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ARTICLE

Is Greater BSA Use for Sepsis, Bacteremia Affecting HO-CDIs?

NOV 09, 2017 | ALYSSA B. CHRISTENSEN, PHARMD, AND VIKTORIJA O. BARR, PHARMD, BCPS-AQ ID

Conclusion

Studying the impact of antibiotics for sepsis is difficult due to the multiple confounding factors, such as severity of illness, time to diagnosis, length of stay, and availability of adequate control groups. Current evidence suggests that antibiotic selection for sepsis can have a severe impact on the rate of CDIs. Vancomycin and piperacillin/tazobactam appear to be low-risk antibiotics for the development of CDIs, whereas cephalosporins and fluoroquinolones carry a much greater risk. Use of BSAs for sepsis requires a delicate balance between appropriate empiric therapy and prevention of CDIs. Further studies are needed to quantify the risks associated with antibiotic use in sepsis, identify patients at greatest risk of CDIs, and establish effective de-escalation practices. 
 
Dr. Christensen is a clinical assistant professor at the University of Illinois at Chicago, Illinois, and an infectious diseases pharmacist at OSF Saint Anthony Medical Center. She earned her PharmD from Rosalind Franklin University, completed a PGY-1 pharmacy practice residency at Legacy Health, and a PGY-2 infectious diseases residency at Northwestern Memorial Hospital. She is an active member of SIDP.

Dr. Barr is an assistant professor of pharmacy practice at Rosalind Franklin University North Chicago, Illinois and practices at Northwestern Memorial Hospital Chicago. She earned her doctor of pharmacy degree at Drake University College of Pharmacy. She completed her PGY- 1 pharmacy practice residency at Parkview Health and her PGY- 2 infectious diseases residency at the Detroit Medical Center. She is an active member of SIDP.

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