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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 2001; 111(5):367-74. Oral administration of antibiotics: a rational alternative to the parenteral route. 1997; 24(3):457-67. PMID: 9114201 Siegel RE et al. A prospective randomized study of inpatient iv.

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Fluoroquinolone Use In Children

Pediatric EM Morsels

From 2001 to 2009, in a pediatric hospital gram negative culture showed a drop in sensitivity to ciprofloxacin from 96% to 93%. BMC Infectious Disease. (Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications.

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Discitis

Don't Forget the Bubbles

2001 Jan;83-B. Infectious spondylodiscitis. Clinical Infectious Diseases. References Brown R, Hussain M, McHugh K, Novelli V, Jones D. Discitis in young children. The Journal of Bone and Joint Surgery British volume. Cottle L, Riordan T. Journal of Infection. 2008 Jun;56. Cushing AH. Diskitis in Children.

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How Many Diphtheria Vaccines are Currently Licensed in the US?

Pediatric Education

To also note, thimersol was taken out of childhood vaccines in 2001, and a review of current components of vaccines can be found here. What other infectious diseases are toxin-mediated? The potential side effects of the vaccine can be reviewed here. Questions for Further Discussion 1. A review can be found here 2.

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Mastering Minor Care: Dog Bites

Taming the SRU

Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clinical Infectious Diseases. Stevens DL, Bisno AL, Chambers HF, et al. 2014;59(2):147-159. Paschos NK, Makris EA, Gantsos A, Georgoulis AD. A randomised controlled trial.

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EM@3AM: Neurosyphilis

EMDocs

Consultation with an infectious disease and neurology specialist can be considered to guide treatment and proper disposition. Consultation with laboratory or infectious disease experts is important in selecting appropriate diagnostic testing. Journal of the neurological sciences 184,2 (2001): 101-22. Neurosyphilis.”

EMS 115
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Updates on Onchocerciasis: Approach to Diagnosis and Treatment

EMDocs

Patients from endemic regions with signs and symptoms suggestive of onchocerciasis will require multidisciplinary consultation, including ophthalmology, dermatology, and infectious disease. Contributed by Ian Murdoch and Allen Foster. This material is available under the Creative Commons license. Image source: 1. Murdoch I, Foster A.