Ashley Wilde

Ceftriaxone monotherapy for cholangitis? Check out this week’s KASIC pearl to learn about Anaerobes in Biliary Tract Infections kymdro.org/kasic/?p=8958 @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @KyNPsLead @UofLDID

Kluyveromyces marxianus, what is that? Check out this week’s KASIC pearl to learn about A Yeast By Any Other Name kymdro.org/kasic/?p=8948 @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @Arif_Nazir_MD @KyNPsLead @UofLDID

A 44-year-old female is on day 3 pip-tazo for a complicated UTI. Her urine culture grows P. aeruginosa and she is ready to go home. She has a history of rash to ciprofloxacin. Can she be discharged on levofloxacin?

Levo with a Cipro Allergy? Check out this week’s KASIC pearl to learn about Quinolone Cross-Reactivity kymdro.org/kasic/?p=8931 @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @Arif_Nazir_MD @KyNPsLead @UofLDID

A 52-year-old female who is post-op day 1 s/p lumbar spine surgery has a drain left in place following surgery. Does antimicrobial prophylaxis need to be continued while the drain is in place?

Antibiotics Until Drain Removed? Not So Fast! Check out this week’s KASIC pearl to learn about Surgical Prophylaxis Duration with a Drain kymdro.org/kasic/?p=8922 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs

Penetrating the Prostate. Check out this week’s KASIC pearl to learn about Antimicrobials for Acute Bacterial Prostatitis kymdro.org/kasic/?p=8900 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @Arif_Nazir_MD @KyNPsLead @UofLDID

Save the Ceftriaxone. Check out this week’s KASIC pearl to learn about Higher Cefazolin Urine Breakpoint kymdro.org/kasic/?p=8879 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @Arif_Nazir_MD @KyNPsLead @UofLDID

Doubting Duplicate Therapy? Check out this week’s KASIC pearl to learn about Dual β-lactam Indications kymdro.org/kasic/?p=8866 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @Arif_Nazir_MD @KyNPsLead @UofLDID

A pt is on D4 of vancomycin for MRSA bacteremia 2nd to a drained skin abscess. Pt is afebrile and wbc wnl. Repeat blood cultures are no growth to date. The MRSA vancomycin MIC is 2 mg/L. Change vanco to dapto?

Treat a Patient, Not a Number. Check out this week’s KASIC pearl to learn What To Do When the Vanc MIC is 2? kymdro.org/kasic/?p=8844 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @Arif_Nazir_MD @KyNPsLead @UofLDID

Don’t get Lackadaisical on Lactobacillus spp. Check out this week’s KASIC pearl to learn how to Beat the Bug: Lactobacillus spp. kymdro.org/kasic/?p=8834 @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @Arif_Nazir_MD @KyNPsLead @UofLDID #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #pa

Only the Pee for Me. Check out this week’s KASIC pearl to Know Your Antibiotic: Nitrofurantoin kymdro.org/kasic/?p=8820 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @Arif_Nazir_MD @KyNPsLead @UofLDID

A patient has candida endophthalmitis 👁️. Which echinocandin should be used?

👷 is started on cefepime and vancomycin for pneumonia. Sputum cultures return with pan-susceptible Pseudomonas aeruginosa. Can ciprofloxacin be used?

Sorry Cipro, You can’t Sit with Us. Check out this week’s KASIC pearl to learn about Ciprofloxacin for Pneumonia kymdro.org/kasic/?p=8619 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @Arif_Nazir_MD @KyNPsLead @UofLDID

🧵 2/x Two days later, final identification and susceptibilities reveal a C. koseri susceptible to cefazolin. Can antibiotics be deescalated to cefazolin?

Shelf the Cefepime! Check out this week's KASIC pearl to learn about a Species Spotlight: Citrobacter koseri & Citrobacter amalonaticus kymdro.org/kasic/?p=8592 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @Arif_Nazir_MD @KyNPsLead @UofLDID

Don’t Touch that Dapto! Check out this week’s KASIC pearl to Not Let the Bug Beat You: E. casseliflavus and E. gallinarum kymdro.org/kasic/?p=8575 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs @KYHealthAlerts @KYIPTraining @KYAbxAwareness @KYHospitals @KAHCF1 @KyMedDirectors @SIDPharm @UKAbxStew @Arif_Nazir_MD @KyNPsLead @UofLDID

🧑‍🦰has pneumonia🫁. A sputum culture grows methicillin-susceptible S. aureus susceptible to oxacillin, amoxicillin-clavulanate, and cefazolin. Oral amoxicillin is initially ordered. Is this appropriate?