Search results for "Antibiotic therapy"
MKSAP Quiz: Abdominal pain and loose stools in ulcerative colitis
A 32-year-old man is evaluated in the emergency department for a 5-day history of worsening crampy abdominal pain and eight to ten loose bowel movements a day. The patient has a 5-year history of ulcerative colitis treated with azathioprine and topical mesalamine, and recently had sinusitis that resolved with antibiotic therapy. What is the most appropriate next step in the management of this patient?
https://immattersacp.org/weekly/archives/2011/05/17/3.htm
17 May 2011
Diabetic foot care begins with bare feet
Internists can head up a care team that intervenes early and often in preventing the ulcerations, pressure points and neuropathies that can progress to infection and possibly amputation.
https://immattersacp.org/archives/2013/10/diabetes.htm
1 Oct 2013
Nearly half of inpatients with pneumonia or urinary tract infection were overprescribed antibiotics after discharge
The most common types of antibiotic overuse after discharge included excess duration for pneumonia and unnecessary treatment of asymptomatic bacteriuria, a retrospective cohort study found.
https://immattersacp.org/weekly/archives/2020/09/22/5.htm
22 Sep 2020
MKSAP Quiz: Assessment at hospital discharge
A 58-year-old man is assessed for discharge from the hospital. He was admitted 3 days ago with fever and chills. He has non-Hodgkin lymphoma and a tunneled subclavian venous catheter used for chemotherapy infusion. The patient is ready to be discharged to complete intravenous daptomycin therapy as an outpatient. What is the most appropriate weekly monitoring of his daptomycin therapy?
https://immattersacp.org/weekly/archives/2021/02/09/3.htm
9 Feb 2021
Need grows for antimicrobial stewardship
Internists looking for a career in a growth field could consider antimicrobial stewardship. One internist recounts the ups and downs of his chosen profession.
https://immattersacp.org/archives/2015/07/antimicrobials.htm
1 Jul 2015
MKSAP Quiz: 2-day history of pruritic rash
An 18-year-old man is evaluated for a 2-day history of pruritic rash. He sits nightly in his hot tub. He has not had a rash like this before. Following a physical exam, what is the most appropriate management for this patient?
https://immattersacp.org/weekly/archives/2022/10/04/3.htm
4 Oct 2022
MKSAP Quiz: Persistent rhinorrhea, frontal headache
A 45-year-old woman is evaluated for 4-month history of persistent rhinorrhea, frontal headache, loss of smell, and malaise. Following a physical exam, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/06/28/3.htm
28 Jun 2022
Spare the emergency visit for skin and soft-tissue infections
Internists can save patients the anxiety, time and expense of an emergency department visit by screening for severity of most infections, experts say. The focus should be on acuteness and the factors surrounding onset of symptoms.
https://immattersacp.org/archives/2012/11/infections.htm
1 Nov 2012
IDSA releases guidance on antibiotic selection for gram-negative antimicrobial-resistant bacterial infections
New treatment guidance from the Infectious Diseases Society of America (IDSA) focused on extended-spectrum beta-lactamase-producing Enterobacterales, carbapenem-resistant Enterobacterales, and Pseudomonas aeruginosa with difficult-to-treat resistance.
https://immattersacp.org/weekly/archives/2020/09/15/4.htm
15 Sep 2020
MKSAP Quiz: Evaluation for erythema and tenderness
A 71-year-old man is evaluated for erythema and tenderness of the left lower leg for 1 week's duration. This is the second similar episode of the left lower leg. The last episode was 2 months ago. He was previously treated successfully with antibiotics. Following tissue findings on a physical exam and starting antibiotics, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/12/08/3.htm
8 Dec 2020