LO is a 39yo M receiving his chemotherapy on the oncology un…
LO is a 39yo M receiving his chemotherapy on the oncology unit at the hospital. The nurse calls you to tell you that the patient has had a fever of 103.4°F for the last 4 hours. You quickly recognize the patient should be started on antibiotics and contact the MD. Prior to initiating therapy, the oncologist orders the following labs, cultures, and tests. CMP- normal, ANC =100 PE: Unremarkable, except PICC line insertion site is erythematous, swollen, warm, and there is pus present Microbiology: Blood Cx x 2, pending Wound culture (PICC insertion site): G+ cocci in clusters Urine Culture: no growth to date Urinalysis: leukocyte esterase (-), Squamous epithelial cells (-), WBC (-) Chest x-ray: no infiltrates or effusions Patient is currently on Cefepime monotherapy Based on the information you have above, you decide to modify the patient’s therapy. Which of the following is the best answer?