Okay by popular demand, as requested, another ID/abx rant.
Let's talk abx "spectrum of activity" vs. selecting for resistance. Does it make sense to use PCN rather than amp or amox to "reduce selection for resistance"?
Nope.
I know. Confusing.
LISTERIA OUTBREAK: 28 people are sick, with 2 deaths, in 12 states. Do not eat meats you get sliced at any deli counter, unless it is reheated to an internal temperature of 165°F or until steaming hot. Read more: https://t.co/Tm4qEtusWg
A day late but infinitely lucky to work with our amazing ID pharmacist @RactatedLingers!
Happy ID Pharmacist’s day to all of you stewards/geniuses out there!
#idpharmacist#bugdrugmatchers
Tecovirimat (TPOXX)
-For smallpox and mpox
-IV or PO, weight based; if PO take after fatty meal
-Use with caution in kidney disease
-14 day course, can extend if immunocompromised
-If HIV+ check for drug interactions
Thanks for playing!
The second edition of “Pictionar-ID: The Recurrence”
#IDTwitter play along with us and see if you can guess the pathogen / disease / or antimicrobial as drawn by us…medical professionals who are not artists in any sense of the word.
First up:
This one was nearly impossible.
Tungiasis 😎
-Tunga penetrans(female sand flea) AKA chigger/jigger
-Flea feeds (often under toenails/between toes) and lays eggs, eggs expelled thru host's skin
-Inflammation, itching, pain; nodular lesions with black center
-Tx - remove flea