MRSA Nasal Screen in Pneumonia

2 patients are admitted to the πŸ₯ for pneumonia 🫁 and started on empiric antibiotics including vancomycin. A MRSA πŸ‘ƒ screen is collected for both patients.

Patient 1: πŸ‘¨πŸΎβ€πŸ¦² CAP with septic shock and βž• MRSA screen
Patient 2: πŸ‘΄πŸ»Β  non-severe CAP and βž– MRSA screen

Which patient is the WORSE candidate for de-escalation off vancomycin?

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