I.D. Pearls 2010. James R. Johnson, MD VA Medical Center University of Minnesota Minneapolis, MN. What I Will Cover…. Antibiotic Armageddon Basic principles Common fake-outs Myths and urban legends Tools of the trade Blood cultures, culture reports Specific conditions Diabetic foot
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James R. Johnson, MD
VA Medical Center
University of Minnesota
No drugs“E.S.C.A.P.E.” Bugs
6. None of the above
7. Beats me--that’s what ID is for!
Increasing primary disease
Decreasing treatment success
Assumes test SN = 73.3%, SP = 97.6%; CDI population prevalence = 10%
Peterson & Robicsek. Annals 2009
1. If the extremity is swollen, red, warm, and tender, the patient has cellulitis.
2. If a wound culture shows 4+ of a pathogenic organism, treatment is indicated.
3. A patient admitted for diabetic foot infection should:
4. Wound cultures can be helpful despite their limited sensitivity and specificity.
1. I got some new or different ideas from this talk.
2. I disagree with some of what I heard today.
3. This talk addressed topics of practical relevance to me.
4. I would like more information about some of these topics.
5. I am likely to change my practice in some way based on things I heard today.
6. I will be more likely to consult ID in the future.
7. I will be less likely to consult ID in the future.