Stuart Greaser, PharmD, BCIDP
@sgpharmd.bsky.social
🦠 ID/ASP PharmD 🦠 | Clinical Pharmacy Coordinator | StLCOP Alum
Agreed. Mostly this would be for patients whom have MRSA risk factors (colonization, pre-op hospitalization duration, etc..). EP wants all device upgrades, reimplants and “high risk” to bar MRSA coverage. Still discussing that internally. Have had an uptick in MRSA infections overall but still low.
November 26, 2025 at 2:40 PM
Agreed. Mostly this would be for patients whom have MRSA risk factors (colonization, pre-op hospitalization duration, etc..). EP wants all device upgrades, reimplants and “high risk” to bar MRSA coverage. Still discussing that internally. Have had an uptick in MRSA infections overall but still low.
Here as well!
December 13, 2024 at 7:06 PM
Here as well!
Interesting! Hopefully will get some more information soon. Cheers!
December 12, 2024 at 3:21 AM
Interesting! Hopefully will get some more information soon. Cheers!
Ah yes. For what it’s worth that was negative (KPC, NDM, VIM, IMP, OXA-48) but not sure about validity.
December 12, 2024 at 2:59 AM
Ah yes. For what it’s worth that was negative (KPC, NDM, VIM, IMP, OXA-48) but not sure about validity.
A few didn’t cross over (CZA was R.. not sure about mero-vabor) Checking on tigecycline/minocycline. Setting up imi-rel as we have a few strips left. Was going to send off for colistin and cefiderocol.
December 12, 2024 at 2:53 AM
A few didn’t cross over (CZA was R.. not sure about mero-vabor) Checking on tigecycline/minocycline. Setting up imi-rel as we have a few strips left. Was going to send off for colistin and cefiderocol.
CarbaR negative.
December 12, 2024 at 2:42 AM
CarbaR negative.
Cefiderocol was my first inclination. Will see if I can pull this tomorrow. Interesting those with pre treatment resistance responded. Was considering combo with tigecycline or inhaled colistin until susceptibility confirmed.
December 12, 2024 at 2:36 AM
Cefiderocol was my first inclination. Will see if I can pull this tomorrow. Interesting those with pre treatment resistance responded. Was considering combo with tigecycline or inhaled colistin until susceptibility confirmed.
Carba R unfortunately. Resistant to all of our standard reported panel including TMP/SMX, Pip/taz (not surprising) and AMGs. Waiting on a few e-tests and going to send out for a few others.
December 12, 2024 at 2:30 AM
Carba R unfortunately. Resistant to all of our standard reported panel including TMP/SMX, Pip/taz (not surprising) and AMGs. Waiting on a few e-tests and going to send out for a few others.
Assuming your shop uses Epic? Do you have beaker? Have explored these suggestions but apparently limited by our 3rd party lab system according to my LIS colleagues 🤷🏻♂️
November 25, 2024 at 11:17 PM
Assuming your shop uses Epic? Do you have beaker? Have explored these suggestions but apparently limited by our 3rd party lab system according to my LIS colleagues 🤷🏻♂️
Would love to see this explored more. While PK studies are great, some clinicians may be hesitant to higher than label doses without clinical outcomes data (at least in my shop🤷🏻♂️). Often they retreat back to IV when faced with amox/clav TID or cephalexin 4g/day.
November 21, 2024 at 12:29 AM
Would love to see this explored more. While PK studies are great, some clinicians may be hesitant to higher than label doses without clinical outcomes data (at least in my shop🤷🏻♂️). Often they retreat back to IV when faced with amox/clav TID or cephalexin 4g/day.
There has to be some preference list somewhere with it saved…or it’s coming from monthly med loads? Mainly shows up sporadically for IAI or “asp pna”and yes… I’ve checked, rechecked and had someone else check our builds.
a man with a beard is making a funny face with the words it keeps coming back from the dead above him
ALT: a man with a beard is making a funny face with the words it keeps coming back from the dead above him
media.tenor.com
November 19, 2024 at 4:06 AM
There has to be some preference list somewhere with it saved…or it’s coming from monthly med loads? Mainly shows up sporadically for IAI or “asp pna”and yes… I’ve checked, rechecked and had someone else check our builds.
📌 I’m still searching for where q6 is coming from in Epic🤦♂️it always keeps popping back up!
November 19, 2024 at 2:48 AM
📌 I’m still searching for where q6 is coming from in Epic🤦♂️it always keeps popping back up!
TID more for convenience but I try to have a discussion with patients about tolerance. Have switched to amox/clav plus amox mid day in some patients. Of course have to get to through the “PO is good too!” discussion first!
November 19, 2024 at 2:04 AM
TID more for convenience but I try to have a discussion with patients about tolerance. Have switched to amox/clav plus amox mid day in some patients. Of course have to get to through the “PO is good too!” discussion first!