A 65-yo man has been hospitalized for 10 days after an initial planned admission

Question

A 65-yo man has been hospitalized for 10 days after an initial planned admission for CABG surgery. The stay has been complicated by mediastinitis for which he received antibiotics but subsequently developed C. difficile colitis. He is currently receiving oral vancomycin for treatment of C. difficile when a blood culture reports the growth of MRSA in multiple bottles. He received vancomycin intravenously in the past but says he developed an “allergy” only during the infusion that resolved [consisted of flushing and gastrointestinal distress]. How will you manage this patient's MRSA bacteremia?

Continue oral vancomycin for C. difficile and add vancomycin intravenously for MRSA

Continue oral vancomycin for C. difficile and add imipenem [Primaxin] intravenously for MRSA

The patient cannot receive vancomycin in any form due to allergy

Continue oral vancomycin [it will provide coverage for both C. difficile and MRSA]

Explanation / Answer

The answer is: The patient cannot receive vancomycin in any form due to allergy

Explanation:

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