So a patient hands my tech a script for oral vanco and asks if she should stop or continue her clinda with it. I'm thinking obviously not since clinda probably caused c. diff but asked her why she's taking these. She said she went to her dentist for an abscess and was referred to a surgeon for incision and drainage with a fever and severe pain.. Culture came back and they wanted to switch her antibiotic.
Told the patient I'm going to call the doctor, surgeon pulls up the ID and sensitivity and said it's resistant to everything except ceftriaxone and vanco, and since ceftriaxone is IV only he and the dentist agreed on oral vanco.
I thought this is so obviously stupid I must be missing something? Got him to change to cefdinir after explaining that ceftriaxone and cefdinir are both third-generation cephlasporins and oral vanco won't do anything systemically.
Told the patient I'm going to call the doctor, surgeon pulls up the ID and sensitivity and said it's resistant to everything except ceftriaxone and vanco, and since ceftriaxone is IV only he and the dentist agreed on oral vanco.
I thought this is so obviously stupid I must be missing something? Got him to change to cefdinir after explaining that ceftriaxone and cefdinir are both third-generation cephlasporins and oral vanco won't do anything systemically.
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