A 65-year-old man has suspected acute bacterial prostatitis. Local E. coli resistance rates to quinolones and TMP-SMX are ~30%. Can empiric ceftriaxone be used? How did others respond? Reveal the answer Best Answer Yes Explanation: While quinolones and TMP-SMX are generally preferred for acute bacterial prostatitis, antimicrobial resistance may preclude use of these agents empirically. …
Antibiotics For Abscesses A 23-year-old patient receives incision and drainage in the ED for a small abscess on his back and is discharged. Should he have received a prescription for TMP-SMX? How did others respond? Reveal the answer Best Answer Yes Explanation: Incision & drainage (I&D) alone without antibiotics was recommended in the 2014 IDSA …
Higher Cefazolin Urine Breakpoint A 32-year-old patient is sent home from the ED on cephalexin for an uncomplicated UTI. A few days later the urine culture results with a “cefazolin, uncomplicated UTI susceptible” E. coli with an MIC of 8 µg/mL. Does a new prescription need to be called in? How did others respond? Reveal …
Dual β-Lactam Indications A 62-year-old patient is empirically started on ceftriaxone and vancomycin for suspected bacterial meningitis. Later ampicillin is ordered. Should both ampicillin and ceftriaxone be continued, despite both being beta-lactams? How did others respond? Reveal the answer Best Answer Yes Explanation: While sometimes ordered in error, dual β-lactam therapy is appropriate in certain …
Linezolid For Line Infections A patient presents with pain and erythema around a PICC line. The line was removed, blood cultures grew CoNS, and the patient is ready to go home. Is PO linezolid an option? How did others respond? Reveal the answer Best Answer Yes Explanation: Linezolid is a recommended option as definitive therapy …
What To Do When the Vanc MIC is 2? A patient is on D4 of vancomycin for MRSA bacteremia 2nd to a drained skin abscess. Pt is afebrile and wbc wnl. Repeat blood cultures are no growth to date. The MRSA vancomycin MIC is 2 mg/L. Change vanco to dapto? How did others respond? Reveal …