WorksheetsSepsis and Septic shock
Total questions: 42
Worksheet time: 22mins
Neonate of < 1m old these bacterias cause Pneumonia and Meningitis
Streptococcus agalactiae
Escherichia coli
Streptococcus pneumoniae
Staphylococcus aureus
Pediatric meningitis by:
Streptococcus pneumoniae
Neisseria meningitidis
Staphylococcus aureus
Escherichia coli
Pediatric skin infections by:
Staphylococcus aureus
Streptococcus pneumoniae
Neisseria meningitidis
Pediatric Bacterial rhinosinusitis and Otitis Media by:
Streptococcus pneumoniae
Neisseria meningitidis
Staphylococcus aureus
Adults SS in ♀ sexually active and ♂ with benign prostatic hyperplasia cause:
UTI
RTI
GII
Adults SS cause pneumonia in:
UTI
GGI
RTI
Adults, Diverticulosis ➡ Peritoneum ➡ Peritonitis ➡ Intra-abdominal abscess ➡ Bloodstream by
UTI
RTI
GI
Special concerns by:
• ↑ susceptibility
• ↓ physiologic tolerance to infection
• ↑ likelihood underlying diseases
• Survival impact (adverse)
• ↑ atypical presentations• Hypothermia • Nonspecific presentations
Adults
pediatrics
elderly
Most common cause of UTIs and Prostatis in adults:
E. coli
K. pneumoniae
Enterobacter
Proteus
Most common cause of pneumonia in chronic alcoholics:
E. coli
K. pneumoniae
Enterobacter
S. penumoniae
Gram - that Infects burn wounds and cause pneumonia in patients with cystic fibrosis. Also has the highest mortality rate in sepsis.
P. aeruginosa
S. pneumoniae
K. pneumoniae
Most common cause of anaerobic sepsis in peritonitis.
B. fragilis
Proteus
Gram + the most common cause of pneumonia and meningitis in adults.
K. pneumoniae
S. pneumoniae
↑ pneumonia cases / intravascular devices caused by:
Gram -
Gram +
Petechiae / purpura is caused by:
N.meningitidis / R.rickettsi
S. aureus /
Strep. pyogenes
P.aeruginosa
Generalized erythroderma is caused by:
N.meningitidis / R.rickettsi
S.aureus /
Strep.pyogenes
P.aeruginosa
Ecthyma gangrenosum caused by:
N.meningitidis / R.rickettsi
S.aureus /
Strep. pyogenes
P.aeruginosa
Acute renal failure, DIC and ARDS are complications of:
Septic Shock
SIRS
CNS dysfunction, Liver failure, Acute renal failure, DIC and ARDS are complications of:
SIRS
Septic Shock
Intestinal bleeding and Heart failure are complications of:
SIRS
Septic Shock
2 or more of the signs and symptoms:
SIRS
Sepsis
Severe sepsis
Septic shock
At least 2 symptoms of SIRS + documented site of infection (labs isolation of microorganism) + Hypoperfusion + Hypotension
Sepsis
Severe sepsis
Septic shock
Sepsis with organ dysfunction + Hypoperfusion (lactic acidosis, oliguria, altered mental status) + Hypotension MAP <70 mmHg + IV fluids ⬆ BP
Sepsis severe
Septic shock
MODS
Sepsis induced Hypotension despite IV fluids + Hypoperfusion (lactic acidosis, oliguria, altered mental status)
Severe sepsis
Septic shock
MODS
Altered organ functions. Cannot be normalized.
Septic shock
MODS
severe sepsis
Pneumonia by: S. pneumoniae, H. influenzae, Legionella, Chlamydia pneumoniae
Major community-acquired pathogens
Major nosocomial pathogens
Peritonitis: E. coli and bacteriodes fragilis
Major community-acquired pathogens
Major nosocomial pathogens
Skin and soft tissue infections by S. aereus and aerobic gram -
Major nosocomial pathogens
Major community acquired pathogens
UTI by: Aerobic gram - bacilli and Enterococcus sp
Major nosocomial pathogens
Major community acquired pathogens
Extracellular bacterias and fungi is mediated by:
TH17
TH1
Th2
Intracellular pathogens are mediated by:
Th17
Th1
Th2
Extracellular parasites are mediated by:
Th1
Th17
Th2
Clear pathogens during host defense rxns and in inducing tissue inflammation in autoimmune diseases.
Th1
Th17
Th2
LPS, TSS toxin and SpeA cause:
immune response
intoxication
cytokine release
neutralization
fever and endothelial cell damage occurs in:
immune respinse
Overwhelming inflammatory response
Dilation of peripheral vasculature
Ceftriaxone, Cefepime and Gentamicin in:
Community pneumonia
Nosocomial pneumonia
Abdominal infection
Nosocomial Abdominal infection
Cefepime, Imipenem-cilastatin and Aminoglycosides in:
Community pneumonia
Nosocomial Pneumonia
Abdominal infection
nosocomial Abdominal infection
Imipenem-cilastatin and Aminoglycosides in:
Abdominal infection
Nosocomial Abdominal infection
Skin infections
UTIs
Vancomycin and Imipenem-cilastatin or Piperacillin-tazobatactam in:
Skin infections
nosocomial Skin infections
UTI
CNSI
Vancomycin and cefepime in:
Skin infections
nosocomial skin infection
UTI infections:
Cipriflaxin and aminoglycosided
Vancomycin and cefepime
Vancomycin + Ceftriaxone + Meropenem
CNSi
nosocomial CNSi
