An 80-yo woman is transferred from a nursing facility for management of a necrot

Question

An 80-yo woman is transferred from a nursing facility for management of a necrotic heel ulcer. Upon physical examination, it is quite clear that you can “probe to bone” and a deep tissue specimen is obtained during debridement and cultures are pending.

Which of the following regimens would be most appropriate as empiric therapy for this patient?

Ceftriaxone [Rocephin]

Cefazolin [Ancef]

Vancomycin

Ciprofloxacin [Cipro] and clindamycin [Cleocin]

The above patient is treated successfully with IV antibiotics and is ready to be converted to an oral regimen to complete therapy for her skin infection. She is stable without symptoms and is excited to go home. The unit clerk pages you to inform you that the urine culture sent one day prior is growing a gram-negative lactose fermenter in a small quantity. A urinalysis was performed and showed 0-4 WBC/HPF.

How will you manage the patient's current urinary findings?

       None of the above

       Amoxicillin-clavulanate [Augmentin]

       Ciprofloxacin [can treat both infections]

       Trimethoprim-sulfamethoxazole [Bactrim]

Explanation / Answer

Which of the following regimens would be most appropriate as empiric therapy for this patient?

Direct (span of treatment is two to a month, contingent upon reaction; oversee orally or parenterally took after by orally)

How will you manage the patient's current urinary findings?

Trimethoprim-sulfamethoxazole [Bactrim] is the right choice to oversee pee discoveries since it is powerful in:

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