Generated Narrative with Details

id: obs-402

identifier: obs-402

status: final

code: Stool Culture (Details : {LOINC code "625-4" := "625-4", given as "Bacteria identified in Stool by Culture"})

subject: Todd Lerr

effective: 12/5/2014

issued: 12/6/2014 3:42:15 PM

value: Shigella flexneri isolated (Details : {SNOMED CT code "85729005" := "85729005", given as "Shigella flexneri"})

interpretation: Abnormal (Details : {http://hl7.org/fhir/v2/0078 code "A" := "Abnormal)

comments: Antibiotic treatment is recommended for patients with severe disease, bloody diarrhea, or compromised immune systems. Resistance to traditional first-line drugs like ampicillin and trimethoprim-sulfamethoxazole is common, and resistance to some other antibiotics is increasing. With this in mind, antibiotic susceptibility testing can help guide appropriate therapy. When an ampicillin- or trimethroprim-sulfamethoxazole-resistant strain is isolated, choices for therapy include fluoroquinolones, ceftriaxone, and azithromycin.

specimen: Blood sample