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Flashcards in Antibiotic Stewardship Deck (4)
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1
Q

• What is de-escalation?

  • when does it happen?
A

If a patient is on broad spectrum drugs, de-escalation is when you give a narrower spectrum drug once you know more about their infection. This often happens 24-48 hours after admission, once cultures might have come back, for example.

2
Q

• How should you be treating people on antibiotics in general?

A

o Start on broad spectrum if you suspect an infection and it is urgent
o Review diagnosis after 48-72 hours, once you have culture information
o Then you can either:
i. Stop treatment (if there’s no evidence of infection)
ii. Switch IV to oral antibiotics
iii. Change to a narrower spectrum

3
Q

• What are the features of penicillin allergy?

A
  1. Urticaria (raised, red, itchy bumps)
  2. Angioedema
  3. Anaphylaxis (rare)
4
Q

• What conditions are urgent and require antibiotics before you’re even sure of the diagnosis?

A

Septic shock and meningitis