Blood Culture Results Positive

1. Initiate empiric antibiotic

  • IV Vancomycin unless otherwise specified by ID consultant

  • Await culture results for specific antibiotic selection

2.

Observe on antibiotics

  • Consider transfer to pediatric service.

  • Start CCS Application and consult social work

  • Await culture results for specific antibiotic selection

  • Repeat CRP every 48 hours

3.

Physical therapy evaluation for gait training

4. Continue IV antibiotic until clinical exam improved, WBC normalized & CRP appropriately down-trending.

Clinical Improvement?