Clinical scenario for the part 2 FRCPath – Urine culture growing Staphylococcus aureus

S Holmes, 43 Y, M

Clinical details: Dipstick positive for blood

Antibiotic: None; Allergy: None

Sample for GP surgery (community)

Sample Catheter urine

Growing Staphylococcus aureus

Sensitive to cefoxitin/oxacillin, nitrofurantoin, trimethoprim, amikacin, gentamicin, ciprofloxacin, erythromycin, clindamycin, tetracycline, vancomycin, teicoplanin, linezolid, daptomycin. Resistant to penicillin.

Question:

Write interpretative comment(s).
Which antibiotics would you release, if any, and why? (expect a discussion here about the merit of releasing antibiotics and effective antibiotics)

See the answer here.

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