Roula Baroudi, MD


Clostridium difficile: Which Test to Order and How Often?

October 21, 2013

Which test should you order if you suspect Clostridium difficile infection-and how often do you check the stool for the C difficile toxin? Here: the answer-and explanation.

Clostridium difficile: Always the Usual Suspect?

October 04, 2013

When patients develop diarrhea in the hospital within 48 hours after admission, it is most likely antibiotic-associated diarrhea, including CDAD.

Should Vancomycin-Resistant Enterococci in Stool Be Treated?

September 28, 2013

Both VRE and vancomycin-sensitive enterococci are considered normal flora in the human intestine.

Quinolone Antibiotics: Still Reliable Against Gram-negative Species?

September 20, 2013

Escherichia coli resistance to quinolone antibiotics increased 5-fold between 2000 and 2010.

What Alternative to Penicillin in the Allergic Patient?

September 13, 2013

Imipenem/cilastatin may be used in patients who have mild allergy to penicillin.

If Meningitis Is Suspected, When Is a Lumbar Puncture Indicated?

September 05, 2013

Lumbar puncture in cases of suspected meningitis should be performed before CT scan.

Cellulitis in Patients With Diabetes: Strep or Staph?

August 22, 2013

In patients with diabetes who do not have foot ulcers, cellulitis is most often caused by Streptococcus and only occasionally by Staphylococcus species.

Staphylococcus aureus in the Urine: What to Do Next?

August 16, 2013

Staphylococcal bacteria found in the urine should prompt a search for a primary source of infection.

Bacteremia Battle: How Long to Treat MSSA or MRSA?

August 10, 2013

Patients with MRSA or MSSA should always be treated for at least 2 weeks with IV antibiotics.

Anaerobic Coverage: Does Double Equal Trouble?

August 01, 2013

Double anaerobic antimicrobioal therapy is unnecessary and exposes patients unnecessarily to unpleasant adverse events.