DrVirgo
Forum Hero
Topics: 1096
Posts: 3,515
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I think you should give IV antibiotics, and not wait for results of blood cultures to start ABs...
Any other thoughts anyone?
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| doc_clotaire
Forum Guru
Topics: 159
Posts: 1,265
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Guys !
I think the point that UW is trying to make is :
Pyelonephritis can lead to SEVERE GRAM - SEPSIS and ABs RESISTANCE so the NSIM should be :
1 ) do blood culture
2 ) start empiric antibiotics ( But they did not say that you have to wait for the result of culture before starting antibiotics )
3 ) once you have the result of culture , you can give the appropriate antibiotic according to..........
As a matter of fact , When I had this question wrong in UW , I had the same problem digesting it too so I checked CMDT and they confirm it ( blood culture first and then empiric ABs )
I think it 's pretty apropriate guys !
Any more input is WELCOME 
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| Justice
Forum Fanatic
Topics: 117
Posts: 2,324
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I agree with doc_clotaire,
you start with empiric AB, and then adjust the protocol based on the microbio culture results/sensitivity.
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| doyoudig
Forum Guru
Topics: 144
Posts: 613
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I will post both of the question and let u guys see maybe what I couldn't
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| doyoudig
Forum Guru
Topics: 144
Posts: 613
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guys thx again, I looked at both of the questions and completely misread the explanation, gald I consulted u all
thx again
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| sailing boat
Forum Elite
Topics: 54
Posts: 172
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yes agreed with doc clotaire, when u put the iv line, 1st take blood for cultures, then give the i.v antibiotics, till the results of the cultures re out, and then give the apropriate antibiotics as needed
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