Journal of Hospital Infection (2008) 69, 186
Available online at www.sciencedirect.com
Continuing Professional Development and the Journal of Hospital Infection Answers linked to Borghesi A and Stronati M. Strategies for the prevention of hospital-acquired infections in the neonatal intensive care unit. J Hosp Infect 2008;68:293e300. Available online 19 March 2008
1. Which is the best empirical antibiotic regimen for suspected late-onset sepsis? (a) Ampicillin together with an aminoglycoside. (b) An antistaphylococcal penicillin together with an aminoglycoside. (c) Ampicillin together with a third-generation cephalosporin. (d) Linezolid together with a third-generation cephalosporin. Answer: (b). 2. Which of the following is true? (a) The great majority of nosocomial infections in the neonatal intensive care units are caused by Escherichia coli. (b) Coagulase negative staphylococci are the most commonly isolated organisms in the neonatal intensive care units. (c) Candida albicans infections are infrequent in neonatal units.
(d) Gram-negative organisms account for the great majority of infections in the neonatal intensive care units. Answer: (b). 3. Which of the following is incorrect? (a) Prolonged and intensive use of thirdgeneration cephalosporins favours the emergence of multiresistant Gram-negative bacteria. (b) Vancomycin overuse is an important risk factor for the emergence of vancomycinresistant enterococci. (c) Emergence of extended spectrum b-lactamase-producing strains of Gram-negative bacteria in neonatal intensive care units is favoured by overuse of antifungal agents. (d) Third-generation cephalosporins overuse increases the risk of invasive fungal infections. Answer: (c).
Summarizing the instructions from the Royal College of Pathologists: (1) One CPD point is allowed for each question and answer set (up to five questions and answers). (2) Answers must be recorded referenced back to the questions and recorded in the CPD portfolio. (3) It is essential that participants include the completed response form showing both questions and answers in their portfolio as these may be subject to audit by RCPath. For further information about the Royal College of Pathologists’ CPD scheme and credit allocation, please contact: Professional Standards Unit, CPD Section, Royal College of Pathologists, 2 Carlton House Terrace, London, SW1Y 5AF, UK. E-mail: [email protected]
or visit http://www.rcpath.org 0195-6701/$ - see front matter doi:10.1016/j.jhin.2008.01.022