Morning Report Sickle Cell Acute Chest Syndrome – 09/12/2017 September 13, 2017 vmcimchiefs Leave a comment
Morning Report H Pylori – 09/07/2017 (presented by guest lecturer Tiffany Hsu, MD) September 13, 2017 vmcimchiefs Leave a comment
Morning Report Candida Pyelonephritis – 8/28/17 August 28, 2017 vmcimchiefs Leave a comment Risk factors for systemic candida include immunosuppression, intravascular catheters (TPN), broad spectrum antibiotics Infection is considered systemic once you have positive blood cultures Once you are concerned for systemic infection, make sure to get an Ophthalmology consult to rule out endophthalmitis! Start with an echinocandin for treatment unless you have a UTI, meningitis, or endophthalmitis in which cause you should use an azole medication If you have evidence of Candida glabrata then an azole may not work because there tends to be resistance If you have Candida glabrata meningitis, UTI, or endophthalmitis, you should start with amphotericin until you have susceptibilities Do not treat asymptomatic candiduria unless the patient is neutropenic or had recent urologic procedures done