Pre-operative Urine Screening
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
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?
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
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 …
Bilateral Lower Extremity Cellulitis
Bilateral Lower Extremity Cellulitis A with CHF presents with shortness of breath & redness/swelling of both legs. He is afebrile & WBC is normal. Does he need antibiotics for bilateral lower extremity cellulitis? A. Yes IV antibiotics 💉B. Yes PO antibiotics 💊C. No antibiotics 🚫 How did others respond? Reveal the answer Best Answer: No …
Beta-Lactam Selection in CAP
Beta-Lactam Selection in Community-Acquired Pneumonia A medical student is presenting on a patient with community-acquired pneumonia. The team agrees they want to treat with a beta-lactam + macrolide. Which beta-lactam recommended per the 2019 ATS/IDSA guidelines is LOWEST risk for Clostridioides difficile? A. Ampicillin/sulbactamB. CefotaximeC. CeftriaxoneD. Ceftaroline How did others respond? Reveal the answer Best …
Antibiotic Duration in Intra-Abdominal Infections
Antibiotic Duration in Intra-Abdominal Infections is admitted to the for cholecystitis & had a percutaneous drain placed yesterday. Her drain will be removed before discharge tomorrow. When should antibiotics be stopped? A. Post-op day 4B. Day 7C. Day 10D. Day 14 How did others respond? Reveal the answer Best Answer: Post-op Day 4 2024 Surgical …
Read more “Antibiotic Duration in Intra-Abdominal Infections”
Anaerobe Awareness in Intra-Abdominal Infections
Anaerobe Awareness in Intra-Abdominal Infections is admitted to the with perforated diverticulitis & a blood culture growing PAN-SUSCEPTIBLE E. coli What is the MOST appropriate antibiotic regimen? A. AmpicillinB. Ampicillin/sulbactamC. Ceftriaxone How did others respond? Reveal the answer Best Answer Ampicillin/sulbactam Explanation: Surgical Infection Society guidelines recommend anti-anaerobic activity in intra-abdominal infections, even when de-escalating. …
Read more “Anaerobe Awareness in Intra-Abdominal Infections”
The Pneumonia Formerly Known as HCAP
The Pneumonia Formerly Known as HCAP is admitted to the for NON-SEVERE pneumonia. She lives in a nursing home but has not been hospitalized or received antibiotics within the last 2 years. What organism(s) should her antibiotic regimen EMPIRICALLY cover? A. S. pneumoniaeB. MRSAC. P. aeruginosaD. All of the above How did others respond? …