The Challenge of
Clostridium difficile
and Antimicrobial-Resistant Gram-negative Infections:
Opportunities to Re-evaluate Current Management Approaches
Pre-Activity Self-Assessment
1.
All of the following increase the risk of
C. difficile
infection except:
Antimicrobial exposure
Robust host immune response to
C. difficile
toxin
Intestinal dysbiosis
C. difficile
toxin production
2.
Clinical trials demonstrate that, compared to vancomycin, the use of fidaxomicin in the treatment of CDI resulted in significantly:
Higher overall clinical cure rates
Higher clinical cure rates for moderate-to-severe CDI only
Lower clinical cure rates in patients with mild infection
Lower rates of recurrent infection
3.
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
4.
All of the following 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
5.
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
6.
Which of the following is the most appropriate initial antimicrobial for a 67-year-old man with ventilator-associated pneumonia caused by an ESBL-producing
K. pneumoniae?
Moxifloxacin
Ceftazidime
Imipenem
Linezolid