Background: Hospital antibiotic stewardship programs (ASPs) play a critical role in minimizing unnecessary antibiotic use and combating antimicrobial resistance. Although various antibiotic stewardship interventions have been described, the feasibility and sustainability of these approaches remain uncertain. Furthermore, some interventions may be challenging for smaller hospitals to implement due to informatics resource limitations. Thus, we aimed [...]

Case Presentation: A 60-year-old male with a past medical history of hypertension, hyperlipidemia, and diabetes mellitus presented to the emergency department with a progressive lower extremity rash, abdominal discomfort, and diarrhea. The patient was hospitalized five days prior for lower extremity cellulitis and was discharged on clindamycin. After discharge, he developed a bilateral lower extremity [...]

Case Presentation: We present a case of symptomatic meropenem induced cholestasis in a 57 year old male with insulin dependent diabetes complicated by polymicrobial foot ulcers that required multiple toe amputations. He presented with chief complaints of fatigue, decreased appetite, and weight loss. He was septic on arrival and was found to have wet gangrene [...]