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Mrs. Randazzo is an elderly woman admitted to the hospital from a nursing home with a
diagnosis of sepsis secondary to a urinary tract infection (UTI). She has been receiving
piperacillin (Pipracil) for 24 hours and her temperature chart is showing a downward trend. The
lab calls you with the initial results of the blood culture and states that gram-negative rods grew
in two of three culture tubes. Do you need to call the attending physician for a change in
antibiotic? Why or why not?

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