Question

17. Your patient comes in with complaints of a cut on his leg that is starting to have pus coming from the site with a foul odor (signs of infection). You know that the provider will order a broad spectrum antibiotic (clindamycin) for the patient to take until the results come back from the lab on the culture from the wound site. (1) When will you collect the culture - before or after the start of the antibiotic? (2) Name some other broad spectrum antibiotics. (3) What does “broad spectrum" mean? (4) The lab results return with MRSA. Does your patient need a different prescription or is the current prescription ok? Add some photos of wound infections and discuss how they might be treated. 18. Your patient has been taking Bactrim for 4 days as ordered. As you prepare to give her the next scheduled dose, you notice she has a rash over her body and her face seems swollen. She has been complaining of a headache that has not been relieved by Tylenol. What are your next steps? How will you educate your patient (third grade level)? Discuss foods your patient might need to avoid until further testing is conducted.

Answer 1

1. Wound culture sample should be taken before the start of antibiotic therapy. even 48 hours later after antibiotic therapy if there is no improvement in the wound infection, one more sample need to be collected.

2. Broad spectrum antibiotic means that it is active against both Gram positive and Gram negative bacteria. It is used inempiric therapy when actual casuating bacteria is unknown.

3. Ampicillin, Amoxycillin, Tetracycline, Chloramphenical, Ampinoglycoside etc.

4. 600 mg of clindamycin is effective against MRSA 3 times a day. No need to change prescription