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Principles in antimicrobial therapy - Pediatric Infectious Disease ...

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Step 4. Perform diagnostic tests<br />

• Every effort should be made to prove the<br />

etiology of the <strong>in</strong>fection and obta<strong>in</strong> an isolate<br />

for susceptibility test<strong>in</strong>g ESPECIALLY when you<br />

need to prescribe an antibiotic (particularly<br />

very broad spectrum coverage which can<br />

result <strong>in</strong> altered culture f<strong>in</strong>d<strong>in</strong>gs later on)<br />

• Difficult <strong>in</strong> the local sett<strong>in</strong>g, but try to DELAY<br />

hav<strong>in</strong>g to start antibiotic <strong>therapy</strong>, unless<br />

warranted cl<strong>in</strong>ically.

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