Test Question on MRSA Bacteremia
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Paul SaxPosted
Fri 05 Mar 2010 3:14pm
I just happened to be taking a test the other day — something I do for fun every now and then, say every 10 years or so — and I came across this question (slightly condensed/changed to protect the innocent):
Man with history of IDU admitted with fever, has bacteremia due to MRSA (MIC 2 mcg/mL confirmed by E-test). Found to have mycotic
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MRSA Bacteremia Question Redux — and the “Answer”
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Paul SaxPosted
Sun 14 Mar 2010 6:04am
As noted here, I recently had to answer a question on management of MRSA bacteremia as part of an every-10-year cycle of test-taking.
(For more on that joyous process... is really 2, you need a trough of 40, which is not an option, so 2 is wrong. Given that he is only 5 days out and average duration of bacteremia in this setting is 7 days or so, you
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MRSA bacteraemia and Clostridium difficile infections
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Dr. Donal O'DonoghuePosted
Wed 09 Dec 2009 12:00am
The Health Protection Agency is now publishing quarterly analyses on MRSA and Clostridium difficile rates. These make interesting reading. There has been good progress in reducing MRSA bacteraemias. For kidney services in 2008 beween July and September, the rate was 15 episodes representing 4.2% of all the episodes giving an incidence of 11.5 MRSA
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Epidural Abscesses in ESRD Patients
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Matt S.Posted
Thu 30 Oct 2008 12:00ambacteremia with an attempt to treat the infection with antibiotics alone. The lesson, if you haven't learned it by now: catheter-associated bacteremia virtually always should
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Thursday Thienamycins
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Paul SaxPosted
Thu 06 Jan 2011 10:29am
of the IDSA’s Practice Guidelines Series. Soft tissue infections, bacteremia, endocarditis, pneumonia, bone and joint infections, frequent relapses … MRSA in all its painful glory. Some interesting tidbits: 1) no gentamicin recommended for MRSA native-valve endocarditis or bacteremia (a pet peeve of mine, hope that practice disappears); 2) ECHO recommended
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Complications of Pneumonia
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Cheri FrakerPosted
Tue 02 Mar 2010 12:00am
to physical changes in the lungs that make it even harder for the lungs to exchange oxygen (ventilatory failure).
Bacteremia. Bacteremia -- bacteria in the blood -- is the most common complication of pneumococcus infection, although it rarely spreads to other sites. Bacteremia is a frequent complication of infection from Gram-negative organisms, including Haemophilus
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Ambulatory Treatment Feasible for Infants With Febrile Urinary Tract Infections
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Poh Tin TanPosted
Mon 10 Aug 2009 4:22pm
be a serious illness, particularly among young children, and the authors of the current study provide a review of the workup and management of UTIs. Bacteremia associated with UTI is most common among infants younger than 2 months, when the prevalence of bacteremia secondary to UTI may exceed 20%. However, there are few symptoms and signs to alert
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What is Stenotrophomonas maltophilia?
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Lauren B.Posted
Sun 24 Aug 2008 6:59pm
. www.bris.ac.uk/bcare/BGG)
It has a very limited ability to cause infection in humans and is only potentially lethal when it infects the bloodstream causing bacteremia. Overall
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