Group A Strep Testing
Group A Strep Testing A 2 year old presents to clinic with cough + sore throat + x 2 days. Her tonsils are red and swollen without exudate. The does NOT test for Group A Streptococcus. Is this appropriate? A. Yes, appropriateB. No, test for GASC. A peds question? HELP How did others respond? Reveal …
Aztreonam Spectrum of Activity
Aztreonam Spectrum of Activity A 45 year old is admitted to the with cough and a new infiltrate on chest X-ray She has a cephalosporin allergy and aztreonam is ordered Which possible pathogen does aztreonam NOT cover? Answer: A) H. influenzae B) M. catarrhalis C) S. pneumoniae D) P. aeruginosa How did others respond? Reveal the answer Best Answer S. pneumoniae Explanation: Aztreonam …
Antibiotic-Induced Confusion
Antibiotic-Induced Confusion 82 year old with CKD is admitted to the 2/2 STEMI. She is intubated in the ICU and days later has a new fever Antibiotics are started to cover MRSA + Pseudomonas spp. 4 days later, she has new confusion. Which antibiotic is most likely causing ? A. Linezolid B. Vancomycin C. Cefepime …
Antibiotic Drug Interactions
Antibiotic Drug Interactions A with epilepsy managed with valproic acid is admitted to the with undifferentiated shock. He is started on empiric antibiotics. Three (3) days later he has a seizure. His valproic acid level is undetectable despite receiving inpatient doses What antibiotic was likely started? A. Ciprofloxacin B. TMP/SMX C. Meropenem D. Vancomycin How …
Build an Antibiogram
Penicillin Allergy Management
Penicillin Allergy Management A 26 year old pregnant femalewith known Group B Streptococcus colonization is admitted for delivery. She has a history of a penicillin allergy. Her parent told her she had a rash as a child but she has no further details . What GBS prophylaxis should be used? A) ClindamycinB) CefazolinC) Vancomycin How did others …
Perfect your Pick: How to Use an Antibiogram
AntiMRSA and Antipseudomonal Combination Therapy
Patient Case: AntiMRSA and Antipseudomonal Combination Therapy A 66 year old with AML and an ANC 200 presents with fever + dyspnea. Chest X-ray reveals a new RLL infiltrate. Port site is also red & tender. He has a history of recent C. difficile but no other MDR infection. What empiric therapy is best? A. Vancomycin + …
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Uncomplicated Gonorrhea
Patient Case: Uncomplicated Gonorrhea A 23 year old, 70 kg presents to the with dysuria. He is started on ceftriaxone 1 g IV q24H for a presumed UTI. UA has pyuria but is negative for nitrites/bacteria and STI testing reveals gonorrhea At this point, what treatment for gonorrhea is most appropriate? A) No further therapy B) Ceftriaxone 500 …