I have a question posed to me about antibiotic choices by one of our physicians. I apologize if this has already been asked, but there is so much confusion around certain aspects of this new metric.
This scenario was presented to me: A patient arrives at the hospital (whether direct admit or through the ED) for admission to the hospital for positive blood cultures (previously drawn and results called to PCP) and the organism has been identified with sensitivities completed. If the sensitivities indicate an effective antibiotic that is not listed on the monotherapy, do we still have to administer the second antibiotic to fall in line with the metric despite what would obviously be over-use of an antibiotic and poor stewardship? I understand this scenario is probably not very realistic as one of the monotherapy antibiotics is probably going to be listed as an effective antibiotic on the sensitivities, but I was asked to pose this question to the group. Thanks everyone for you input! Rhonda Gluckner, BSN, RN Sepsis Coordinator, Mercy Health-Youngstown Co-Chair, Mercy Health Sepsis Management Advisory Team Office: 330.480.2935 Pager: 330.229.2035 Fax: 330.480.3177 [email protected]<mailto:[email protected]> CONFIDENTIALITY NOTICE: 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 e-mail and destroy all copies of the original message.
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