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Infective Endocarditis — SCE Infectious Diseases MCQ

Instant feedback + full explanation. One question, done properly.

HardAntimicrobial StewardshipInfective EndocarditisSCE Infectious Diseases

A patient completes prolonged ceftriaxone through an OPAT service. Which surveillance package best detects common treatment and line complications?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Regular clinical review plus scheduled full blood count, renal function and liver tests, tailored to the agent and patient risk after susceptibility review

The best answer is “Regular clinical review plus scheduled full blood count, renal function and liver tests, tailored to the agent and patient risk after susceptibility review”. OPAT safety depends on structured clinical and laboratory monitoring; testing frequency is individualised but cannot be replaced by imaging or omitted. “Daily blood cultures despite clinical stability” is less appropriate because it conflicts with the decisive clinical feature or cited guidance. “Weekly echocardiography for every OPAT indication” is less appropriate because it conflicts with the decisive clinical feature or cited guidance. “No laboratory monitoring for once-daily drugs” is less appropriate because it conflicts with the decisive clinical feature or cited guidance. “Monthly PET-CT to confirm antimicrobial activity” is less appropriate because it conflicts with the decisive clinical feature or cited guidance.

Reference: BSAC OPAT good-practice recommendations: https://academic.oup.com/jacamr/article/1/2/dlz026/5520477