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Best answer: 5 days. Historically, some have considered urinary tract infections in men to be complicated and always require longer durations of therapy. However, new definitions from the IDSA include men in the definition for uncomplicated urinary tract infection. While optimal.

A man👱‍♂️presents with dysuria without systemic signs of infection. He is diagnosed with an uncomplicated urinary tract infection and prescribed nitrofurantoin💊. Which duration of antibiotics is best?.

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Best answer: Yes. It is recommended to obtain cultures in patients diagnosed with CAP who are treated with empiric anti-MRSA and anti-Pseudomonal antibiotics. If cultures do not identify MRSA and/or Pseudomonas and the patient is improved, antibiotics should be de-escalated to.

👩‍🦳 is on cefepime, azithromycin, and vancomycin for community-acquired pneumonia 🫁. On day 3, 1500 mg azithromycin has been completed, the patient has improved 📈, and a sputum culture shows normal respiratory flora. The antibiotics are deescalated to oral amox-clav. Is this.

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Best answer: Yes. The patient's cerobrospinal fluid analysis is not consistent with bacterial meningitis. Empiric antibiotics for suspected bacterial meningitis should be reviewed for discontinuation or de-escalation if CSF analysis and other tests are not consistent with.

👨‍🦰 is started on empiric antibiotics for suspected bacterial meningitis. A lumbar puncture is performed and cerebrospinal fluid (CSF) analysis reveals 0 WBC, Protein 45 mg/dL, and a CSF/plasma glucose ratio of 0.6. Additionally, no organisms are seen on Gram stain and a CSF PCR.

Tapping Into the Truth. Check out this week’s KASIC pearl to Understand a Cerebrospinal Fluid Analysis #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs. @KYHealthAlerts @KYIPTraining

Best answer: Yes. Proteus, Morganella, and Providencia spp are inherently less susceptible to imipenem through non-carbapenemase mechanisms. Cross-resistance with other carbapenems (e.g. ertapenem, meropenem) is not expected and can be used if susceptibility is demonstrated.

👩‍🦰 is diagnosed with a hepatic abscess. Blood cultures reveal Morganella morganii 🦠resistant to imipenem but susceptible to ertapenem. Can ertapenem be used for outpatient parenteral antibiotic therapy?. Answer/details in 🧵.

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Best answer: No antibiotics . Infectious diarrhea is typically self-limiting and management is primarily supportive care and rehydration. Antibiotics should be specifically avoided in cases where Shiga toxin-producing E. coli is detected, as antibiotics have been associated with.

An otherwise healthy 🧑‍🌾 presents to the ED for dehydration from frequent 🌊💩. A GI panel is sent and the pt is discharged after receiving IV fluids. The GI panel returns positive with Shiga toxin-producing E. coli. What antibiotics should be prescribed?.

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Best Answer: Yes. 2022 AAAAI/ACAAI Drug Allergy Practice Parameter states in patients WITHOUT severe delayed hypersensitivity reactions (e.g. Stevens-Johnson Syndrome, etc) to penicillins and/or cephalosporins, carbapenems can be given SAFELY. Details/references:.

👩 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?.

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Patient 1 🧑🏻 is unlikely to have a severe IgE-mediated reaction to penicillin based on their history and proceeding with penicillin as normal is likely appropriate. If they tolerate penicillin without issue, they should be de-labeled! . Details/references: