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
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.