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 Best of Five 5

 

   

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BOF: 5

A 32-year-old female patient has had multiple resections of the bowel on account of recurrent Crohn's disease. This has resulted in intestinal failure and she is dependent on home parenteral nutrition.
She has a Broviac catheter inserted for central venous access. She presents with fever accompanied by chills and rigors.
No physical signs are demonstrable.
Cultures taken both centrally and peripherally demonstrate the presence of methicillin-sensitive Staphylococcus aureus.

Your next course of action would be

a) Treatment with intravenous vancomycin for 14 days followed by repeat cultures

b) Treatment with intravenous teicoplanin for 14 days followed by repeat cultures

c) Determine the antibiotic sensitivity prior to commencing antibiotic treatment

d) Do not use the intravenous line until the infection has been successfully eradicated.

e) Remove the intravenous line

 

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