Info

🌱 來自: infectious disease

consult of infectious disease

I’ve visited this patient and reviewed relevant history.

Infectious diagnosis: septicemia (shock), probably secondary to urinary tract infections (UTI) (ecmphysematous cystitis?), E. coli (08/05)

Advise

• antimicrobial agent(s): revised to ceftriaxone as pathogen-directive therapy (de-escalation), 2 gm qd
• pursue data: 08/05, 08/06, 08/07.
• further workup: N/A.
• indicators of treatment response:
  • s/s: body temp.
  • lab.: urinalysis.
• antibiotics duration: according to treatment response, survey result(s).

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• Catheter before this episode: none.
• In-patient care in recent 90 days: none.
• Antibiotics course (this episode): ceftazidime 1, piperacillin/tazobactam1, meropenem + vancomycin 08/05 ~
• ADR/Allergy to antibiotics: none.