view all the answers

    What is the first-line treatment for a first-time outpatient case of C. difficile colitis?

    <p>Oral Vancomycin</p> Signup and view all the answers

    How does fidaxomicin work in C. difficile infections?

    <p>Inhibits bacterial RNA polymerase</p> Signup and view all the answers

    Which antibiotic should be avoided in pregnancy for intra-abdominal infections?

    <p>Ciprofloxacin</p> Signup and view all the answers

    What clinical sign distinguishes C. difficile colitis from antibiotic-associated diarrhea?

    <p>Strong, foul-smelling diarrhea</p> Signup and view all the answers

    What is the preferred empiric antibiotic for a health care-associated intra-abdominal infection?

    <p>Piperacillin-tazobactam</p> Signup and view all the answers

    Study Notes

    Antibiotic Treatment for Dental Abscesses and Intra-abdominal Infections

    • Dental Abscess First-Line: Amoxicillin
    • Penicillin Allergy: Clindamycin is preferred alternative
    • Intra-abdominal Infection Common Pathogen: Escherichia coli
    • Intra-abdominal Infection Common Anaerobic Pathogen: Bacteroides fragilis

    Low-Risk Community-Acquired Intra-abdominal Infections

    • Preferred Empiric Treatment: Ceftriaxone with metronidazole

    High-Risk Community-Acquired Intra-abdominal Infections

    • Common Antibiotic Class: Carbapenems

    Gram-Positive Anaerobic Pathogens in Intra-abdominal Infections

    • Common Pathogen: Peptostreptococcus species

    Antibiotic Associated with High Risk of C. difficile Infection

    • Antibiotic: Clindamycin

    First-Line Treatment for C. difficile Colitis (Outpatient)

    • Treatment: Oral Vancomycin

    Fidaxomicin Mechanism of Action

    • Mechanism of Action: Inhibits bacterial RNA polymerase

    Antibiotic Contraindicated in Pregnancy

    • Antibiotic: Ciprofloxacin

    Clincal Sign Distinguishing C. difficile Colitis from Antibiotic-associated Diarrhea

    • Distinguishing Sign: Strong, foul-smelling diarrhea

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