Student Accomplishment Alex Marinelli

Student Accomplishments Alex Marinelli

Alex Marinelli was praised for responding to the challenges he faced during an Advanced Pharmacy Practice Experience (APPE) rotation. Alex completed a very challenging project they have been working on at Bartlett Regional Hospital. The project focused on multi-drug resistant enterobacteriaceae, predominantly ESBL organism and the best way to report them. His findings suggested that they should blind clinicians to ESBL positive blood cultures with respect to Zosyn and Cefepime (marking them as resistant even though the breakpoints suggest susceptibility) and only show sensitivity to carbapenems. The data also showed that all other non-bloodstream ESBL, e.coli specific, infections may be treated with alternative agents to carbapenems (zosyn and Cefepime). There was also an instant when a car accident occurred, with multiple complex trauma patients. Alex and the pharmacist responded to the trauma, and the pharmacist praised Alex for being very composed, as well as an asset to a bad situation. Alex was praised with having a strong clinical background, and the clinical coordinator at the hospital encouraged students to continue working with them.