Antibiomania

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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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Dallas Holladay, DO -

There was an ID where I trained who routinely advised against flouroquinalones in the elderly for exactly this reason!

Derek I., M.D. -

We diagnosed this today thanks to EMRAP!

Henrique Puls -

Had a patient with no prior psychiatric history who took one dose of amoxicillin-clavulanate and started with positive psychotic symptoms about one to two hours later. The symptoms resolved a few hours later. I saw her at an urgent care the day after that. She went there because she wanted to know if she could keep taking amoxicillin-clavulanate.

- Can this happen just a few hours after the first dose of an antibiotic?
- Do these patients need to avoid the offending drug on next occasions?

Best,
Henrique

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