Scope: soft-tissue infection without evidence of osteomyelitis. Probe-to-bone or exposed bone suggests osteomyelitis — treat as osteomyelitis (different workup and a longer course).
IV — Severe/Moderate — withOUT Pseudomonas Risk Factors
IV — Severe/Moderate — WITH Pseudomonas Risk Factors
Consider antipseudomonal coverage if: significant water exposure or wound soaking, a warm/humid climate, a severe or chronically-wet wound, prior Pseudomonas isolation from the wound, or failure of non-antipseudomonal therapy.
Your EMR may offer you a “helpful” allergy warning when ordering a carbapenem because your patient is allergic to penicillins or cephalosporins; the cross reactivity is very low and most people tolerate carbapenems with a low risk of allergic reaction.
Your EMR may offer you a “helpful” allergy warning when ordering a carbapenem because your patient is allergic to penicillins or cephalosporins; the cross reactivity is very low and most people tolerate carbapenems with a low risk of allergic reaction.
Your EMR may offer you a “helpful” allergy warning when ordering a carbapenem because your patient is allergic to penicillins or cephalosporins; the cross reactivity is very low and most people tolerate carbapenems with a low risk of allergic reaction.
TrichomonasCDC recommends this treatment for WOMEN ONLY after sexual assault
MetronidazoleFor pregnant and non-pregnant patients
A single 2-gram dose is likely a better choice if adherence to a 7-day treatment regimen is a concern; some suggest these higher doses should NOT be given in the first trimester of a pregnant patient
2 g PO once (CDC primary, WHO alternative)
OR
500 mg PO q12h for 7 days (WHO primary)
No pediatric regimens reference Metronidazole yet.