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10.17 Antibiotics 3
at 11 by Dr. Figuroa
15
Microbiology
Professional
10/20/2011

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Cards

Term
How much specimen do you send to the lab?
Definition
as much as you can, ecept if its tissue then you need one gram
Term
At what temperature do you culture?
Definition
37 degrees C
Term
How much blood do you need for a blood culture?
Definition
5-10cc
Term
How long does it take to get a blood culture back?
Definition
96 hours
Term
Antiobiotic selection is based on ____ decisions.
Definition
P and T formulary decisions
Term
What are the three different classifications of zone sizes that determine the susceptibility of antibiotics when testing disk diffusion?
Definition
sesitive, intermediate, resistant
Term
What are the different ways to measure antibiotic susceptibility to an unknown organism you are culturing?
Definition
kirby bauer susceptibilities, minimum inhibitory concentration, automated systems
Term
How do automated systems tell you info about organism susceptibility?
Definition
panels of drugs are based on organism and classes of drug; approximation of real MIC (minimum inhibitory concentration)
Term
What type of test can you use for fastidious/difficult organisms?
Definition
E test MIC
Term
What is the MIC90?
Definition
minimal inhibition concentration that inhibits 90% of isolates
Term
How do antibiograms help?
Definition
empiric therapy selection (prior to organism ID and after organism ID), tracking hospital trends, formulatory decisions, information to regional/national agencies
Term
What are the SPICE bugs?
Definition
ones that ahve an inducible beta-lactamase (serratia, peudomonas, indole-+ proteus, citrobacter, enterobacter)
Term
What is pharmocokinetics?
Definition
determining how dosage regimen determines concentration versus time in serum and where else besides the serum the drug is concentrated at
Term
What is pharymacodynamics?
Definition
concentration versus time in tissues and other body fluids & concentration versus time at the site of infection. And how these things lead to pharmacologic or toxicologic effects and how they effect the microbe.
Term
What is the AUC/MIC?
Definition
the area under the drug concentration over time curve that is above the MIC
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