2902 results
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Blood Culture Collection ... to obtain blood cultures ... drawing blood cultures ... warrant blood cultures ... #Management #BloodCultures
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
Negative Blood Cultures ... antibiotics prior to cultures ... Number one cause of culture ... BloodCultures #Diagnosis #Management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Peripheral blood cultures ... • Additional culture ... fever, positive cultures ... • Aggressive management ... criticalcare #diagnosis #management
Coverage of common antibiotics used in the hospital

For empiric coverage, first define the type of infection,
then review prior cultures ... Obtain cultures ... ampicillin #management
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Positive Gram stain/culture ... Management
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Diagnosis and Management ... arthrocentesis w/ fluid culture ... treatment until cultures ... Arthritis #Diagnosis #Management
Infective Endocarditis - Diagnosis and Management Summary
Pearls:
 - Consider non-infectious endocarditis in pts with cancer/SLE and
Diagnosis and Management ... cancer/SLE and - cultures ... Endocarditis #Diagnosis #Management
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 • Gold standard, but Slow (~2-3 days), 50% sensitivity
 • Blood Sample
 •
Diagnosis: Culture ... Sterile-site biopsy Non-culture-based ... Additional management ... antifungal #diagnosis #management
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
• UA and Urine cultures ... also important Management ... may narrow per culture ... Cystitis #diagnosis #management
Bacteremia Quick Reference - Treatment Duration

Gram Negative Bacteremia:
 • Avoid: Aminoglycosides and tigecycline
 • Catheters should
• No follow up cultures ... Follow-up blood cultures ... repeated blood cultures ... Bacteremia #Treatment #Management