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Bacterial Infection with Empiric Antimicrobial Therapy Essay Example
Question





find the FARM: FINDING, ASSESSMENT, RESOLUTION, MONITORING

Khalid is 55-year-old, presents with a fever of 101.5°F (38.6°C), chills, and fatigue. He reports feeling generally unwell for the past few days, with no specific source of pain or discomfort. He has no history of recent travel, but reports occasional exposure to healthcare settings due to his job as a hospital administrator. Bacterial Infection with Empiric Antimicrobial Therapy Essay Example

Khalid presentation and lab results, the physician suspects a bacterial infection and initiates empiric antimicrobial therapy with intravenous (IV) vancomycin, a glycopeptide antibiotic. Khalid is started on a loading dose of 25 mg/kg, followed by maintenance doses of 15 mg/kg every 12 hours.

Over the next few days, Khalid fever gradually resolves and he reports feeling better overall. His white blood cell count and CRP levels also start to decrease. After 5 days of therapy, Khalid blood cultures come back positive for methicillin-resistant Staphylococcus aureus (MRSA), confirming the need for continued glycopeptide therapy.

Signs and symptoms:

Fever, Chills, and Fatigue.

Lab tests:

White blood cell count (15,000/mm3)

C-reactive protein level (CRP) of 90 mg/L

A chest x-ray shows no signs of pneumonia or other lung abnormalities.

He did an bacterial culture test and shows he has infected by positive for methicillin-resistant Staphylococcus aureus (MRSA)
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PMH:

NONE

FH:

Insignificant

Vital signs:

Temperature 101.5°F (38.6°C)

Current medication:

Vancomycin (IV) started on a loading dose of 25 mg/kg, followed by maintenance doses of 15 mg/kg every 12 hours.
Step 1/3








FARM analysis for Khalid: FINDING: Khalid presents with fever, chills, and fatigue. He has no history of recent travel but reports occasional exposure to healthcare settings due to his job as a hospital administrator. Lab tests show an elevated white blood cell count and CRP level.









Step 2/3








ASSESSMENT: Based on his symptoms and lab results, the physician suspects a bacterial infection. Empiric antimicrobial therapy with IV vancomycin is initiated. A chest x-ray shows no signs of pneumonia or other lung abnormalities.









Step 3/3








RESOLUTION: Khalid's fever gradually resolves and he reports feeling better overall. • His white blood cell count and CRP levels start to decrease.









Final answer








MONITORING: After 5 days of therapy, Khalid's blood cultures come back positive for MRSA, confirming the need for continued glycopeptide therapy. • Khalid's response to treatment will be monitored, and his medication regimen may be adjusted as necessary. Overall, Khalid is being treated for a suspected bacterial infection with empiric antimicrobial therapy. His response to treatment will be monitored, and additional testing (such as blood cultures) may be performed to confirm the presence of a specific pathogen and guide treatment decisions.  Bacterial Infection with Empiric Antimicrobial Therapy Essay Example

Expert Answer

Bacterial Infection with Empiric Antimicrobial Therapy Essay Example

Question

find the FARM: FINDING, ASSESSMENT, RESOLUTION, MONITORING Khalid is 55-year-old, presents with a fever of 101.5°F (38.6°C), chills, and fatigue. He reports feeling generally unwell for the past few days, with no specific source of pain or discomfort. He has no history of recent travel, but reports occasional exposure to healthcare settings due to his job as a hospital administrator. Bacterial Infection with Empiric Antimicrobial Therapy Essay Example Khalid presentation and lab results, the physician suspects a bacterial infection and initiates empiric antimicrobial therapy with intravenous (IV) vancomycin, a glycopeptide antibiotic. Khalid is started on a loading dose of 25 mg/kg, followed by maintenance doses of 15 mg/kg every 12 hours. Over the next few days, Khalid fever gradually resolves and he reports feeling better overall. His white blood cell count and CRP levels also start to decrease. After 5 days of therapy, Khalid blood cultures come back positive for methicillin-resistant Staphylococcus aureus (MRSA), confirming the need for continued glycopeptide therapy. Signs and symptoms: Fever, Chills, and Fatigue. Lab tests: White blood cell count (15,000/mm3) C-reactive protein level (CRP) of 90 mg/L A chest x-ray shows no signs of pneumonia or other lung abnormalities. He did an bacterial culture test and shows he has infected by positive for methicillin-resistant Staphylococcus aureus (MRSA)

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PMH: NONE FH: Insignificant Vital signs: Temperature 101.5°F (38.6°C) Current medication: Vancomycin (IV) started on a loading dose of 25 mg/kg, followed by maintenance doses of 15 mg/kg every 12 hours.
Step 1/3
FARM analysis for Khalid: FINDING: Khalid presents with fever, chills, and fatigue. He has no history of recent travel but reports occasional exposure to healthcare settings due to his job as a hospital administrator. Lab tests show an elevated white blood cell count and CRP level.
Step 2/3
ASSESSMENT: Based on his symptoms and lab results, the physician suspects a bacterial infection. Empiric antimicrobial therapy with IV vancomycin is initiated. A chest x-ray shows no signs of pneumonia or other lung abnormalities.
Step 3/3
RESOLUTION: Khalid's fever gradually resolves and he reports feeling better overall. • His white blood cell count and CRP levels start to decrease.
Final answer
MONITORING: After 5 days of therapy, Khalid's blood cultures come back positive for MRSA, confirming the need for continued glycopeptide therapy. • Khalid's response to treatment will be monitored, and his medication regimen may be adjusted as necessary. Overall, Khalid is being treated for a suspected bacterial infection with empiric antimicrobial therapy. His response to treatment will be monitored, and additional testing (such as blood cultures) may be performed to confirm the presence of a specific pathogen and guide treatment decisions.  Bacterial Infection with Empiric Antimicrobial Therapy Essay Example

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