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 …
Stop Sweltering over Linezolid and Serotonin Syndrome
Positive UA in Nursing Home Patient
Patient Case: Positive UA in Nursing Home Patient An 85 year old with dementia lives in a nursing home & has a fall. Staff noted malodorous urine earlier today.A UA is done and shows and pyuria. He denies dysuria and suprapubic/flank pain. What is the best approach to managing this patient? A) Urine culture and start antibiotic B) …
Enterococcus Urinary Tract Infection
Patient Case: Enterococcus Urinary Tract Infection A 30 year old with no PMH comes to the ED with dysuria but no flank pain. She is sent with TMP/SMX. The urine culture from the ED grows pan-S Enterococcus spp. You review the culture and call the patient What is the best antibiotic treatment? A) Return to …