For this round of EM ID, Patrick Bafuma interviews Dr. Sandra Gompf who specializes in infectious disease and has Gompf's ID Pearls. They focus primarily on delirium, indwelling Foley catheters, and callbacks.
What do we do about cultures and what about callbacks?
Common blood contaminants include:
Gram negative bacillus, staph aureus, and yeast SHOULD NOT be assumed to be contaminants!
Do you treat the “asymptomatic” men differently than women?
Bottom line on asymptomatic bacteruria (ASB)
Exceptions to not treating ASB
Should we culture everyone?
Treatment of symptoms with NSAIDs or phenazopyridine (Pyridium or AZO)?
Colonization and indwelling catheters
Delirium and UTIs
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