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Topics:
Infectious Disease
•
General Infectious Disease
What is your approach to managing antimicrobial therapy for intra-abdominal infections to avoid unnecessary double anaerobic coverage, in light of associated risks and guidelines?
Related Questions
How would you approach a young patient with sickle cell disease without a history of frequent vaso-occlusive crises, admitted with high fever, vague back/flank pain and mild LUQ abdominal tenderness, marked leukocytosis, no respiratory symptoms, and negative chest x-rays and CT abdomen and pelvis with contrast?
In what situations do you recommend secondary prophylaxis for Nocardia after completion of treatment?
In a patient with vaginal itching and a vaginal swab with a positive Candida glabrata NAAT, what is your first-line therapy?
How do you manage gram-negative bacteremia in a patient with an aortic bypass graft, for whom there is low clinical suspicion for active graft infection?
For patients with spinal hardware infections, in what circumstances do you recommend 12 weeks over 6 weeks of antimicrobial therapy?
Do you give chronic antibiotic prophylaxis for recurrent UTIs, including Pseudomonas aeruginosa, in a patient with retained ureteral stents?
How do you balance the risk of unnecessary treatment with acyclovir against the risk of delaying treatment in encephalitis cases where CSF pleocytosis is absent?
Do you treat complicated pneumonia with a drained empyema longer if Streptococcus anginosus is cultured, either in isolation or with other organisms, compared to cases in which it is not?
In a patient with CIED lead infection and bacteremia who had blood cultures cleared before CIED extraction, do we still need 72 hrs of documented negative blood cultures obtained post extraction to consider reimplantation and can we do same-time extraction and reimplantation?
Would you use daptomycin to consolidate therapy in a patient with polymicrobial VRE and rothia bacteremia?