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FNP~EENT TX
Tx of Common Bacterial EENT Infection
Question | Answer |
---|---|
Common pathogen of "suppurative conjunctivitis" (non-GC/CT) | S. aureus, S. pneumoniae, H. influenzae...outbreaks sue to atypical S. pneumoniae |
Common pathogen of "otitis externa" (swimmers ear) | Pseudomonas sp., Eneterobacteriaceae; Acute infection often S. aureus; fungi rare etiology |
Common pathogen of "malignant otitis externa" in person w/ DM, HIV/AIDS, on chemo | Pseudomonas sp. in >90% |
Common pathogens in "AOM" | S. pneumoniae, H. influenzae, M. catarrhalis, viral or no pathogen (approx. 55% bacterial, S. pneumoniae most common) |
Common pathogens in "exudative pharyngitis" | Group A, C, G streptococcus, viral, HHV-6, M. pneumoniae |
Recommended antmicrobial tx for "supparative conjuctivitis" (non-GC/CT) | Primary Tx-opthalmic tx with FQ ocular solutioin (levo-, moxifloxacin) Alt Tx- opth tx wie bacitracin-polymyxin B w/ trimethoprim solution |
Recommended antimicrobial tx for "otitis externa" | otic drops with ofloxacin or cipro with hydrocortisone or polymyxin B with neomycin and hydrocortisone |
Recommended antimicrobial tx for ""malignant otitis externa" in person w/ DM, HIV/AIDS, on chemo | oral cipro for early dz for outpt...inpt therapy warranted in severe dz |
Recommended antimicrobial tx for "AOM" | ~if no antimicrobial therapy in past month--Amox HD...~therapy in past month HD amox or Augmentin...if tx failure >72hrs of therapy and therapy in past month IM ceftriaxone qd x3d or clindamycin |
Recommended antimicrobial tx for "exudative pharyngitis" | 1st line-PCN Vx10d...Alt-EES x10d, Azithromycin x5d, Clarithromycin X10d |