9 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... patient a surgical candidate ... #Infective #Endocarditis ... BloodCultures #Diagnosis #Management ... #Algorithm
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 • Gold standard, but Slow (~2-3 days), 50% sensitivity
 • Blood Sample
 •
Invasive Candidiasis ... Diagnosis: Culture ... Additional management ... #Invasive #Candidiasis ... #candida #auris
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Algorithm - Adult ... Algorithm Source ... Implementation-of-an-evidence-based-algorithm-reduces-blood-culture-overuse-in-an-adult-emergency-department.php ... tract infection, endocarditis ... #Management #BloodCultures
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Susceptibilities, Negative Cultures ... clinical concern for endocarditis ... IDSA #Guidelines #Management ... #candida #candidiasis
Algorithm for Evaluation and Treatment of Asymptomatic Candiduria
Evidence for disseminated candidiasis, Unstable or neutropenic patient
1. fluconazole
Algorithm for Evaluation ... for disseminated candidiasis ... #Candiduria #Algorithm ... Asymptomatic #Diagnosis #Management ... #Candida
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS ... 90% of IE cases Culture ... staphylococci Culture ... • Blood cultures ... #diagnosis #management
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
bloodstream infection - Management ... Algorithm • Temperature ... Obtain blood cultures ... metastatic infection (endocarditis ... #Algorithm #CRBSI
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Fluconazole SYSTEMIC CANDIDIASIS ... arthritis, and endocarditis ... Candidiasis Diagnosis ... colonization Candidiasis ... Fungal #Diagnosis #Management
Candida Glabrata
Species of Candida Most Commonly Isolated in Bloodstream Infections
 • Symptomatic mucosal infection is detected
Candida Glabrata ... esophageal, & vaginal candidiasis ... rare cases of endocarditis ... candidemia #diagnosis #management ... #fungemia #management