Discover and read the best of Twitter Threads about #Bacteremia

Most recents (4)

#IDtwitter
#MedTwitter
#MedEd
#Tweetorial
#LearnwithDrAksh
What do you use for treatment for endocarditis caused by HLAR +ve Enterococcus faecalis?
🧵 Tomorrow
#Tweetorial
#IDTwitter
#MedTwitter
#MedEd
Lets talk about #Enterococcus #bacteremia 🧵
2 important species - E.faecalis, E faecium
E.faecium is generally more resistant, but lower risk of endocarditis
E.faecalis, usually S to Ampicillin, but IR to Quinopristin-Dalfopristin
1/6
Also, note- Enterococcus is IR to Cephalosporins, Aminoglycosides
Bacteremia source - Indwelling catheter, GI, Urinary tract
DOC for bacteremia - Ampicillin/Penicillin if S
If, Ampi R - Vanco/Teico
Combination therapy in case of suspicion of endocarditis or septic shock
2/6
Read 8 tweets
#idboardreview 50 M AML neutropenic on FQ, mucositis, presents w/ fever, hypotension, diffuse rash, tissue necrosis, AKI, respiratory failure, blood cultures+ diagnosis? #medEd #idmedEd #idtwitter
#viridans #streptococcus #mitis #bacteremia #tss toxic shock syndrome in neutropenic patients: risk factors mucositis and prophylaxis with FQ or tmp-smx
Read 7 tweets
#IdBoardReview 60 F cirrhosis, aortic regurgitation, previous hx cdiff on probiotics presents w/ new onset heart failure. Blood culture Gram+bacilli with vancomycin resistance. Diagnosis? #medEd #idmedEd #IDtwitter ImageImage
Probiotic associated #Lactobacillus rhamnosus #endocarditis
#Lactobacillus, GI & GU flora commensal, can cause invasive infections such as meningitis, endometritis, peritonitis, pneumonia, bacteraemia and endocarditis. It has been implicated as a causative agent in 0.05-0.4% of all #endocarditis
Read 9 tweets
1/16
Let's start off 2020 with some #Bacteremia myth💥!!

Some questions answered here:
Do fevers predict bacteremia?

Can you predict when someone will have an ESBL bacteremia?

I learned a lot preparing this review, I hope you do too

#MedTwitter #IDTwitter #MedEd
2/
Is it normal for people to be bacteremic on a daily basis?
3/
People can be bacteremic from a few mins up to an hour a day! 🤯

Can result from brushing teeth, bowel movements, dental cleaning, colonoscopies, etc

This is classified as transient bacteremia. With normal hosts, this usually does not cause issues

ncbi.nlm.nih.gov/pubmed/19374579
Read 16 tweets

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