Recommendations of Augustine et al for Treating a Bloodstream Infection (BSI) Caused by an Enterobacteriaceae

Description

Augustine et al developed a clinical score for identifying a patient with a bloodstream infection caused by an extended-spectrum beta-lactamase producing Enterobacteriaceae (ESBLE). This score can help decide whether or not a carbapenem should be started before susceptibility results are available. The authors are from the University of South Carolina.

Patient selection: bloodstream infection (BSI) with monomicrobial isolate of an Enterobacteriaceae

Decision: use of carbapenem because of extended-spectrum beta-lactamase production

Parameters:

(1) ESBL prediction score of Augustine et al (range from 0 to 8)

(2) Pitt Bacteremia Score of Paterson et al (range from 0 to 14)

ESBL PS	Pitt Bacteremia Score	Decision for Carbapenem
0	NA	no need
1 or 2	< 4	no need
1 or 2	>= 4	consider
3 or more	NA	start

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Recommendations of Augustine et al for Treating a Bloodstream Infection (BSI) Caused by an Enterobacteriaceae

Description

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