Recent guidelines suggest that both low- and high-risk patients can safely stop antibiotics when afebrile, clinically well and have completed an adequate treatment course, irrespective of neutrophil count in febrile neutropenia. This marks a departure from the usual practice of awaiting marrow recovery.
Tag Archives: Infectious Disease
Confessions of a “Penicillin Allergic” Patient
Penicillin allergies are exceptionally common – and exceptionally untrue. The oft quoted 10% cross-reactivity between penicillins and cefazolin is a relic of Penicillium past.
Sepsis: A Spoonful of Fluid Helps the Lactate Go Down
There are many more reasons than just hypoperfusion and anaerobic metabolism to explain the lactatemia in sepsis. It follows that there are many more considerations other than buckets of fluid when looking to lower the lactate.
Meningitis: The Eternal Headache
Meningitis is exceedingly rare, but a clinically pertinent emergency laced with many a myth. Click to read more, but if this is happening, give antibiotics first.
Fantastic bacteria and when to culture them
Blood cultures are often associated with a temperature above 38°C. This week, we look into the veracity of the underlying assumptions, and highlight the factors most associated with diagnostic blood cultures.
