19 results
SPICE (SPACE) Organisms
 - Colloquial acronym for gram-negative bacteria that have inducible, chromosomal beta-lactamase genes known
gram-negative bacteria ... to beta-lactam antibiotics ... Pseudomonas #Diagnosis ... #Microbiology # ... SPICE #SPACE #Bacteria
SPICE (SPACE) Organisms

Gram-negative bacteria that have inducible, chromosomal beta-lactamase genes known as AmpC - Resistance may
Gram-negative bacteria ... Pseudomonas #Diagnosis ... #Microbiology # ... SPICE #SPACE #Bacteria ... AmpC #Resistance #Antibiotics
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... for TPN) and antibiotic ... Sources #Causes #Bacteria ... #Differential #Microbiology ... #Diagnosis #Pathogens
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Did they receive antibiotics ... have a fastidious bacteria ... this be a non-bacterial ... BloodCultures #Diagnosis
HECK YES - Organisms with AmpC Resistance

H	Hafnia alvei
E	Enterobacter cloacae
C	Citrobacter freundii
K	Klebsiella aerogenes
Yes	Yersinia enterocolitica

Formerly SPICE / SPACE organisms.
Gram-negative bacteria ... to beta-lactam antibiotics ... #HECKYES #SPICE ... #SPACE #Bacteria ... #Diagnosis #Microbiology
Infographic of common causes of acute otitis media and resistance mechanisms of these bacteria. 
Streptococcus pneumoniae
Haemophilus
mechanisms of these bacteria ... PenicillinBindingProtein #Resistance #microbiology ... #differential #diagnosis ... #antibiotics #EmpiricGame
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae Microbiology ... cause of: CAP, Bacterial ... peritonitis, and endocarditis ... Diagnosis: • Physical ... #diagnosis #management
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
negative infective endocarditis ... under BCNIE, these bacteria ... #differential #diagnosis ... culture #negative #Endocarditis ... InfectiousDiseases #Microbiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... suspected (e.g., spine ... course • Adjust antibiotics ... #criticalcare #diagnosis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
- Differential Diagnosis ... • Viral and bacterial ... pneumonia • Acute bacterial ... Intermittent Fever: High spike ... #Differential #Diagnosis