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Sepsis

alekhyab

New member
Profession
Doctor
Country
India
We have a 27year old male patient with h/o alcohol consumption since 5years . Currently admitted with abdominal discomfort, distension and jaundice since 1month and fever since 1 week . On admission he was hemodynamically stable and was started on ceftriaxone suspecting sepsis. His ascitic fluid analysis was s/o High SAAG low protein, TC-400,DC-neutrophil(200 cells ), mesothelial cells (200). CECT abdomen -chronic calcific pancreatitis with Hepatomegaly and mild ascites . In the view of persistent fever and worsening TLC antibiotics were hiked up to Meropenem and metronidazole, however fever spikes are persistent even on Day 7. Repeat imaging showed no evidence of collection/abscess . What should be the antibiotic rationale in this patient
 
Hello,
1.Hold inj metro at first place. Injection Meropenem is enough for anaerobic coverage.
2. Send Ascitic fluid C/s and blood c/s and modify antibiotics as per the sensitivity
3. Look for any other foci of infection.
Thank you
 
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