ICU Vivas · ICU-acquired infection
Data viva — the culture and the antibiogram
A data viva on the culture interpretation and the antibiotic selection — the organism, the sensitivities, the de-escalation, and the duration.
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CICMFFICMEDIC
Prompt
A sputum culture and the antibiogram from a ventilated patient with a VAP, to be interpreted.
Stimulus
You are shown the BAL culture from a ventilated patient with the day-7 VAP:[1]
Organism: Pseudomonas aeruginosa (10,000 CFU/mL from the BAL) Sensitivities: Piperacillin-tazobactam — S; Meropenem — S; Ceftazidime — R; Ciprofloxacin — R; Amikacin — S; Colistin — S[1]
Interpret and prescribe.[1]
References1ShowHide
- [1]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.