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CME/CE Released: 12/21/2010
Valid for credit through: 12/21/2011
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A 55-year-old man with diabetes and hypertension is admitted to the hospital for coronary artery bypass graft (CABG) surgery. He has a left internal mammary artery graft to the left anterior descending artery and saphenous vein grafts to the left circumflex artery and right coronary artery. The procedure is completed in 3 hours. Postoperatively, his blood glucose levels were > 300 mg/dL on 3 occasions. While he was in the intensive care unit, a routine nasal swab was taken for Staphylococcus aureus screening. He was found to be colonized with methicillin-resistant S aureus (MRSA) susceptible to vancomycin, clindamycin, trimethoprim/sulfamethoxazole, linezolid, and tetracycline. He did well and was discharged to home on postoperative day 6.