The only way to successfully treat sepsis caused by S. aureus. When dealing with infections caused by S.aureus, everything has to be done right: The choice of antibiotics, the duration of treatment, screening for complications like endocarditis and metastatic infections, source control, follow-up blood cultures, and much more. Even with modern drugs, Staphylococcus aureus bacteremia still carries a mortality rate of 25%, but there is a lot we can do to increase our patients' chances.
If you want to make sure you recognize life-threatening infections like sepsis and CNS infections in time, you will find invaluable tips in my short, practice-oriented lectures!
A Clinical Approach to Serious Infections in Adults: What Every Physician Should Know:
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DISCLAIMER: Please, always keep in mind that my videos are intended for educational purposes only. The content of my videos is NOT medical advice. I do not practice medicine over the internet. If you are a patient and have any questions about your health, please talk to your doctor.
CHAPTERS:
00:00 What makes S. aureus special
01:49 Empiric and definitive therapy for S.aureus (MRSA vs. MSSA)
04:09 Blood cultures and other microbiological samples
05:14 What antibiotics are best for MSSA
05:52 The duration of treatment
06:28 Look for endocarditis and removable foci of infection
07:59 The final tip
REFERENCES & RECOMMENDED READING:
1. Lam JC, Stokes W. The Golden Grapes of Wrath - Staphylococcus aureus Bacteremia: A Clinical Review. Am J Med. 2023 Jan;136(1):19–26.
2. Heffernan AJ, Sime FB, Lim SMS, Adiraju S, Wallis SC, Lipman J, et al. Pharmacodynamics of ceftriaxone for the treatment of methicillin-susceptible Staphylococcus aureus: is it a viable treatment option? Int J Antimicrob Agents. 2022 Mar;59(3):106537.
3. McDanel JS, Perencevich EN, Diekema DJ, Herwaldt LA, Smith TC, Chrischilles EA, et al. Comparative effectiveness of beta-lactams versus vancomycin for treatment of methicillin-susceptible Staphylococcus aureus bloodstream infections among 122 hospitals. Clin Infect Dis. 2015 Aug 1;61(3):361–7.
4. Goto M, Jones MP, Schweizer ML, Livorsi DJ, Perencevich EN, Richardson K, et al. Association of Infectious Diseases Consultation With Long-term Postdischarge Outcomes Among Patients With Staphylococcus aureus Bacteremia. JAMA Netw Open. 2020 Feb 5;3(2):e1921048.
Staphylococcus aureus Sepsis: Crucial Tips for Clinicians
Теги
severe sepsisseptic shockmedicine (field of study)nursing (field of study)septic shock patientseptic shock managementseptic shock simple nursings aureus virulence factorsstaphylococcus aureus microbiologys aureuss. aureusstaph infectionvancomycinstaph infections treatmentstaph infection symptoms and treatmentendocarditiscefazolinechocardiogramabscessbacteremiabacteraemiaantistaphylococcal penicillins. aureus treatmentantibioticscloxacillin