Patient Case: Vancomycin for MSSA A 67 year old presents to the with an abscess and cultures growing MSSA. She was initially started on empiric vancomycin and ceftriaxone. What is the best antibiotic adjustment? A) Stop vanc, continue ceftriaxone B) Stop ceftriaxone, continue vancC) Stop both, start cefazolin How did others respond? Reveal the answer Best Answer Stop both vancomycin …
Patient Case: AmpC A 38 year old presents with suspected pyelonephritis and is started on empiric ceftriaxone. Hercultures grow Enterobacter cloacae with pending susceptibilities. What the best treatment? A) CeftriaxoneB) CefepimeC) Ceftazidime/Avibactam How did others respond? Reveal the answer Best Answer Cefepime AmpC beta-lactamase enzymes will hydrolyze most penicillins and many cephalosporins. These enzymes are often …
KASIC Patient Case: Confusion with Antibiotics An 80 year old man 👴 is diagnosed with cystitis and given an antibiotic 💊. After 3 days he begins complaining of muscle aches and after 4 days is experiencing new confusion. What antibiotic was he most likely prescribed? A) Amoxicillin-clavulanate B) CiprofloxacinC) Nitrofurantoin How did others respond? Reveal the …
KASIC Patient Case: Staphylococcus aureus in a Urine Culture A 55 year old 👱🏼♂️ is admitted for afib and put on a diltiazem drip. A urine culture collected in the ED shows >100K S. aureus. Patient is non-septic with no GU symptoms. What testing/treatment is best? A) Start vancomycin B) Recollect urine culturesC) Draw blood culturesD) Ignore …
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KASIC Patient Case: Cholecystitis Length of Therapy A 39 year old is hospitalized with acute cholecystitis and treated with ceftriaxone. It’s POD1 laparoscopic cholecystectomy (no perforations). Her WBC is 15 and vitals are WNL. How long should she be treated with antibiotics? A) Stop nowB) POD4C) POD7D) Until WBC is normal How did others respond? Reveal …
KASIC Patient Case: Candida spp in Respiratory Culture A 57 year old 👨🏻🦲 with a history of alcohol-related cirrhosis presents with confusion 😵💫. He is intubated on hospital day 3 and now has Candida spp growing from a sputum culture 🧫 What is the best therapy? How did others respond? Reveal the answer Best Answer …
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Patient Case: Role of Repeat Imaging in CAP A 75 year old 👵🏿 is hospitalized with radiographically confirmed community acquired pneumonia. She initially required oxygen support but has been treated with 5 days of antibiotics and is ready for discharge 🏡 Should a repeat chest X-ray be ordered to determine if she needs more antibiotics? …
Patient Case: Length of Antibiotic Therapy 63 year old🧔🏽♂️admitted from home with shortness of breath + productive cough. On hospital day 2, on room air, normal vital signs, eating 🥓🥞 and asking to go 🏡. What is the BEST TOTAL antibiotic length of therapy? A) 3 Days B) 5 Days C) 7 DaysD) 14 Days How did …
KASIC Patient Case: ESBL E. coli A 44 year old 👩🏽 with CKD and estimated CrCl 25 mL/min presents with 🔥urination without flank pain. Urine culture grows ESBL E. coli. Which treatment option is best? 🤔 A) Hold antibioticsB) Nitrofurantoin C) TMP/SMXD) Meropenem How did others respond? Reveal the answer Best Answer TMP/SMX. 2022 IDSA Guidelines …