The ABC’s of Infections. Eleana M. Zamora, MD Department of Internal Medicine Division of Pulmonary/Critical Care/Sleep. Objectives. Understand the difference between nosocomial and community-acquired Know where to find antibiogram data
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Eleana M. Zamora, MD
Department of Internal Medicine
Division of Pulmonary/Critical Care/Sleep
≥2 of the above = treat
Very strongly consider NOabx:
ABX should be used for:
Documented GAS pharyngitis
Severe sinusitis with fever, ptosis, etc.
IDSA CAP Guidelines 2007
≥2 points classified as severe
1 point given for each of the following:
Age > 60
WBC > 15K
Albumin < 2.5mg/dL
2 points for endoscopic evidence of CDAD
(Alternate: sepsis, ICU)Severity assessment score
Note: Empiric coverage of Candida is NOT recommended.
If candida is found, strongly consider if it needs therapy