University of Arkansas for Medical Sciences
Academic medical center in Little Rock, ARConnect with this customer
Urosepsis De-Escalation Patient
66 yo male admitted at 20:43. Chief complaint is increased urine frequency, fever, chills and abdominal pain. ED vitals: Tmax 39.4°C, HR 130s, RR 14-26, BP 110-120/50-60mmHg. Labs: lactate 3.0, WBC 8.7, UA+LE, >100 WBC, 1500 bacteria. Blood and urine cultures are taken.
|Empiric therapy||Vancomycin and cefepime are started per Code Sepsis|
|ID/AST method||Accelerate PhenoTest® BC kit|
|ID result||Escherichia coli|
|AST results||Pan-susceptible to all agents tested|
|Therapy change||De-escalation to ceftriaxone|
|Time to AST results||∼7.4h post +BC with Accelerate PhenoTest BC kit|
Time from positive BC to optimal therapy was 24 hours, and time from positive BC to discharge was 51 hours. Total length of stay for the patient was 65 hours. The blood culture results were back before the urine culture results.
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