🌟 ABX Pearl of the Day
💡 Q: My patient is admitted with an acute biliary infection. Is empiric metronidazole needed in this and other IAI?
#IDsky #MedSky #PharmSky #SkyRX #AMSsky
12
1
1
0
Hashtag
#SkyRx
Advertisement · 728 × 90
🌟 ABX Pearl of the Day
❓ Q: In a patient with suspected osteomyelitis, should I start empiric antibiotics or withhold antibiotics to improve diagnostic yield?
#IDsky #medsky #meded #pharmsky #skyRX
2
1
1
0
🌟 ABX Pearl of the Day: Enterococcus gallinarum in Blood Cultures
❓ Q: My patient’s blood cultures are growing Enterococcus gallinarum with susceptibilities pending.
They’re on empiric vancomycin + piperacillin/tazobactam.
Is this appropriate coverage?
#IDsky #medsky #meded #pharmsky #skyRX
7
2
2
1
🌟 ABX Pearl of the Day: bilateral LE erythema = cellulitis?
❓ Q: What are common mimics of cellulitis?
#IDsky #medsky #meded #pharmsky #skyRX
5
2
2
0
🌟 ABX Pearl of the Day:
❓ Q: My patient with febrile neutropenia (FN*) on IV cefepime is hemodynamically stable but continues to have fevers. Do we need to switch empiric antibiotics to IV meropenem?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
7
3
1
0
🌟 ABX Pearl of the Day:
❓ Q: My patient with febrile neutropenia (FN*) has been afebrile for 72 hours, is asymptomatic, and we haven’t found an obvious infectious source.
How long should I continue cefepime?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
4
1
1
0
🌟 ABX Pearl of the Day:
❓Q: Candida in the urine? Should you treat?
✅ A: Usually not. Candiduria almost always reflects colonization, not infx. It should prompt elimination of risk factors- e.g., d/c indwelling catheters rather than antifungal tx🚫
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
2
1
1
0
🌟 ABX Pearl of the Day:
❓Q: My patient has isolated yeast (NOT Cryptococcus) from a respiratory culture. Do I need to treat this?
✅ A: In the vast majority of cases… NO.
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
2
1
1
0
🌟 ABX Pearl of the Day:
❓Q: If the urinalysis (UA) has elevated WBC or bacteria, does this mean the patient has a UTI?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
9
2
1
0
🌟 ABX Pearl of the Day:
❓Q: My patient is admitted for heart failure and has a chronic indwelling foley with cloudy urine. Should I send a urinalysis or urine culture (UCx) to assess for UTI?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
4
3
1
0
🌟 ABX Pearl of the Day:
❓ Q: We are treating a patient with CAP. Can we treat for a course shorter than 5 days?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
1
0
2
0
🌟 ABX Pearl of the Day:
❓ Q: My male patient with dysuria is growing E. coli (>100,000 CFU/mL) on urine culture. 🚨 He has no systemic symptoms or signs of pyelonephritis or prostatitis. Does he have a complicated UTI? 🤔
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
8
3
1
0
🌟 ABX Pearl of the Day:
❓ Q: Should I add vancomycin for severe mucositis in my patient with persistent neutropenic fever (NF) of unknown etiology? 🤔 Currently on cefepime & stable. Let’s dive in! 👇
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
13
5
2
0
🌟 ABX Pearl of the Day:
❓ Q: Treating HAP/VAP? 🤔 Can we go shorter than 7 days?
💡A: Yes! While 7 days is the norm, evidence supports shorter courses in specific cases. Let’s break it down! 👇
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
9
5
1
1
🌟 ABX Pearl of the Day:
❓ Q: Why does the lab mention when a GNR (gram-negative rod) is “lactose fermenting”?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
8
3
2
1
🌟 ABX Pearl of the Day: (Part 2)
❓Q: If my patient with pneumonia has a positive MRSA nasal PCR but respiratory cultures are NOT available, do I need to continue vancomycin for a full course of therapy?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
6
0
1
0
🌟 ABX Pearl of the Day:
❓ Q: If my patient with pneumonia has a positive MRSA nasal PCR but respiratory cultures are negative for MRSA, do I need to continue vancomycin for a full course of therapy?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
6
1
1
0
🌟 ABX Pearl of the Day:
❓ Q: Candida only grew in 1/4 bottles. Is this a contaminant?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
7
3
1
0
🌟 ABX Pearl of the Day:
❓ Q: My patient is growing yeast in blood cultures. Is this Candida?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
6
5
1
0
🌟 ABX Pearl of the Day:
❓ Q: My immunocompromised patient is admitted to the ICU and starting ABX for presumed CAP. Do they need empiric MRSA and Pseudomonas coverage?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
11
3
1
1
🌟 ABX Pearl of the Day:
❓ Q: I’m looking for oral ABX options for UTI. When might oral fosfomycin be appropriate?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
6
3
1
0
🌟 ABX Pearl of the Day:
❓ Q: Can I use piperacillin-tazobactam to treat an Enterobacter cloacae intra-abdominal infection?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
4
1
2
0
🌟 ABX Pearl of the Day:
❓ Q: How do I tell if my gram-negative rod (GNR) is an extended-spectrum beta-lactamase (ESBL) producer?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
3
2
1
0
🌟 ABX Pearl of the Day: UTI in males
❓ Q: My male patient with dysuria is growing E. coli (>100,000 CFU/mL) on urine culture. He has no systemic symptoms or signs of pyelonephritis or prostatitis. Does he have a complicated UTI?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
11
5
1
0
🌟 ABX Pearl of the Day: penicillin allergies
❓ Q: My patient reports a reaction to penicillin (acute, self-limited rash) over 10 years ago. Can they safely receive cefazolin for their MSSA infection?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
11
8
1
0
🌟 ABX Pearl of the Day: sputum interpretation
❓ Q: My patient has 4+ growth of an organism on respiratory culture. Does this mean he has pneumonia?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
4
1
1
0
Who would have thought VTE management could be so much fun!
Thank you @thecurbsiders.bsky.social 🫶🏼
#PharmSky #MedSky #CardioSky #SkyRx #HemeSky
@anticoagforum.bsky.social
5
1
1
0
🌟 ABX Pearl of the Day: ertapenem hypoalbuminemia
❓ Q: My ICU patient with hypoalbuminemia has ESBL E. coli pyelonephritis, resistant to PO abx. He improved (afeb, WBC WNL, off pressors) after 3d of meropenem. Should I avoid narrowing to ertapenem?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky
19
3
3
1