Infectious Diseases, “Answers”

Although there are no prospective randomized controlled trials looking specifically at ED patients with UTI symptoms, it is safe to say that a urine culture in healthy adult non-pregnant females with new onset urinary symptoms without concern for pyelonephritis or bacteraemia is unlikely to change management or outcome… SO STOP ORDERING THEM

Surviving Sepsis Guidelines 2021: Recommendations and Best Practice Statements

The recommendation for an initial fluid bolus of 30 mL/kg was downgraded from a strong recommendation to a weak recommendation, based on the low quality of evidence. However, resuscitation should start immediately. Balanced crystalloid solution (e.g., lactated Ringer’s solution) should be used (rather than normal saline) for resuscitation. Administration of vasopressors should be initiated via […]

The Surviving Sepsis Campaign Bundle: 2018 update

Cut, Drain & Give some Antibiotics

Antibiotics after I&D lead to significantly better outcomes with significantly fewer antibiotic-treated participants having clinical failure requiring a new antibiotic or another drainage procedure. New abscesses may develop in 10.1 percent of the antibiotic group compared to 19.1 percent of the placebo group.  

Sepsis treatment benchmarks

How Much Do You Know About Cellulitis?

Antibiotics for Acute Exacerbations of COPD

…if your patient needs BiPAP or ICU, they should also get antibiotics!

Sepsis Six in 60 Minutes: World Sepsis Day – September 13th

NEW SEPSIS PATHWAY FLUIDS ANTIBIOTICS …for every hour you delay, the patient has a 33% increased risk of death! LACTATE

Sepsis: the major cause of death following infections

Mild to Moderate Acute Asthma Attack…

Most DO NOT need a chest X-ray performed and a high WBC is common as a result both of stress as well as steroid use NOT A SIGN OF INFECTION so DON’T order labs or give antibiotics unless there are other features of infection.