Educator/Author/Internist/Intensivist/Researcher. Nature Lover. History Buff. Armed Forces Veteran. “Service to man is service to GOD".
Sep 16, 2020 • 6 tweets • 3 min read
#WorldSepsisDay
Time to move on from
"WHEN TO PRESCRIBE ANTIBIOTICS"
to
"WHEN TO RESIST THE TEMPTATION TO PRESCRIBE ANTIBIOTICS AND BE SAFE FOR THE PATIENT".
1/6
In most patients with exception of Septic Shock, we can wait for real evidence of infection and possible source. 2/6
ED patients with LRTI and low suspicion of Bacterial Infection, it is reasonably safe to hold ABX if baseline PCT <0.25.
For additional safety, repeat PCT after 6-12 Hours for any rise.
In countries with high baseline antibiotic consumption, it can reduce ABX exposure.
