Search results for "Antibiotic therapy"
MKSAP Quiz: 3-year history of dyspnea, cough
A 69-year-old man is evaluated for a three-year history of dyspnea and chronic productive cough. He was diagnosed with chronic obstructive pulmonary disease (COPD) two years ago and has been treated for three exacerbations in the past year. He is taking tiotropium, fluticasone/salmeterol, and albuterol inhalers. Which long-term treatment is most likely to reduce exacerbations?
https://immattersacp.org/weekly/archives/2019/03/05/3.htm
5 Mar 2019
Delayed antibiotics in older adults with UTI associated with bloodstream infections, death
An editorial noted that the relationships found in the study may not be causal and advised clinicians to offer prompt treatment to patients at the highest risk of bloodstream infections: older patients, men, and those living in areas of greater socioeconomic deprivation.
https://immattersacp.org/weekly/archives/2019/03/05/4.htm
5 Mar 2019
MKSAP Quiz: Lower abdominal pain, vaginal discharge
A 26-year-old woman is evaluated in the emergency department for lower abdominal pain with vaginal discharge. She reports no nausea or vomiting but noted vaginal bleeding after intercourse the previous night. Following a physical exam and negative urine pregnancy test, what is the most appropriate empiric treatment?
https://immattersacp.org/archives/2019/03/mksap-quiz-lower-abdominal-pain-vaginal-discharge.htm
1 Mar 2019
Inappropriate antibiotic prescriptions for Medicare patients have slightly decreased in recent years
Efforts to reduce outpatient antibiotic prescribing may have incurred a shift among options rather than a substantially reduced amount of antibiotic use.
https://immattersacp.org/weekly/archives/2018/08/07/5.htm
7 Aug 2018
Most sinusitis prescriptions exceed recommended duration, study finds
More than 20% of prescriptions were for a five-day course of azithromycin, a course that the Infectious Diseases Society of America explicitly recommends against because of its known association with the development of drug resistance.
https://immattersacp.org/weekly/archives/2018/04/03/1.htm
3 Apr 2018
MKSAP Quiz: Acute worsening of atopic dermatitis
A 24-year-old woman with longstanding atopic dermatitis is evaluated for an acute worsening of her disease in the past week. She has had increased pruritus and now has multiple painful areas within the involved skin. She has been applying petrolatum jelly and triamcinolone ointment and washing with gentle cleansers without improvement. Following a physical exam, what is the most likely cause of this patient's acute flare?
https://immattersacp.org/weekly/archives/2018/03/20/3.htm
20 Mar 2018
MKSAP Quiz: Evaluation for a superficial skin infection
A 20-year-old male college student on the wrestling team is evaluated for a superficial skin infection. He has a history of several episodes of folliculitis and furunculosis over the past year that has required systemic treatment. His recurrent infections were treated with various oral antibiotics, including cephalexin, clindamycin, and trimethoprim-sulfamethoxazole. He currently takes no medications, has no drug allergies, and is otherwise in good health. There are multiple, scattered erythematous papulopustules and nodules on the buttocks and upper thighs, some with a collarette of scale. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/06/06/3.htm
6 Jun 2017
Increasing resistance of Shigella to ciprofloxacin prompts new CDC guidance
The agency has found an increase in Shigella isolates in the U.S. with minimum inhibitory concentration values between 0.12 and 1 µg/mL for ciprofloxacin.
https://immattersacp.org/weekly/archives/2017/04/25/1.htm
25 Apr 2017
Non-first-line antibiotics prescribed half the time for otitis media, sinusitis, pharyngitis
There is evidence of substantial overuse of non-first-line antibiotics for 3 of the most common conditions in ambulatory care that collectively account for more than 40 million antibiotic prescriptions annually.
https://immattersacp.org/weekly/archives/2016/11/01/2.htm
1 Nov 2016
MKSAP Quiz: 2-day history of increasing pain
A 30-year-old woman is evaluated for a 2-day history of increasing pain in the right antecubital fossa and biceps. She reports daily injection drug use. Medical history is otherwise unremarkable, and she takes no prescription medications. The right biceps area is extremely tender and warm, with multiple track marks, woody induration, edema, and overlying ecchymotic bullous lesions. In addition to emergent surgical evaluation, which of the following is the most appropriate empiric treatment?
https://immattersacp.org/weekly/archives/2016/03/01/4.htm
1 Mar 2016