BCIDP case studies
BCIDP · Put your knowledge to work in context.
The Board Certified Infectious Diseases Pharmacist (BCIDP) credential is a specialty certification for licensed pharmacists who have built a practice in infectious diseases pharmacy - antimicrobial stewardship, clinical ID consult services, transplant and critical care ID, or outpatient parenteral therapy. It signals to employers and credentialing committees that a pharmacist can independently reason through complex microbiology, antimicrobial pharmacology, and syndrome-specific management. The BCIDP case studies are 5 cases and about 2,340 words.
1Persistent MRSA Bacteremia with Elevated Vancomycin MIC
A 58-year-old man with end-stage renal disease on thrice-weekly hemodialysis and a tunneled dialysis catheter presents with 4 days of fever and chills. Blood cultures from peripheral and catheter lumens grow MRSA in both bottles at 14 hours.
541 words, about 3 min2Empiric Therapy for Febrile Neutropenia in a Penicillin-Allergic Patient
A 34-year-old woman with acute myeloid leukemia is day 12 post-induction chemotherapy. ANC is 80 cells/mcL and falling; temperature is 38.6°C.
466 words, about 2 min3Vancomycin AUC Monitoring in Obesity and Acute Kidney Injury
A 62-year-old woman with a BMI of 44 kg/m² and a history of heart failure is admitted with cellulitis and possible osteomyelitis of the foot. She weighs 140 kg (ideal body weight ~55 kg).
473 words, about 2 min4Interpreting a Discordant Susceptibility Result and Selecting Therapy
A 70-year-old man with a chronic indwelling urinary catheter and recurrent UTIs has a urine culture growing Klebsiella pneumoniae at 100,000 CFU/mL. The automated susceptibility panel reports: ampicillin R, ampicillin-sulbactam R, ceftriaxone R, cefepime S, meropenem S, ertapenem S, gentamicin S, ciprofloxacin R, TMP-SMX R.
426 words, about 2 min5Drug Interaction and Dosing in a Patient on Warfarin and Rifampin
A 55-year-old man with a mechanical mitral valve on warfarin (INR stable at 2.5) develops a prosthetic valve endocarditis caused by methicillin-susceptible Staphylococcus aureus. He is started on IV cefazolin and rifampin 300 mg PO q8h is added for biofilm activity per ID recommendation.
434 words, about 2 min