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'zilla,
Question about the Decadron? Is there any discussion about the effect of the anti-inflammatory on the penetration of the Vanco, and resultant CSF concentrations? I know there is a bit of conflicting literature out there on the subject, but most of it is just observational studies. If this patient had risk factors indicating a resistant strep, would there be any thought to withholding the steroid? Also, if the cultures returned without any growth, or indicating another organism, do you still continue the Decadron?
I am aware of what the guidelines say, but I'm still wondering if any of this was discussed, or if the data are too powerful now for there to be any doubt.
Thanks,
SR
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