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A patient comes to the doctor complaining of a swollen cut on the arm. The docto

ID: 164055 • Letter: A

Question

A patient comes to the doctor complaining of a swollen cut on the arm. The doctor collects a specimen from the wound and sends it to the lab. An hour later, the lab called to say that the gram stain shows many white blood cells and many gram positive cocci. How will the doctor treat? The doctor will prescribe penicillin or another antibiotic in the penicillin family. The doctor will prescribe a broad spectrum antibiotic, like cabapenem A patient comes to the doctor complaining of a swollen cut on the arm. The doctor collects a specimen from the wound and sends it to the lab. An hour later, the lab called to say that the gram stain shows many white blood cells and many gram positive cocci. How will the doctor treat? The doctor will prescribe penicillin or another antibiotic in the penicillin family. The doctor will prescribe a broad spectrum antibiotic, like cabapenem A patient comes to the doctor complaining of a swollen cut on the arm. The doctor collects a specimen from the wound and sends it to the lab. An hour later, the lab called to say that the gram stain shows many white blood cells and many gram positive cocci. How will the doctor treat? The doctor will prescribe penicillin or another antibiotic in the penicillin family. The doctor will prescribe a broad spectrum antibiotic, like cabapenem

Explanation / Answer

the doctor will prescribe penicillin or other antibiotic from same family like amoxicillin . Carbapenem is a broad spectrum antibiotic and is prescribed when none of the antibiotic treatment is able to stop the infection that is why carbapenems are also called as drug of last resort or drug of last choice. carbapenems are usually prescribed to patients infected with ESBL(extended spectrum of beta lactamase) pathogens which shows resistance to most of beta lactam drugs(penicillin family). if the GPC(gram postive cocci) shows resistance to penicillin family drug, carbapenem will be prescribed.

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