C09979263 / invoice 10000

Reason: IDEXX Urine Culture AFAppointment Notes: attached to fileRelayed to OHappy to tablet her so organising some amoxyclav to pick up and start ASAP Might be best to check urine while still on the ab and ensure it is working and then deciding how long to maintain them for - so will dispense 10days initially AEROBIC CULTUREHeavy growth:ESBL producing E.coli [1]This isolate is an extended spectrum beta-lactamases (ESBLs) producer. It is recommended that infection control measures be implemented; including contact precautions, hand hygiene, isolation and restriction of patient movement, intensive cleaning of the environment that the patient frequents and minimizing visitor contact. [1]                          Isolate 1      Cefovecin                 R  >=8         Trimethoprim/Sulph        S  <=20        Marbofloxacin             R  >=4         Amoxycillin Clavulanate   S  8           Amoxycillin/Ampicillin    R  >=32        Cephalexin                R              Enrofloxacin              R    Vital Signs