I concur. You need broad spectrum antibiotics first, after the cultures are obtained, and then deescalate once the cultures come back.
Hesham A. Hassaballa, MD, FCCP Program Medical Director Critical Care Rush-Copley Medical Center Assistant Professor of Medicine Rush University Medical Center Phone: (331) 454-6572 > On Jul 21, 2014, at 10:27 AM, "Angela Craig" <[email protected]> wrote: > > I respectfully disagree. If we wait the two days until the culture grows out > our patients may not survive. Patients that meet the criteria that the > surviving sepsis campaign have outlined in the guidelines call for a 1 hour > goal to antibiotic. That is one of our focus elements at my hospital. > > Angela Craig APN, MS, CCNS > CRMC ICU CNS > Sent from my iPhone > >> On Jul 18, 2014, at 10:18 AM, "Kelly Kragenbrink" >> <[email protected]> wrote: >> >> You really need blood cultures for sensitivity before you give a broad >> spectrum antibiotic. >> >> Kelly Kragenbrink, RN >> Peer Review Coordinator >> McLaren Northern Michigan >> 416 Connable Avenue >> Petoskey, MI 49770 >> Phone: 231.487.3474 >> Fax: 231.487.3139 >> <image001.jpg><image002.jpg><image003.jpg> >> P Please consider the environment before printing this email. >> >> >> Confidentiality Notice: This e-mail message, including any attachments, may >> contain confidential information or privileged peer information protected by >> law. The information is intended only for the use of the individual(s) or >> entity named above. If you are not the intended recipient, you are notified >> that any disclosure, copying, distribution, or the taking of any action in >> reliance on the contents of this e-mail information is prohibited. If you >> have received this e-mail in error, please contact the sender by reply >> e-mail and destroy all copies of the original message. >> >> PRIVILEGED/CONFIDENTIAL >> Reports of Peer Review-Pursuant to MCL >> 333.20175; 333.21513; 333.21515; 331.531; 331.532; 331.533; 331.534, >> 330.1748; 330.1750; 330.1143a; 330.1748(8) >> >> Confidentiality Notice: This e-mail message, including any attachments, may >> contain confidential information. The information is intended only for the >> use of the individual(s) or entity named above. If you are not the intended >> recipient, you are notified that any disclosure, copying, distribution, or >> the >> taking of any action in reliance on the contents of this e-mail information >> is >> prohibited. If you have received this e-mail in error, please contact the >> sender by reply e-mail and destroy all copies of the original message. >> >> ________________________ _______________________ >> Sepsisgroups mailing list >> [email protected] >> http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > ________________________ _______________________ > Sepsisgroups mailing list > [email protected] > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org This message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.
_______________________________________________ Sepsisgroups mailing list [email protected] http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org
