32 results
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
My Patient with Infective ... Endocarditis (IE ... #Endocarditis # ... BloodCultures #Diagnosis ... #Management #Algorithm
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
- Management Algorithm ... Antibiotic Management ... (endocarditis, ... #CRBSI #diagnosis ... #management
Causes of Antibiotic Failure - Differential Diagnosis Framework
Diagnosis:
 • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
Causes of Antibiotic ... - Differential Diagnosis ... Framework Diagnosis ... Bug: Atypical bacteria ... lines, osteo, endocarditis
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
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
with suspected bacterial ... suspected source of bacterial ... , endocarditis, ... obtained prior to antibiotic ... #Management #BloodCultures
Causes of blood culture negative infective endocarditis

Bartonella spp, Brucella spp, Coxiella burnetii, Chlamydia spp, Tropheryma whipplei,
culture negative infective ... endocarditis Bartonella ... under BCNIE, these bacteria ... #differential #diagnosis ... InfectiousDiseases #Microbiology
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
for metastatic infection ... course • Adjust antibiotics ... • Aggressive management ... #criticalcare #diagnosis ... #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS) Microbiology ... Differential Diagnosis ... Diagnosis? ... • IV Antibiotics ... #diagnosis #management
Spinal Epidural Abscess - Illness Script
Epidemiology:
 - Patients at risk for bacteremia: IVDU, dental abscess, HD
, HD catheter, endocarditis ... Alcoholism, DM, HIV Microbiology ... Surgical drainage - Antibiotics ... Epidural #Abscess #diagnosis ... #management