WAAW Session 1

1. All has led to the increase in AMR, except?

• Continuing broad spectrum antibiotic when narrower spectrum antibiotic is available according to blood culture and sensitivity

• Patients not completing the full course of antibiotics

• Poor infection control in healthcare facilities

• Discontinuing antibiotics early when source control is achieved with good clinical improvement

What are the antibiotics that are associated with collateral damage and emergence of MRO? Choose 3.

• Ceftriaxone

• Meropenem

• Ciprofloxacin

• Cloxacillin

The first international sepsis definition was defined in the year of

• 1981

• 1991

• 2001

• 2011

Which of the following is a true statement based on Sepsis-3 definition?

• Septic shock is a sepsis-induced hypotension persisting despite adequate fluid resuscitation or elevated lactate level ≥ 4 mmol/L

• Sepsis associated with organ dysfunction, hypoperfusion and hypotension is considered as severe sepsis.

• Sepsis is defined as any suspected infections with ≥ 2 SIRS criteria

• Sepsis is life-threatening organ dysfunction due to a dysregulated host response to infection

The following scoring systems are recommended to recognize sepsis EXCEPT

• Sequential Organ Failure Assessment (SOFA) Score

• Systemic Inflammatory Response Syndrome (SIRS)

• National Early Warning Score (NEWS)

• Modified Early Warning Score (MEWS)

Which of the following statements are FALSE?

• IVI noradrenaline is the first line vasopressor for septic shock

• IVI vasopressor or inotrope agents can be administered via peripheral line

• IV vitamin C is recommended for all patient with sepsis or septic shock

• Crystalloid is the fluid of choice for resuscitation of septic shock

Which of the following is FALSE regarding the HTAR severe sepsis pathway?

• Uses a combination of SIRS and NEWS scoring to detect & stratify sepsis

• Sepsis team will be activated if the patient is in sepsis with multiorgan failure

• Septic patient not in shock does not require sepsis team activation

• All sepsis team activation must have respective discipline’s specialist input.

Which antibiotic suitable to be given using elastomeric pump over 24 hours? Choose 2

• Cloxacillin

• Cefazolin

• Meropenem

• Ceftazidime

What are the benefits of OPAT? Choose 2

• Suitable for AOR patient

• Reduce risk of HAI

• Improve patient’s QOL

• Prolong hospital stay

Which one is the exclusion criteria for OPAT?

• Clinically stable liver abscess

• Adequate social support

• Neutropenia

• Require prolong IV antibiotic