Antibiotic Discharge

A 35-year-old pregnant patient is admitted to the ED complaining of flank pain and hematuria. After being admitted inpatient, she was started on Rocephin 1 g Q24H. After 2 days of treatment, the patient was discharged due to symptomatic improvement. The provider plans on discharging her with Cephalexin 500 mg TID given the susceptibility report. What should the duration of the prescription be?

• 1 day

• 12 days

• 7 days

• 3 days

A 57-year-old male with a past medical history of liver cirrhosis has signs of bacterial pneumonia in the ED. He is being discharged on cefuroxime 500 mg BID for 5 days + azithromycin 500 mg x 3 doses. What type of coverage does cefuroxime and azithromycin have, respectively?

• Staph, strep, respiratory gram (-); atypicals

• Staph, strep, respiratory gram (-); anaerobes

• Staph, strep; anaerobes

• Respiratory gram (-); atypicals

A 28-year-old male presents to the Adventhealth Millenia Freestanding ED © with a swollen cutaneous abscess, slight fevers, nausea, and a past medical history of MRSA. The patient is worried about preparing for a flight the next day and doesn’t want to pick up prescriptions at the Target that the intern Leena runs. After the abscess is drained, what is the best treatment option for this patient?

• Penicillin VK 500-1000mg every 6 hours for 5 days via Kiosk ©

• No further treatment needed

• Clindamycin 450 mg TID for 7 days via Kiosk ©

• Dalbavancin 1500 mg IV x1 dose

A 69-year-old female is presenting in the ED with poor appetite & abdominal pain after eating. Her past medical history includes an H. pylori infection that was treated with vonoprazan, amoxicillin, and clarithromycin. If the patient turns out to be H. pylori positive, what is her best treatment option?

• Rifabutin triple therapy

• Probiotics

• Optimized bismuth quadruple therapy

• Levofloxacin triple therapy

A 7-year-old, 20 kg female is presenting to the ED with thick, colored drainage in the nose, slight fevers (100.5°F), and pain around the sinuses. What is the high dose regimen that the patient should be discharged with?

• Augmentin 2 g/125 mg BID for 5 days

• Augmentin 875/125 mg BID for 10 days

• Levofloxacin 200 mg QD for 7 days

• A high dose regimen is not indicated for this patient