1.
Discuss the mechanism of action of penicillins, macrolides, quinolones, and aminoglycosides. What are some of the specific side-effects associated with each class of antibiotics?
2.
What are the classes of cephalosporins? Tell us which types of bacteria each class covers. Give examples of the different head and neck disease processes, in children and adults, each cephalosporin could be used to treat.
3.
Unasyn-Why do we use it? What bacteria does it cover? What doesn’t it cover? What are your other option for a penicillin allergic patient?
4.
A patient presents with an odontogenic neck abscess. What bugs are you concerned about? How would you cover?
5.
Tell us about the normal flora of the upper aerodigestive tract.
6.
What bacteria are you concerned about in pediatric acute and chronic otitis media? How will you cover and what are your What organisms are you concerned about in acute and chronic sinusitis? How will you cover and what are your choices? What bacteria should you be concerned about in patients with sinus disease and cystic fibrosis? Which types of antibiotics are most appropriate for this group of patients?
7.
What are the different treatment options when managing otitis externa? Are there special considerations for diabetic and immunocompromised patients?
8.
Fungal Infections: How do you treat fungal OE?, Allergic fungal sinusitis?, Aspergilloma of the sinuses? Invasive fungal sinusitis?
9.
A patient presents with a post-traumatic CSF leak. Would you treat with antibiotics? What are the controversies regarding this? Does CSF otorrhea Can you give penicillin allergic patients cephalosporins? What is the likelihood of an allergic reaction? How would you manage a patient that presents with an acute allergic reaction to an antibiotic?
10.
Tell us about the bacteriology of necrotizing fasciitis. What is the appropriate treatment of patients with this disease process?
11.
Toxic shock! You pack a nose for epistaxis and forget antibiotic RX. Are antibiotics indicated? What would you use? What are the signs and symptoms of Toxic Shock Syndrome? Treatment of Toxic Shock?
12.
Discuss the increasing incidence of Methicillin Resistant Staphylococcus Aureus (MRSA) in pediatric neck infections?. Which children are at risk? Which antibiotics should be utilized to treat pediatric patients with suspected MRSA neck abscess? Are these children at increased risk for complications?
Reference(s):
Duggal, P., Naseri, I., & Sobol, S. E. (2011). The increased risk of community-acquired methicillin-resistant Staphylococcus aureus neck abscesses in young children. The Laryngoscope, 121(1), 51–55.
13.
Discuss the management of tympanostomy tube otorrhea. What is the first line treatment? Discuss patterns of bacterial resistance in patients with persistent otorrhea. What are some other antibiotic alternatives that can be utilized to treat such patients?