Thread by @SaklawiMD

In our first management reasoning virtual morning report, we talked about Staph Bacteremia, a 🧵

You are on night float and you get the dreaded call from the microbiology lab: 1/2 GPCs in blood. What would you do if you were overnight taking the call?

Is it a contaminant? Is it not? GPCs can be Staph or Strep species, calling the lab can help you determine if they are in clusters or chains. Coag negative Staph (CoNS) are often time contaminants.

Deciding if it is a contaminant depends on a number of factors to consider including the organism, number of cultures, source of the culture, the syndrome, and the host

This thread & poem by @Emory_MedMicro is 👌🏼 (Narrative x ID x MedEd? I am hooked)

There are multiple studies showing that vancomycin alone may not be a sufficient antimicrobial for empiric or maintenance therapy for MSSA. My literature search landed me on this meme:

https://twitter.com/IDdocAdi/status/1138254809595875328?s=20

If you are planning on starting empiric therapy, consider starting MSSA coverage (Cefazolin/Nafcillin/Oxacillin) AND MRSA coverage (Vancomycin/Daptomycin)

Join us on @CPSolvers virtual morning reports- nothing will prepare you more for residency