STAPH. AUREUS BACTEREMIA, MSSA or MRSA: Source- ; MIC- ; Clinical Improvement / Stable / Worsening - Search for source if unclear, 2D ECHO; Treatment plan - ; Remove source of Infection; Repeat cultures in 3-4 days; Need of PICC line. Clinical Management of Staphylococcus aureus Bacteremia A Review JAMA 2014 Case based learning Case 1 82 yo gentleman with DM, venous stasis, PAD, and chronic skin infection and chronic non-healing ulcer has a superficial wound culture done. It grows Coagulase positive Staph with following sensitivity. What do you do with this information. Because it is a superficial wound culture can you disregard the concern for gram negative, and anaerobic infection on this gentleman?
Answer: Section V of CID 2012  Staph UTI 50 yo F with multiple co-mobidities has symptoms of UTI. Urine culture grows the following. Staph aureus : 50,000-100,000 colony forming units per mL ANTIMICROBIAL SUSCEPTIBILITY Comments: S = Susceptible; I = Intermediate; R = Resistant How do you manage this patient? 30 y/o F presents with symptoms of UTI. Patient has stents placed in the bilateral ureters. Urine Culture is performed and show Coagulase negative Staphylococcus species, not Staphylococcus saprophytic us. 25,000-50,000 colony forming units per mL Comments: S = Susceptible; I = Intermediate; R = Resistant How do you manage this patient? Additional references (Harrison's) |
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