China
Africa
Explore chapters and articles related to this topic
Drug-Induced and Other Acute Psychoses in an Emergency-Room Setting
Published in Ragy R. Girgis, Gary Brucato, Jeffrey A. Lieberman, Understanding and Caring for People with Schizophrenia, 2020
Ragy R. Girgis, Gary Brucato, Jeffrey A. Lieberman
Darrell, who provided the aforementioned background information, was distraught and said that he was upset that he had heard a doctor, who never actually met with her, refer to her as “psychotic” based upon perfunctory details. After our assessment, we ordered a routine set of blood and urine laboratories, discontinued the benzodiazepines, and ordered a one-time dose of 5mg of olanzapine. We also performed a spot urinalysis and noticed positive leukocyte esterase and nitrites, as well as small amounts of protein and red blood cells. Suspecting a urinary tract infection, we ordered a dose of piperacillin/tazobactam.
Piperacillin–Tazobactam
Published in M. Lindsay Grayson, Sara E. Cosgrove, Suzanne M. Crowe, M. Lindsay Grayson, William Hope, James S. McCarthy, John Mills, Johan W. Mouton, David L. Paterson, Kucers’ The Use of Antibiotics, 2017
Piperacillin–tazobactam is used for a wide variety of clinical indications. Table 17.7 summarizes the randomized clinical trial, systematic reviews, and meta-analyses that have assessed the clinical efficacy of this drug.
Application of Pharmacodynamic Principles: From Theory to Practice
Published in Robert C. Owens, Paul G. Ambrose, Charles H. Nightingale, Antibiotic Optimization, 2004
Joseph L. Kuti, David P. Nicolau
Piperacillin/tazobactam has become a popular antimicrobial in the treatment of nosocomial infectious processes and is used frequently in the institutional setting. As a result, this agent is often responsible for a large percentage of antimicrobial expenditures; therefore, any opportunity to maximize its effectiveness while reducing cost would be of interest to institutions with the drug on formulary.
Successful treatment with amoxicillin-clavulanic acid: cutaneous nocardiosis caused by Nocardia brasiliensis
Published in Journal of Dermatological Treatment, 2023
Youqi Ji, Fang Su, Xin Hong, Mengyuan Chen, Yongze Zhu, Dongqing Cheng, Yumei Ge
After admission, the patient was given anti-infective treatment with piperacillin tazobactam 4.5 g intravenously, 3 times a day for 8 days. And debridement and surface disinfection of skin lesions. On day 8 of hospitalization, we changed the antibiotic to intravenous amoxicillin clavulanic acid 1.2 g twice a day for 5 days. The lesion gradually diminished in size, permitting discharge on the 13th hospital day, followed by continued oral amoxicillin-clavulanic acid 312.5 mg three times a day for another 8 days after discharge. The total duration of antibiotic treatment was 21 days. The ulcer gradually peeled and crusted, leaving dark pigmentation (Figure 1(B)). After discharge, we suggest that the patient come back to our hospital for reexamination one month and give rehabilitation training guidance. Within one week, the patient should have a proper rest, lower limb elevation, and a small amount of indoor activities. After one week, the patient can resume normal activities if there is no obvious discomfort. Avoid strenuous exercise for 2 weeks. Avoid standing for long periods of time and heavy physical work for one month.
Pleural decortication and hyperthermic intrathoracic chemotherapy for pseudomyxoma
Published in International Journal of Hyperthermia, 2022
Viktor Proesmans, Tom Vandaele, Jan Van Slambrouck, Albert Wolthuis, André D´Hoore, Jeroen Dekervel, Eric Van Cutsem, Raphaëla Dresen, Gert De Hertogh, Karlien Degezelle, Dirk Van Raemdonck, Philippe Nafteux, Laurens J. Ceulemans
On postoperative day (POD) 4, the patient developed atrial fibrillation which was successfully treated by pharmacological reconversion using amiodarone, one day later the patient was discharged from the ICU. The last chest drain was removed on POD 10. Hospital-acquired pneumonia was suspected on POD11 based on consolidation of the left lower lobe visualized using chest computed tomography (CT), leukocytosis (19.600/microL, normal range: 4000–10.000/microL) and an elevated CRP (148 mg/L, normal range: 0–5 mg/L). This was successfully treated using piperacillin-tazobactam. On POD 20 the patient was discharged from the hospital. Further recovery was uneventful. Final pathology confirmed intrapleural pseudomyxoma and 12 negative lymph nodes. Last follow-up was 26 months after ePD and HITHOC. The patient was symptom-free, thoraco-abdominal MRI did not show recurrence of pleural or peritoneal PMP and CEA levels dropped to 1.0 μg/L.
Murine typhus
Published in Baylor University Medical Center Proceedings, 2022
Seamus Lonergan, Gowtham Ganesan, Stephen J. Titus, Kashif Waqiee Ahmed
A 37-year-old man from Texas with a history of hypertension and a previous paroxysm of atrial fibrillation presented to the emergency department (ED) with complaints of intermittent fevers, severe diarrhea, and diffuse abdominal pain for 9 days. On examination, the patient was ill appearing, but in no acute distress with normal vital signs. Mild dehydration and moderate tenderness to palpation to the right lower quadrant were noted. There were no rashes, no neurological deficits, and no nuchal rigidity. Initial laboratory exams showed a moderately elevated creatinine, slightly elevated liver enzymes, and slightly decreased platelets and no leukocytosis, leukopenia, or anemia. The electrocardiogram was normal, and a chest x-ray showed that the size of his heart was at the upper limit of normal. Computed tomography showed a large amount of fluid in the large and small bowel, along with cardiomegaly and hepatosplenomegaly. A hepatitis panel, stool cultures, Clostridium difficile testing, brain natriuretic peptide, human immunodeficiency virus screening, C-reactive protein, and erythrocyte sedimentation rate were all within normal limits. Empiric intravenous piperacillin-tazobactam was administered.