MRSA Nasal Screen in Pneumonia 2 patients are admitted to the for pneumonia and started on empiric antibiotics including vancomycin. A MRSA screen is collected for both patients. Patient 1: CAP with septic shock and MRSA screen Patient 2: non-severe CAP and MRSA screen Which patient is the WORSE candidate for de-escalation off vancomycin? …
Fluoroquinolone Discordance is having a mild AECOPD and her sputum culture grows Pseudomonas aeruginosa Susceptibility is below: Levofloxacin = R Ciprofloxacin = S Cefepime = S Can ciprofloxacin be used for treatment? How did others respond? Reveal the answer Best Answer: Maybe 🤔 Explanation: Ciprofloxacin appears to have better intrinsic activity against P. aeruginosa than …
Actinomyces has a relapsing skin abscess that has been present > 1 month. A culture eventually grows Actinomyces spp. Which drug is first line for treatment of Actinomycosis? How did others respond? Reveal the answer Best Answer: Penicillin Explanation: Penicillin is considered the drug of choice to treat Actinomycosis 💊 Alternative agents which may be …
Antibiotic Lock Therapy has a S. epidermidis port infection and is receiving systemic and lock vancomycin. Your student asks when changing the locksolution if it should be pushed through the line to ensure the patient gets the full dose. You tell them… How did others respond? Reveal the answer Best Answer: No Explanation: Best practice …
Duration of Therapy in AECOPD has COPD with sputum production & purulence. He is prescribed doxycycline for an acute exacerbation of COPD (AECOPD). What is the MOST APPROPRIATE duration of therapy? How did others respond? Reveal the answer Best Answer: 5 days Explanation: 2024 GOLD guidelines recommend 5-7 days of antibiotics for AECOPD. A 2022 …
Vaccines in Asplenia was in a car accident which lacerated his spleen. He was admitted to trauma and underwent an emergent splenectomy. Which bacteria should he be vaccinated for post-splenectomy? How did others respond? Reveal the answer Best Answer: All of the above 🦠🦠🦠 Explanation: Patients with functional or anatomical asplenia should be vaccinated for …
Catheter Salvage has AML and a port in place for chemotherapy. Her blood culture is growing S. epidermidis. The team does NOT plan to remove her port. What is the BEST antibiotic plan? How did others respond? Reveal the answer Best Answer Vancomycin IV + lock Explanation: In catheter-related bloodstream infections (CRBSI) where catheter removal …
Duration of Therapy in Uncomplicated Intra-Abdominal Infections without Source Control A presents with non-ruptured appendicitis. The surgical team has decided NOT to operate and recommends a course of antibiotics . What is the MOST APPROPRIATE duration of therapy? A. 3 daysB. 5-7 daysC. 10-14 days How did others respond? Reveal the answer Best Answer: 5-7 …
Read more “Durations of Therapy in Uncomplicated Intra-Abdominal Infections without Source Control”
Oseltamivir in Pediatric Patients A 3 year old is seen in clinic with 4 days of worsening cough and fever His influenza test is positive Should he receive oseltamivir? How did others respond? Reveal the answer Best Answer: Yes 💊 Explanation: Ideally, oseltamivir is started within 48 hours of symptom onset. In HIGH RISK pediatric …
Anti-Enterococcal Antibiotics in Intra-Abdominal Infections is receiving chemotherapy for colon cancer and admitted to the ICU with septic shock from an intra-abdominal infection. Should coverage for Enterococcus spp. be considered? How did others respond? Reveal the answer Best Answer: Yes, cover Enterococcus 🦠 Explanation: Enterococcus spp, which is part of normal GI flora, rarely cause …
Read more “Anti-Enterococcal Antibiotics in Intra-Abdominal Infections”