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7 Cards in this Set
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What is the First Line of defense against infection?
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The IMMUNE System
(Adjunctive lines of defense against infection include removal of source (I&D), antibiotics) |
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When should antibiotics be considered?
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1. When infection goes beyond localized stage and Progresses into Soft Tissue (swelling, collection of purulence under tissue) or patient exhibits Systemic Signs and Symptoms
2. With acute odontogenic infection - almost always involving Gram + Cocci (alpha-strep) & 4-6 anaerobes 3. If patient shows no improvement/worse in 72 hours |
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What type of bacteria are found in acute odontogenic infections?
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Gram + Cocci (alpha-strep)
4-6 anaerobes |
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What is the first drug of choice for acute odontogenic infections (almost always involving Gram + cocci & 4-6 anaerobes)?
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Penicillin
(Augmentin {amoxicillin + clavunate} can be given if infectino is severe at presentation [wider spectrum]) |
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What should you do if a patient with an odontogenic infection shows no improvement or gets worse in 72 hours?
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1. Culture infection
2. Consider switching antibiotics to Clindamycin while you wait for the culture |
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What type of antibiotic is preferred, Bacteriocidal or Bacteriostatic?
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Bacteriocidal - stronger, better patient compliance (because if patient misses a dose, bacteria that have been killed stay dead vs. cyclic return of bacteria if pt is taking a bacteriostatic drug)
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T/F
When treating infection with antibiotics you should start with narrow spectrum and work your way to broad spectrum. |
True
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