.
Purulent vulvovaginitis
A gram-negative UTI
Cystitis caused by Staph saprophyticus
Urethral syndrome
Strep. pneumoniae
Neisseria meningitidis
Staph aureus
H. influenzae
Beta-lactamase production
Hypertrophy of cell membrane
Alteration in protein-binding sites
Failure of DNA gyrase reversal
Herpes virus
S. aureus
Streptococci
Allergic reaction
M. pneumoniae
S. pneumoniae
M. catarrhalis
H. influenzae
H. influenzae and S. pneumoniae
Group A strep and S. aureus
M. catarrhalis and select viruses
P. aeruginosa and select fungi
E. coli
K. pneumoniae
P. mirabilis
S. saprophyticus
E. coli and H. influenzae
Bacteroides species and other anaerobes
Group A beta-hemolytic streptococci and S. aureus
Pathogenic viruses
S. pneumonia
H. influenzae
M. catarrhalis
Adenovirus
Amoxicillin
Dicloxacillin
Cephalexin
Trimethoprim-sulfamethoxazole
Legionella species
Strep. pyogenes
H. influenzae
Staph aureus
1-3 days
3-5 days
6-9 days
10-13 days
Mechanism of antimicrobial resistance primarily through the production of beta-lactamase
Mechanism of antimicrobial resistance primarily through altered protein-binding sites held within the microbe's cell.
Organisms most commonly isolated from mucoid middle ear effusion
Gram-negative organisms
Primarily gram-negative organisms
Select gram-positive organisms
Pseudomonas species and anaerobic organisms
Only organisms that do not produce beta-lactamase
Potential complications include glomerulonephritis
Appropriate antimicrobial therapy helps to facilitate more rapid resolution of symptoms
Infection with these organisms carries a significant risk of subsequent rheumatic fever
Acute infectious hepatitis can occur if not treated with an appropriate antimicrobial.
Pseudomonas aeruginosa
Chlamydophila pneumoniae
Strep pneumoniae
H. influenzae
Beta-lactamase production
Hypertrophy of cell membrane
Alteration in protein-binding sites
Failure of DNA gyrase reversal
Newer macrolides are ineffective against the organism
Its antimicrobial resistance results from altered protein-binding sites within the wall of the bacteria
Some isolates exhibit antimicrobial resistance via production of beta-lactamase
This is a gram-positive organism
High rate of beta-lactamase production
Antimicrobial resistance resulting from altered protein-binding sites
Often being found in middle ear exudate in recurrent otitis media
Gram-positive organisms
Stool Gram stain, looking for the offending organism
Serological testing for antigen related to the infection
Organism-specific stool antigen testing
Fecal DNA testing
Fungal agents
P. aeruginosa
S. aureus
M. catarrhalis
Certain gram-positive and gram-negative bacteria
Gram-negative bacteria and pathogenic viruses
Rhinovirus and S. aureus
Predominantly beta-lactamase-producing organisms
Neutrophil
Lymphocyte
Basophil
Metamyelocyte
Klebsiella species
P. mirabilis
E.coli
S. Saprophyticus
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