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Pharmacology Rounds – Antibiotics for STI

Anand Swaminathan, MD FAAEM, Bryan Hayes, PharmD, DABAT, and Greg Moran, MD FAAEM
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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EM:RAP 2018 04 April Written Summary 535 KB - PDF

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Myla C. -

This is a bit off topic, but a colleague and I had a conversation recently, regarding wether IV ceftriaxone is just as effective as the traditional IM dose. Is there a depot effect associated with the IM route?

Bryan H. -

Dear Myla, thanks for your question. It's an interesting question without much data to guide us. A 2012 Academic Life in EM blog post addresses it with the available information: https://www.aliem.com/2012/10/trick-of-trade-iv-ceftriaxone-for/. Theoretically, an IV dose may be ok but it is not listed as an option in the CDC recommendations.

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EM:RAP 2018 April Full episode audio for MD edition 204:44 min - 285 MB - M4AEM:RAP 2018 April German Edition Deutsche 95:30 min - 131 MB - MP3EM:RAP 2018 April Canadian Edition Canadian 32:00 min - 44 MB - MP3EM:RAP 2018 April Aussie Edition Australian 14:16 min - 21 MB - MP3EM:RAP 2018 April French Edition Français 25:04 min - 35 MB - MP3EM:RAP 2018 April Spanish Edition Español 84:00 min - 115 MB - MP3EM:RAP 2018 04 April Board Review Answers 100 KB - PDFEM:RAP 2018 04 April Board Review Questions 97 KB - PDFEMRAP 2018 04 April Individual MP3 Files 258 MB - ZIPEMRAP 2018 04 April Individual Written Summaries 657 KB - ZIPEM:RAP 2018 04 April Spanish Written 1 MB - PDFEM:RAP 2018 04 April Written Summary 535 KB - PDF

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