Staphylococcus lugdunensis is admitted to the and had a skin abscess requiring I&D. A blood culture grows Staphylococcus lugdunensis (a coagulase-negative species) Is this likely a contaminant? How did others respond? Reveal the answer Best Answer: No Explanation: Unlike other coagulase-negative Staphylococcus spp., S. lugdunensis is very virulent and associated with ⬆️ mortality. Like S. …
Antibiotic Duration after Appendectomy presented to the with uncomplicated appendicitis. She had a laparoscopic appendectomy yesterday. When should antibiotics be stopped? A. 14 days totalB. 4 days post op C. 24-48 hours post op D. Now! How did others respond? Reveal the answer Best Answer: Now! 🛑 Explanation: 2017 Surgical Infection Society guidelines recommend stopping …
COVID-19 Management is admitted with COVID-19. His symptoms began 2 weeks ago. He is on high flow oxygen but NOT immunocompromised. What is the best treatment option? A. Baricitinib + steroidB. RemdesivirC. Remdesivir + steroidD. Azithromycin How did others respond? Reveal the answer Best Answer: Baricitinib + steroid Explanation: The archived NIH COVID-19 guidelines make …
Healthcare-Associated CNS Infection is admitted with head trauma and prescribed broad spectrum antibiotics for a healthcare-associated CNS infection. Which anti-pseudomonal agent SHOULD NOT be used? A. CefepimeB. Piperacillin/tazobactamC. Meropenem How did others respond? Reveal the answer Best Answer: Piperacillin/tazobactam Explanation: Why not? Pharmacokinetics! Tazobactam DOES NOT cross the blood brain barrier well and therefore is …
Antibiotics in AECOPD has baseline COPD and is admitted to the with dyspnea & sputum purulence but NO CHANGE in volume of sputum production. Should antibiotics be prescribed for an acute exacerbation of COPD? How did others respond? Reveal the answer Best Answer: Yes 💊 Explanation: GOLD guidelines recommend antibiotics for AECOPD based on 3 …
Pre-operative Urine Screening is scheduled for hip arthroplasty later this week. She presents today for pre-op screening in clinic and is feeling well. Should a urinalysis/urine culture be collected? How did others respond? Reveal the answer Best Answer: No 👎 Explanation: IDSA guidelines recommend AGAINST screening and treatment for asymptomatic bacteriuria (ASB) in nonurologic surgery. …
Alcohol and Metronidazole presents with trichomoniasis. She also reports drinking 2 glasses of wine most nights Your student asks if she should still be prescribed metronidazole given alcohol use. How did others respond? Reveal the answer Best Answer: Yes give metronidazole 💊 Explanation: Labeling for metronidazole recommends avoiding alcohol within 72 hours of taking metronidazole …
Why Prolong a Beta-Lactam Infusion? Prolonged infusions of beta-lactam antibiotics increase time above MIC. Which patient would MOST likely benefit from a prolonged infusion? 1. Poor renal function 2. Critically-ill + MIC 3. Clinically stable + low MIC How did others respond? Reveal the answer Best Answer: Patient 2 👱🏼♀️ Explanation: Prolonged infusions of beta-lactams …
Ceftriaxone at Day 3 for Cystitis is admitted to the and found to have cystitis but no flank pain. HCG is negative. She is started on ceftriaxone At day 3, vitals are stable and symptoms have resolved. Her urine culture grew pan-susceptible E. coli What is the BEST antibiotic plan? A. DiscontinueB. De-escalateC. Escalate How …