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stanfordasp.bsky.social
🏆 IDSA Center of Excellence in Antimicrobial Stewardship | CDPH AMS Honor Roll Gold | WHO Collaborating Centre 🩺 Stan Deresinski, Marisa Holubar, Alex Zimmet, Amy Chang, Emily Mui, Lina Meng, Will Alegria, David Ha 🔗 http://med.stanford.edu/bugsanddrugs
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🌟 ABX Pearl of the Day: Corynebacterium in resp cultures- do I treat? ❓ Q: My patient’s sputum culture is growing Corynebacterium species in addition to normal respiratory flora. Do I need to treat this? 💡 A: In most cases, no tx is necessary. #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

submitted 15 hours ago • 1 comment

🌟 ABX Pearl of the Day: Coverage in septic BMT patient ❓ Q: A BMT recipient is in the ICU with septic shock. She is on IV posaconazole for antifungal prophylaxis; should we add/switch to an IV echinocandin empirically for Candida coverage? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

submitted 7 days ago • 1 comment

🌟 ABX Pearl of the Day: TMP-SMX and cytopenias ❓ Q: My immunocompromised patient is experiencing severe cytopenias while on PJP prophylaxis with trimethoprim/ sulfamethoxazole (TMP/SMX). How might I address this issue? #IDsky #medsky #meded #pharmsky #skyRX #AMSsky

submitted 14 days ago • 1 comment

🌟 ABX Pearl of the Day: revisiting Vancomycin Zosyn nephrotoxicity ❓ Q: Is the combination of vancomycin and piperacillin-tazobactam safe for the kidneys? #IDsky #medsky #meded #pharmsky #skyRX

submitted 21 days ago • 1 comment

🌟 ABX Pearl of the Day: ongoing fevers in febrile neutropenia (FN) but cultures negative ❓ Q: My patient with 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

submitted 29 days ago • 1 comment

🌟 ABX Pearl of the Day: empiric vanco in IAI ❓ Q: My patient is admitted for an intra-abdominal infection. Is empiric IV vancomycin needed to provide coverage for MRSA and enterococcus? #IDsky #medsky #meded #pharmsky #skyRX

submitted 35 days ago • 1 comment

🌟 ABX Pearl of the Day: Positive UCx but unable to verbalize UTI symptoms ❓ Q: My elderly patient had a fall with altered mental status, and UCx is growing pan-S E. coli (>100K CFU/mL). They are unable to verbalize UTI symptoms. Should I treat for UTI? #IDsky #medsky #meded #pharmsky #skyRX

submitted 41 days ago • 1 comment

🌟 ABX Pearl of the Day: meningitis/ventriculitis dx tips 💡 ❓ Q: I am working up my patient for healthcare-associated bacterial meningitis/ventriculitis. What are some tips on diagnostics? #IDsky #medsky #meded #pharmsky #skyRX

submitted 42 days ago • 1 comment

🌟 ABX Pearl of the Day ❓ Q: Candida only grew in 1/4 bottles. Is this a contaminant? #IDsky #medsky #meded #pharmsky #skyRX

submitted 49 days ago • 1 comment

🌟 ABX Pearl of the Day: QTc risk with FQ ❓ Q: My patient has a QTc of 450 ms, and I want to prescribe a fluoroquinolone. Would this be appropriate? #IDsky #medsky #meded #pharmsky #skyRX

submitted 55 days ago • 1 comment