Discontinue treatment if signs of nephrotoxicity occur; renal damage is usually reversible.
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Physicians working in health care organizations have cited improved care coordination, as well as quicker and more efficient access to clinical support resources (guidelines, lab tests, and reports) as principal benefits associated with mobile device use.
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Orally administered VANCOCIN is not effective for other types of infections.
Renal impairment: Use with caution in patients with renal impairment or those receiving other nephrotoxic or ototoxic drugs; dosage modification required (especially in the elderly).
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Comparison of polymyxin B with other antimicrobials in the treatment of ventilator-associated pneumonia and tracheobronchitis caused by Pseudomonas aeruginosa or Acinetobacter baumannii.
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Bleeding associated with anticlotting medications such as Savaysa may be lifethreatening.
Most abscesses and empyemas require drainage, but limited evidence from case reports is available that some small abscesses of susceptible organisms in clinically stable patients respond to medical therapy without drainage.
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Recent guidelines for the use of antimicrobial agents in neutropenic patients with cancer published by the Infectious Diseases Society of America do not recommend routine use of vancomycin as initial therapy and delineate specific high risk conditions under which empiric use of vancomycin is indicated.
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Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 15 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program.
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The Effect of Macrolide Resistance on the Presentation and Outcome of Patients Hospitalized for Streptococcus pneumoniae Pneumonia.
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Low colonization prevalence of Staphylococcus aureus with reduced vancomycin susceptibility among patients undergoing hemodialysis in the San Francisco bay area.
Subsequently, the first United States isolates of vancomycin-intermediately-sensitive S aureus occurred in Michigan and New Jersey in 1997.
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Anecdotal reports describe the use of topical morphine and diamorphine-infused gel for palliation of pressure ulcer pain in patients who are terminally ill, but this use is not FDA approved.
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As expected, vancomycin trough concentrations were higher in patients receiving guideline-recommended, weight-based dosing (12.
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For 360 patients, microbiology results were available at the time vancomycin was prescribed: 85 (24%) patients had positive blood cultures, 45 (13%) patients had other positive cultures, 37 (10%) patients had positive Gram stains, and 29 (8%) patients had a resistant organism isolated.
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Mostafazadeh B1, Farzaneh E2 1 Shaheed Beheshty Medical University, Tehran, Iran; 2Ardabil medical university, Ardabil, Iran Aims: Although methemoglobinemia following aluminum phosphide (AlP) intoxication has been reported, probable effect of blood level of methemoglobin (MetHb)on outcome of AlP-poisoned patients has not yet been investigated.
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Central role for hospital pharmacists identified by Audit Commission Pharmacists have a central role to play in managing medicines effectively in hospitals, according to an Audit Commission report published this week.
Such interaction between Metformin and oral cimetidine has been observed in normal healthy volunteers in both single- and multiple-dose, Metformin-cimetidine drug interaction studies, with a 60% increase in peak Metformin plasma and whole blood concentrations and a 40% increase in plasma and whole blood Metformin AUC.
We recommend the use of Latex McFarland Standards, rather than traditional barium sulfate standards, due to their increased stability and decreased sensitivity to light; the latex standard should not be vortexed.
However, further RCTs are required before we can make definitive recommendations regarding the use of tigecycline or fidaxomicin for the treatment of complicated CDI (68).
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