At minimum, blood cultures and, ideally, sputum cultures should be collected prior to the first antibiotic dose, although antibiotics should not be delayed. However, recent studies have demonstrated that imposing a strict universal time to first antibiotic dose may not be as beneficial in CAP, instead predisposing to excess antibiotic use. Nevertheless, in patients with signs of severe CAP or sepsis, antibiotics should be given within the first hour of hypotension onset to reduce mortality. Quality-improvement efforts aimed at the administration of antibiotics within a certain time period have contributed to increased inappropriate antibiotic use and increased incidence of Clostridium difficile colitis. Rapid initiation of therapy is important for improved outcomes in CAP, although blanket measures to hasten treatment are not without potential negative consequences.
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While people living in the Northern Hemisphere see more meteors, the Geminids are the best of a handful of meteor showers that can be seen from right across Australia. What are the Geminids?Įach year, like clockwork, Earth travels through a stream of debris left behind by an asteroid called 3200 Phaethon.īits of dust in the debris trail burn up in our atmosphere, leaving streaks of light in the sky. "You'll see a noticeable difference once the sky is darker," he says. This year's Geminids will really reward people who are prepared to get up in the early hours of the morning, around 2-3am, after the Moon has set, says astronomer Jonti Horner of the University of Queensland. "So that means you can see them even though there's the glare of the Moon." "The nice thing about the Geminids is that they can have some really bright meteors. Typically each series or individual radio requires its own software package. Please use Google or some other search engine to find a dealer that sells the software. The various other vendors often permit their dealers to sell the software online (i.e., Kenwood). To obtain Motorola software see the Sticky in the Motorola forum. It is YOUR responsibility to properly word your request. We do not want any hurt feelings when your vague post is mistaken for a free request. If you are having trouble legally obtaining software please state so. Your PM's are not private and the administration has the right to read them if there's a hint to criminal activity. Even if you attempt to engage in this activity in PM's we will still enforce the forum rules. The same goes for any private transaction via Private Message. Making a request such as this is attempting to engage in software piracy and this forum cannot be involved or associated with this activity. All requests will be deleted and a forum infraction issued. 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