132 Chapter 6 Would you order additional diagnostic testing in persistent bacteremia and if yes, after how many days of positive blood cultures? o Yes, after … days of adequate antibiotic therapy and persistent positive blood cultures o No, I would not order additional diagnostic testing in case of persistent bacteremia What kind of additional diagnostic testing would you order? Mark all that apply. o Transthoracic echocardiography o Transesophageal echocardiography o CT- scan o PET-CT scan o MRI scan o Other: ….. Would you change medical management (e.g., change antibiotics, increase dose or duration of antibiotics; add 2nd antibiotic) in case of persistent bacteremia and if yes, after how many days of positive blood cultures? o Yes, after ……….. days of adequate antibiotic therapy and persistent positive blood culture o No, I would not change medical management in case of persistent bacteremia In case of MSSA persistent bacteremia: what would you change in terms of medical management? Mark all that apply. o Change antibiotic agents o Increase dose of antibiotics o Add 2nd (or 3rd) antibiotic agent o Prolong treatment o Other: ……. In case of MSSA persistent bacteremia: to what antibiotic regimen would you change? □ Aminoglycoside, e.g. gentamicin □ Anti-staphylococcal penicillin, e.g. flucloxacillin, dicloxacillin □ Carbapenem, e.g. meropenem □ Clindamycin □ First-generation cephalosporin, e.g. cefazolin □ Second-generation cephalosporin, e.g. cefuroxime □ Third-generation cephalosporin, e.g. ceftriaxone □ Fourth-generation cephalosporin, e.g. cefepime □ Fifth generation cephalosporin, i.e. ceftaroline □ Fluoroquinolone, e.g. levofloxacin □ Glycopeptide, e.g. vancomycin
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