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Cecils Ch 106 HAIs

Terms in this set (13)

HAI definition
not present at admin
occurrs after 48 hours or within 48-72 hours of d/c
single best way to prevent HAIs
wash your hands !
pt. with DM or chronic indwelling catheters more often get CAUTI from
Fungi (candida) (give fluconazole )
G- tx for CAUTI
cefotaxime, ceftriaxone
G+ tx for CAUTI
vanc
Central lines vs peripheral lines
keep in vs. routinely replace
in what CLABSI can the central line be kept in ?
coag - staph, uncomplicated (fever resolves in 72 hours and there is no hardware in the blood stream)
basic empiric coverage of CLABSI
vancomycin
CLABSI in severely ill or i.comp.
ceftraiaxone/ceftazidime or cefepime for pseudomonas
empiric rx for VAP in a pt with no risk factors and pt. with risk factors
with Rf --> Vanc and antipseudomonal or aminoglycoside
without Rf --> ceftriaxone or levofloxacin
what scoring system can assist in the dx VAP ?
CPIS (clinical pulmonary infection score)
c. diff tx:
1st line mild
1st line sever (WBC >15 and Cr >1.5x baseline
2nd relapse
metronidazole
vancomycine
vancomycin tapered/pulsed
what type of precaution is meningitis ?
droplet , 6-10 feet must have mask
THIS SET IS OFTEN IN FOLDERS WITH...