sgpharmd.bsky.social
🦠ID/ASP PharmD 🦠| Clinical Pharmacy Coordinator | StLCOP Alum
13 posts
1,096 followers
1,556 following
Conversation Starter
comment in response to
post
Here as well!
comment in response to
post
Interesting! Hopefully will get some more information soon. Cheers!
comment in response to
post
Ah yes. For what it’s worth that was negative (KPC, NDM, VIM, IMP, OXA-48) but not sure about validity.
comment in response to
post
A few didn’t cross over (CZA was R.. not sure about mero-vabor) Checking on tigecycline/minocycline. Setting up imi-rel as we have a few strips left. Was going to send off for colistin and cefiderocol.
comment in response to
post
CarbaR negative.
comment in response to
post
Cefiderocol was my first inclination. Will see if I can pull this tomorrow. Interesting those with pre treatment resistance responded. Was considering combo with tigecycline or inhaled colistin until susceptibility confirmed.
comment in response to
post
Carba R unfortunately. Resistant to all of our standard reported panel including TMP/SMX, Pip/taz (not surprising) and AMGs. Waiting on a few e-tests and going to send out for a few others.
comment in response to
post
Assuming your shop uses Epic? Do you have beaker? Have explored these suggestions but apparently limited by our 3rd party lab system according to my LIS colleagues 🤷🏻‍♂️
comment in response to
post
Would love to see this explored more. While PK studies are great, some clinicians may be hesitant to higher than label doses without clinical outcomes data (at least in my shop🤷🏻‍♂️). Often they retreat back to IV when faced with amox/clav TID or cephalexin 4g/day.
comment in response to
post
There has to be some preference list somewhere with it saved…or it’s coming from monthly med loads? Mainly shows up sporadically for IAI or “asp pna”and yes… I’ve checked, rechecked and had someone else check our builds.
comment in response to
post
📌 I’m still searching for where q6 is coming from in Epic🤦‍♂️it always keeps popping back up!
comment in response to
post
TID more for convenience but I try to have a discussion with patients about tolerance. Have switched to amox/clav plus amox mid day in some patients. Of course have to get to through the “PO is good too!” discussion first!