Marcos Rust

@escmid.bsky.social

Yes. If confirmed 👍🏻

Why cefazolin if the most common post influenza bacterial infection is due to Pneumococci? I would go for Amp/Sulb or Ceftriaxon. Depending on your MIC for Strep pneumoniae.

I love challenges! #IDSky

Hadn’t heard of it yet. I’ll read the article. 👍🏻

Same here. No specific approach. If persistent I’d try to find a possible source (blood, skin, etc.).

Hello, #IDSky! I’m interested about what you’re all doing regarding Dalbavancin dosing in hemodialysis. I don’t do any dosage adjustment even the 1500mg - 1000mg. What about you guys?

I agree with you. I would do the 8g/d Cefazolin/d

As any other. 7-10 days. If the patient shows a rapid improvement and the edema is treated depending on the cause, 7 days. If not 10 days. Not longer than that. As important as the antimicrobial therapy here is to target the edema as trigger and prevent it.

Treat it as such. Patient should wear medical high compression stockings to prevent future episodes bc lymphedema is a risk factor.

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Unfortunately I don’t. 😕

This is also a good combination!! I have done Ambisome + Voriconazol before. The main question was the combination until we reach therapeutic levels of Voriconazol.

That exactly what I do. He’s not doing well.

Hey, #IDSKy. Thoughts about combining Echinocandin and Voriconazol as empirical Rx in a patient with Stage IV stomach-ca going through palliative chemo associated with monoclonal ab? Thorax CT showing findings compatible with invasive fungus. @germhuntermd.bsky.social .

Nope! It is a complicated situation if this person is a caregiver or a cook. From a public health perspective it has to be individualized. Never had to though.

That’s great! Thank you!

It is totally dependent on your MDR epidemiology and patient background (last time in the hospital, co-morbidities, known colonizations). I do not go always for carbapenems, but the MDR-rates here are really low.

Hey! Yes. He spent time in the Philippines. Diabetic. Epidemiologically speaking a typical case.

Yes! The carbapenems have a better prostate penetration but I went for Ceftazidime bc the focus was completely drained. Bactrim for extra 3 Wo.

If the prosthetics are being removed you don’t

Approach? DAIR? I stage? II stages? About the therapy: Cefazolin + Rifampicin.

Thank you!! Maybe we should exchange more often! I’m in Vorarlberg. Lots of interesting cases here. Not so far from you.

Hey, #IDSky Prostate abscess due to Burkholderia pseudomallei. Dosis of Ceftazidime? Mono or in combo? For how long? Dif. infos all over.

It depends. Type I, and the patient is seriously ill, I would go for Pip/Taz qid+ Clinda or Line for its anti-toxin effect.

Can the Orthos exist without us IDs? 😁 #IDSky

Right?! So crazy!

@X has banned my account because while twitting that Djokovic should kill Zverev on the court, during Australian Open’s next match they’ve considered it an act of violence. Go figure…

Good. Good combination for that.

Well undrained abscess is always a concern and on top of that we don’t have a probable isolate. There is no other way, but image control and clinic parameters until it is no longer spotted on the ultrasound. What regimen is the patient on?