Carbapenems in Beta-Lactam Allergies is admitted to the with ESBL E. coli pyelonephritis. They have allergies (difficulty breathing) to TMP/SMX, ciprofloxacin, and ceftriaxone. Meropenem is ordered. Is this SAFE to give? How did others respond? Reveal the answer Best Answer: Yes Explanation: 2022 AAAAI/ACAAI Drug Allergy Practice Parameter states in patients WITHOUT severe delayed hypersensitivity …
Penicillin Allergy History Two patients are admitted with neurosyphilis and penicillin allergies. 1: father was penicillin allergic, has not taken 2: difficulty breathing after 1st dose of amoxicillin Which patient(s) likely require DESENSITIZATION to penicillin? How did others respond? Reveal the answer Best Answer: Patient 2 👱🏼♀️ Explanation: Patient 2 👱🏼♀️ has a previous SEVERE …
Salmonella Management A 30 year old with no past medical/travel history presents to clinic for 2 days of diarrhea. She has not changed her diet but has been eating raw vegetables A stool sample is positive for Salmonella spp. What is the MOST APPROPRIATE option? A. Rehydration onlyB. CeftriaxoneC. CiprofloxacinD. Salmonella vaccine How did others …
Non-Infectious Causes of Fever is in a car accident and admitted to the . He receives a blood transfusion. 1 hour later, his temperature is 38.1 C. What is the MOST LIKELY cause of fever? A. InfectionB. Transfusion reactionC. LeukemiaD. Pancreatitis How did others respond? Reveal the answer Best Answer: Transfusion Reaction Explanation: Fever is …
TMP/SMX for Cellulitis undergoes I&D in the emergency room and is sent home with TMP/SMX Wound culture grows MRSA & Streptococcus pyogenes Do antibiotics need to be changed? How did others respond? Reveal the answer Best Answer: No Explanation: TMP/SMX is active against MRSA and beta-hemolytic Streptococcus spp. Historically, it was thought TMP/SMX was INACTIVE …
Aerococcus Infection has dysuria & a urine culture growing Aerococcus urinae Which antibiotic is MOST LIKELY to be active against this isolate? A. CiprofloxacinB. PenicillinC. TMP/SMX How did others respond? Reveal the answer Best Answer: Penicillin Explanation: Various Aerococcus spp. can have different resistance patterns. Resistance in A. urinae is common with both ciprofloxacin and …
C. difficile Colonization 2 patients have a C. difficile PCR test and toxin EIA. 1: has cirrhosis, takes lactulose, normal WBC, no changes in diarrhea 2: febrile, took ciprofloxacin last week, having diarrhea Which patient(s) should be treated for C. difficile? How did others respond? Reveal the answer Best Answer: Patient 2 👨🏻🦰 Explanation: This …