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Confused by that resistance pattern and when you can use piperacillin-tazobactam?

See the memo link from the DUHS Clinical Microbiology Laboratory with updates to current reporting for E. coli, Klebsiella pneumoniae, Klebsiella oxytoca, and Proteus mirabilis. 

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DUHS COVID-19 Tracking Dashboard

Visit the DUHS COVID-19 Dashboard to stay informed on COVID-19 metrics including current inpatient census, positive testing rate, and overall DUHS COVID-19 trends. 

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Treatment guidance for the Emergency Department

The Duke Antimicrobial Stewardship & Evaluation Team has collected several frequently used clinical references on a single page to serve as a helpful resource. 

Have further questions?? Call 919-485-1736 or page 919-970-3521 to chat with an Infectious Diseases Pharmacist! 

 

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Guideline for Therapeutic Management of Adult Patients w/ COVID-19

DUHS COVID-19 guideline for therapeutic management (e.g., remdesivir, EUA baricitinib) of adult inpatients can be found ---> here!

Have further questions?? Call 919-485-1736 or page 919-970-3521 to chat with an Infectious Diseases Pharmacist! 

 

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Is Your Patient Penicillin Allergic?

Did you know that a patient with a reported pencillin allergy has been correlated to higher costs, increased risk of antibiotic resistance, and worse patient outcomes? 

Take Action! Careful evaluation of antimicrobial allergy and prior tolerance history is essential to providing optimal treatment - follow the link to learn more!

Have further questions?? Call 919-485-1736 or page 919-970-3521 to chat with an Infectious Diseases Pharmacist! 

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Improve antibiotic prescribing by incorporating these four moments:

    1. Does this patient have an infection that requires antibiotics?  
    2. Have I ordered appropriate cultures before starting antibiotics?
    3. A day or more has passed. Can I stop antibiotics? Can I narrow therapy? Can I change from IV to PO?
    4. What duration of antibiotic therapy is needed for this patient's diagnosis? 

 

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Shorter is Better!

What is the BEST duration to effectively treat and minimize unintended consequences of antibiotics?? 

View our Targeted Antibiotic Duration document. We consolidated hundreds of pages of guidelines into 2 pages for easy reference! 

Have further questions?? Call 919-485-1736 or page 919-970-5321 to chat with an Infectious Diseases Pharmacist! 

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Uncomplicated Gram-negative Bacteremia Guideline

E. coli is the most common bloodstream pathogen at DRAH.

Check out our updated Treatment Guideline here which includes antibiotic selection, optimal duration of therapy, when to use oral therapy, and need for repeat blood cultures.  ​

Have further questions?? Call 919-485-1736 or page 919-970-3521 to chat with an Infectious Diseases Pharmacist! 

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Welcome to Duke Raleigh CustomID®

Duke CustomID® is a decision support tool intended to provide clinicians with institution-specific, accessible, easily customizable information about the diagnosis and treatment of infectious diseases.

Duke users with a NetID have full access while online with the Duke Health network. Remote access requires a secure connection via citrix.duke.edu or VPN. Learn more here.

Helpful tip: CustomID® is a web app viewable from most internet browsers, desktop or mobile. Save time by creating a browser bookmark or a shortcut to your desktop/mobile device. For desktop, click the icon on the left side of the address bar and drag to your desktop. For your mobile device, follow phone guidance to add shortcut to your home screen or create a browser bookmark.

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