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A Tale of Hope and Caution: Update on Gram-negative and
Clostridium difficile
Infections
Pre-Activity Survey
1.
All of the following bacteria were identified by the World Health Organization as critical priority pathogens except:
Methicillin-resistant
S. aureus
Carbapenem-resistant
P. aeruginosa
Carbapenem-resistant
A. baumannii
Carbapenem-resistant, ESBL-producing Enterobacteriaceae
2.
Which of the following antimicrobials would be the most appropriate choice to treat a 63-year-old man with an infection caused by meropenem-resistant
P. aeruginosa?
Imipenem
Ceftolozane-tazobactam
Ampicillin-sulbactam
Meropenem-vaborbactam
3.
Newer beta-lactam/beta-lactamase inhibitor agents (i.e., ceftolozane-tazobactam, ceftazidime-avibactam) exhibit activity against all of the following resistant organisms except:
ESBL-producing
K. pneumoniae
Fluoroquinolone-resistant
E. coli
Metallo-beta-lactamase-producing
K. pneumoniae
Multidrug-resistant
P. aeruginosa
4.
For which of the following patients would be the most appropriate use of bezlotoxumab?
As prophylaxis for a 45-year-old woman undergoing a stem cell transplantation with no history of CDI
As primary treatment for a 67-year-old man with an initial CDI episode
As primary treatment for a 79-year-old man with a second episode of CDI in the past 5 weeks
Combined with standard of care for a 57-year-old woman with 3 episodes of CDI in the past 2 months
5.
According to the latest IDSA/SHEA
C. difficile
guidelines, which of the following would be appropriate treatment of a severe initial episode of CDI?
Vancomycin
Fidaxomicin
Fecal microbiota transplantation
Either vancomycin or fidaxomicin
6.
According to the latest IDSA/SHEA
C. difficile
guidelines, which of the following would not be an appropriate choice for the treatment of a patient with multiple recurrences of CDI?
Metronidazole
Vancomycin
Fidaxomicin
Fecal microbiota transplantation