Infectious Disease

General Hospital Medicine

Questions discussed in this category

Do you routinely discontinue atypical coverage in community-acquired pneumonia when PCR testing (i.e., respiratory pathogen panel) is negative for atypical organisms?

2 Answers available

How do you decide on supportive care vs empiric antibiotics in a patient with suspected aspiration pneumonitis (i.e., witnessed macroaspiration event within the past 24 hours) but with features that could suggest pneumonia (e.g., acute respiratory distress, fever, leukocytosis, pulmonary infiltrates, etc.)?

1 Answer available

When do you consider using a paramedian approach for a lumbar puncture?

1 Answer available

What is your preferred laboratory test to assess treatment response or infection resolution in patients with bacterial pneumonia?

For example, do you find trending WBC, procalcitonin, CRP, etc., more or less helpful?

3 Answers available

Do you always stop dexamethasone at discharge for patients admitted with COVID requiring respiratory support (as done in the RECOVERY trial), or are there situations in which you will prescribe it to complete a 10-day course?

What situations prompt you to prescribe dexamethasone to complete a 10-day course at discharge?

1 Answer available

When do you recommend limited or targeted respiratory pathogen testing versus a full respiratory pathogen panel in a patient presenting with URI symptoms?

In other words, are there benefits to identifying URI pathogens that do not necessarily have targeted therapies (e.g., rhinovirus, non-COVID-19 Corona...

3 Answers available

What is the role of anticoagulation in patients with septic thrombophlebitis?

Would you be comfortable with the use of DOACs?

1 Answer available

What is your approach to distinguishing a Jarisch-Herxheimer reaction from a delayed anaphylactoid reaction?

1 Answer available

How do you rule out spontaneous bacterial peritonitis in a patient with minimal ascites that is not amenable to paracentesis?

1 Answer available

What is your approach to duration of fidaxomicin in a patient receiving treatment for first C difficile infection while also receiving concurrent antibiotics for an infection?

Do you extend the course of fidaxomicin past initial 10 days to at least 3-7 days after completion of antibiotics?

1 Answer available

What is your approach to secondary prophylaxis for C difficile infection during concomitant antibiotic use in a patient with a history of C difficile infection?

1 Answer available

Papers discussed in this category

European journal of pharmacology, 2006 Dec 12

Intravenous heparin in combination with antibiotics for the treatment of deep vein septic thrombophlebitis: a systematic review.

Microbes and infection, 2024 May 06

Secondary prophylaxis for Clostridioides difficile infection for patients on non-C. difficile antibiotics: a retrospective cohort study.

The New England journal of medicine, 2023 Aug 17

Community-Acquired Pneumonia.

Thorax, 2009 Oct

BTS guidelines for the management of community acquired pneumonia in adults: update 2009.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2018 Aug 01

Prophylactic Antimicrobial Therapy for Acute Aspiration Pneumonitis.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2021 Oct 05

Community-acquired Pneumonia Guideline Recommendations-Impact of a Consensus-based Process versus Systematic Reviews.

American journal of respiratory and critical care medicine, 2019 Oct 01

Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America.

European journal of anaesthesiology, 2019 Oct

Ultrasound-assisted vs. landmark-guided paramedian spinal anaesthesia in the elderly: A randomised controlled trial.

Journal of clinical anesthesia, 2022 Apr 11

Ultrasound-assisted spinal anesthesia: A randomized comparison between midline and paramedian approaches.

Infectious Disease

General Hospital Medicine

Questions discussed in this category

Papers discussed in this category

Related Topics in Infectious Disease