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1. Question
The new vancomycin trough level was ordered pre-4th dose of the new regimen. It came back 16.5 mg/L. Blood culture susceptibility report is out, and the results are below:
Blood: Staphylococcus aureus (Positive 2 of 2 sets of blood cultures)
Cloxacillin – S
Cefazolin – S
Vancomycin – S
A bone scan and a WBC scan were done for this patient, both of which confirmed osteomyelitis. An ECHO was done as well and showed infective endocarditis. Would you recommend any treatment changes after these results?
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