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Podcast #398: Who is gonna fail your antibiotic plan?

Emergency Medical Minute

Release Date: 10/29/2018

Author: Erik Verzemnieks, MD

Educational Pearls:

  • Recent study provides at least some evidence to help predict antibiotic failure for cellulitis, which is not necessarily straight forward
  • Intuitive risk factors such as recent cellulitis, chronic ulcers, history of MRSA are associated with antibiotic treatment failure
  • Oddly, tachypnea at triage was associated with the highest odds ratio for treatment failure

References:

Yadav K, Suh KN, Eagles D, MacIsaac J, Ritchie D, Bernick J, Thiruganasambandamoorthy V, Wells G, Stiell IG. Predictors of Oral Antibiotic Treatment Failure for Nonpurulent Skin and Soft Tissue Infections in the Emergency Department. Acad Emerg Med. 2018 Jun 5. doi: 10.1111/acem.13492.

Summarized and edited by Erik Verzemnieks, MD