Pick Your Poison: Legionella Pneumonia
Pick Your Poison: Legionella Pneumonia A Legionella urine antigen returns positive in a patient on empiric ceftriaxone (CRO) and azithromycin for community-acquired pneumonia. How should antibiotics be adjusted? How did others respond? Reveal the answer Best Answer Stop ceftriaxone, continue azithromycin Explanation: Legionella is a common causative pathogen of community-acquired pneumonia (CAP) and is covered …
Hemodialysis-only Antibiotic Dosing
How Long For Legionella?
How Long for Legionella? A patient has finished 3 days of azithromycin 500 mg daily and has a positive Legionella urinary antigen. They are clinically stable. Should azithromycin be continued? How did others respond? Reveal the answer Best Answer No Explanation: Legionella is a common causative pathogen of community-acquired pneumonia (CAP) that is covered by …
Know Your Antibiotics: Silent Sodium
Cefdinir PO For Bacteremic UTI
Cefdinir PO for Bacteremic UTI A patient is being discharged on cefdinir 300 mg PO BID for E. coli bacteremia secondary to a cUTI. Is this an appropriate discharge plan? How did others respond? Reveal the answer Best Answer No Explanation: Cefdinir is unable to reach appropriate serum target attainment for typical MICs of …
Pick Your Poison: Legionella Pneumonia
Know Your Antifungal: Echinocandins
Know your Antifungal: Echinocandins A patient has candida endophthalmitis . Which echinocandin should be used? How did others respond? Reveal the answer Best Answer Neither Explanation: Echinocandin antifungals should not be used in CNS, eye, or urine infections. They are similar in characteristics such as spectrum of activity, tolerability, and distribution. None of the echinocandins …
How Long for Legionella?
Cefuroxime PO for Bacteremic UTI
Cefuroxime PO for Bacteremic UTI The available pharmacokinetic-pharmacodynamic data supports cefuroxime as a PO step-down option in patients with complicated urinary tract infections with secondary bacteremia. True or False? How did others respond? Reveal the answer Best Answer False Explanation: At a dose of 500 mg BID, good pharmacokinetic-pharmacodynamic target attainment may be only achieved …