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Bug Pharmacist - Tim Gauthier
@idstewardship

35,497 followers

📸😁 Some #barbenhiemer memes for a Saturday… Coagulase negative staph is often a contaminant that does not require treatment, M abscessus can also be a contaminant but it’s 🫣 super difficult to treat and is a scary bug bc of drug resistance… PO linezolid is a few bucks a pill while IV remdesivir is a 💰pharmacy budget buster at thousands of dollars for a 5-day course… publishing fees are 🤪 insane especially when they also take in major ad revenue… azithromycin has legit ⚠️ toxicities to beware, but next to the fluoroquinolones (which have numerous FDA boxed warnings) azithromycin is not nearly as concerning… oral fluconazole is an 😌easy order to fill but compounding Ambisome is 🥴 a time intensive task for just a single dose… y’all heard about the Pfizer plant hit by a 🌪tornado? Gulp. 🤞Let’s hope shortages aren’t too bad… Probably should have put 👵elderly women, but my point being if asymptomatic and just want a UA, ordering a UA with reflex can lead to getting 📠micro results that were never needed and subsequently possibly treatment that was never indicated… 🏷Allergy labels have huge impact on 🤔 antibiotic decision making, a good allergy history can support better and safer treatment… Nitrofurantoin commonly is >90% effective against E. coli, while amox/clav is usually in the 40%-range on cumulative institutional antibiograms… doxycycline may actually reduce the risk for C diff, while clindamycin is highest risk for causing it……. #Antibiotics #Pharmacist #IDstewardship #Pharmacyschool #Scrollandlearn #MedSchool #pharmacymemes #medicalmemes #pharmtech