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119715 Microbiology

An endocarditis patient under a physician’s care develops a urinary tract infection (UTI). A group D enterococcus (Enterococcusfaecium) is isolated but the UTI does not respond to ampicillin and gentamicin treatments. Which of the following options would be considered the most clinically appropriate action?

AConsider vancomycin as an alternative drug (Correct Answer)
BDetermine if fluorescent microscopy is available for the diagnosis of actinomycosis
CDo no further clinical workup
DSuggest to the laboratory that low colony counts may reflect infection
119718 Microbiology

An endocarditis patient under a physician’s care develops a urinary tract infection (UTI). A group D enterococcus (Enterococcusfaecium) is isolated but the UTI does not respond to ampicillin and gentamicin treatments. Which of the following options would be considered the most clinically appropriate action?

AConsider vancomycin as an alternative drug (Correct Answer)
BDetermine if fluorescent microscopy is available for the diagnosis of actinomycosis
CDo no further clinical workup
DSuggest to the laboratory that low colony counts may reflect infection