The Pros and Cons of Probiotics. Check out this week’s KASIC pearl to learn bout Probiotics for C. difficile Prevention ➡️ kymdro.org/kasic/?p=8258 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs Kentucky Department for Public Health

👴 with lymphoma is admitted to the ICU for sepsis from an unknown source. He has a history of C. difficile. Which intervention will DECREASE his risk of C. difficile? Answer/details in 🧵

Annoyed by Antibiotic Armor? Check out this week’s KASIC pearl to learn about Breaking Down Biofilms ➡️ kymdro.org/kasic/?p=8277 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs Kentucky Department for Public Health Kentucky Infection Prevention Training Center

👱🏻‍♀️is on chronic TPN and admitted to the 🏥 with a MRSA bloodstream infection related to her IV line. After 4 days of vancomycin therapy, her blood culture is still positive. What is the MOST LIKELY reason? Answer/details in 🧵

Beta-Lactam Bestie. Check out this week’s KASIC pearl to learn about Non-Purulent Cellulitis ➡️ kymdro.org/kasic/?p=8287 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs Kentucky Department for Public Health Kentucky Infection Prevention Training Center Kentucky Antibiotic Awareness

👩🏼‍🦰 is admitted to the 🏥 for cellulitis. NO purulence is noted on exam and she has no relevant past medical history 📋 Which antibiotic is NOT recommended per IDSA guidelines for non-purulent cellulitis? Answer/details in 🧵

WBC Up? Check out this week’s KASIC pearl to learn about Non-infectious Causes of Leukocytosis ➡️kymdro.org/kasic/?p=8297 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs Kentucky Department for Public Health Kentucky Infection Prevention Training Center

👩🏾‍🦱 is admitted to the 🏥 with lupus nephritis. She is started on therapy including a corticosteroid 💊 The next day, leukocytosis is noted. What is the MOST LIKELY explanation? Answer/details in 🧵

Dormant or Dangerous? Check out this week’s KASIC pearl to learn about C. difficile Colonization Conundrum ➡️kymdro.org/kasic/?p=8308 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs Kentucky Department for Public Health Kentucky Infection Prevention Training Center

2 patients have a ➕ C. difficile PCR test and ➖ toxin EIA. 1: 🧔🏽 has cirrhosis, takes lactulose, normal WBC, no changes in diarrhea 2: 👨🏻‍🦰 febrile, took ciprofloxacin last week, having diarrhea Which patient(s) should be treated for C. difficile? 💊 Answer/details in 🧵

Assess and Address Aerococcus. Check out this week’s KASIC pearl to learn how to Beat the Bug: Aerococcus spp. ➡️kymdro.org/kasic/?p=8321 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs Kentucky Department for Public Health

👱🏽‍♀️has dysuria & a urine culture growing Aerococcus urinae 🧫 Which antibiotic is MOST LIKELY to be active against this isolate? Answer/details in 🧵

TMP-SMX for Strep? Check out this week’s KASIC pearl to learn about TMP-SMX vs. Streptococcus spp. ➡️kymdro.org/kasic/?p=8331 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs Kentucky Department for Public Health Kentucky Infection Prevention Training Center

👱🏽 undergoes I&D in the emergency room and is sent home with TMP/SMX 💊 Wound culture grows MRSA & Streptococcus pyogenes 🧫 Do antibiotics need to be changed? Answer/details in 🧵

It’s Getting Hot in Hurrrr. So take a look at this week’s KASIC pearl to learn about Non-Infectious Causes of Fever. ➡️kymdro.org/kasic/?p=8341 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs Kentucky Department for Public Health

👨🏼 is in a car accident 🚗💥🚙 and admitted to the 🏥 He receives a blood transfusion 🩸 1 hour later, his temperature is 38.1 C. What is the MOST LIKELY cause of fever? 🤒 Answer/details in 🧵

Scared by Salmonella? Check out this week’s KASIC pearl to keep the Bug from Beating You: Salmonella spp. kymdro.org/kasic/?p=8352 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs Kentucky Department for Public Health Kentucky Infection Prevention Training Center

A 30 year old 👩🏻 with no past medical/travel history presents to clinic for 2 days of diarrhea. She has not changed her diet but has been eating raw vegetables 🍅🥒🥬 A stool sample is positive for Salmonella spp. What is the MOST APPROPRIATE option? Answer/details in 🧵

Allergy or Not Allergy? That is the Question. Check out this week’s KASIC pearl learn about Decoding A Drug Allergy History kymdro.org/kasic/?p=8364 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs Kentucky Department for Public Health

Criss-Crossed Carbapenems. Check out this week’s KASIC Pearl to learn about Alternatives in Anaphylaxis: Carbapenems in Beta-Lactam Allergies kymdro.org/kasic/?p=8379 #IDTwitter #IDXPosts #AntimicrobialResistance #antimicrobialstewardship #rxtwitter #pharmacy #FOAMed #NPs #PAs