Uncategorized
Antimicrobial Resistance
Microbes have a variety of mechanisms for resisting antimicrobials. Some mechanisms are intrinsic (naturally produced by the organism), some are induced by certain conditions or drugs, some are genetically acquired mutations, and others can be passed from organism to organism. The last two mechanisms are one reason why preventing the formation of resistant organisms is […]
Diabetic Foot Infections – PEDIS Grades and Treatments
IDSA Diabetic Foot Guidelines Grade Infection Severity Clinical Manifestations Treatment Location Treatment 1 Uninfected Wound without purulence or inflammation Outpatient Topical antibiotics 2 Mild >2:purlence or erythema, pain, tenderness, warmth, or induration, cellulitis <2cm around ulcer; infection limited to skin/subQ tissue, no complications Mostly Outpatient—Oral 1. Cephalexin 500 mg PO every 6 hours2. Trimethoprim/sulfamethoxazole 2 160 -800 […]
Stewardship Intro
There are two main drivers of stewardship in hospitals: IDSA/SHEA Guidelines and the CDC Core Elements.
Intra-Abdominal Infections
Pathogens get more complex as you move down the GI tract: IDSA Intrabdominal Infection Guidelines Initial treatment consists of fluid resuscitation, initiation of antibiotics, source control, and microbiologic samples. Source control is paramount if possible. Intra-abdominal infections are classified like many other infections into community-acquired, healthcare-associated, hospital-acquired (>48 hours after hospital admission) and uncomplicated (affects […]
The Pros and Cons of Fluoroquinolones
Fluoroquinolones, like Levaquin (levofloxacin) and Cipro (ciprofloxacin), are a popular class of antibiotics that are used to treat a variety of infections. While these antibiotics are highly effective, it’s important to be aware of the pros and cons associated with their use. Patients and providers should have a conversation about these side effects and potential […]
Empiric Selection Sheet
Links to Clinical Guidelines
Antimicrobial Prophylaxis for Adult Patients with Cancer-Related Immunosuppression Antimicrobial Prophylaxis in Surgery (Archived) Antimicrobial Stewardship Aspergillosis BK Polyomavirus Babesiosis Bacterial Meningitis Blastomycosis COVID-19 Candidiasis Chlamydia Chronic Kidney Disease in HIV Clostridium difficile Coccidioidomycosis Combat-related Infections Community-Acquired Pneumonia (CAP) Community-Acquired Pneumonia (CAP) in Infants and Children Cryptococcal Disease Diabetic Foot Infections Encephalitis Endocarditis Management Endocarditis Prevention […]
Medications that Can Leave You Chilled and What to Do About It
As the winter months approach, most of us are trying to find ways to stay warm. If you can’t get warm even when you’re all bundled up, it could be your medications. Understanding how medications affect cold tolerance is crucial for maintaining comfort and safety during cold weather. Common Medications That Can Lower Cold Tolerance […]