Antibiotic Stewardship 1

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AC/1637/17

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1. Responsible and prudent use of antimicrobials should include the involvement of: *

1 point

The veterinary pharmaceutical industry

Veterinarians

Animal feed manufacturers

Animal feed distributors

All the above.

2. The extra label use of an antimicrobial drug should: *

1 point

Only be employed if a registered product is already available.

Does not require a veterinary prescription

Requires a prescription clearly indicating the dosage regimen and drug withdrawal times

Does not require keeping of any records

3. A proposal surveillance program should include: *

1 point

Passive and active surveillance of AMR patterns (local and national levels).

Reporting of resistance rates by DAFF and veterinary laboratories

None of the above

Both a and b

Only a

4. Methods described to determine antimicrobial sensitivity include: *

1 point

Microwell dilution

Aerobic culture

Kirby – Bauer “disk diffusion”

PCR screens

Both a and c

5. Antimicrobial resistance can most commonly be transferred to humans through: *

1 point

Consumption of resistant bacteria in food

Skin contact with a pathogen

Blood transfusion

Penetrating skin wounds

Inhalation of antimicrobials

6. Which statement about Salmonella sp. is correct: *

1 point

It is only found in the intestinal tract of poultry

Spreads mainly through the oro-faecal route

Cephalosporins is contra indicated in the treatment of infants

Fluruoquinoloe is contra indicated in the treatment of adults

Presents clinically mostly as neurological syndrome

7. With “disk diffusion” *

1 point

A paper disk with the pathogen is placed on a agar plate

The zones of inhibition around the paper disks are measured

The size of the zone of inhibition is not dependent on the MIC

The zone of the inhibition is not influenced by the duration of incubation.

The zone of inhibition is not influenced but the temperature of incubation..

8. Campylobacter sp is known to: *

1 point

Form part of the normal respiratory flora

To cause infection in > 80 % of cases by C. jejeuni

C. coli and C. foetus can also cause disease

Cause symptoms of vomition , diarrhoea and abdominal cramps

Cause self -limiting disease

9. E. coli is known to: *

1 point

To be part of the normal enteric flora

Have the pathogenic 0 157 stain

Be able to cause diarrhoea in humans

Monitored by CDC for resistance in humans via the 0157 strain

To be used as indicator of the level of Salmonella sp infection

10. Enterococcus sp is known to be *

1 point

Ubiquitous in nature

Not to be present in the gastro intestinal tract of animals and man

A GRAM positive bacteria

Sometimes a hospital acquired infection in humans

Transmitted through poorly processed meats

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