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AIMED stands for five essential principles that seek to optimise patient treatment with antimicrobials (antibiotics). Antimicrobial stewardship 101 – excellent overview from McKenzie, Rawlins and Del Mar in Australian Prescriber.

We focus on practical discussions and guidance concerning AMS topics that are relevant to hospital and community practice. We’d appreciate your feedback and suggestions – using this very short survey. Thank you,  Sim and John


“Antimicrobial resistance is a danger of the utmost urgency. This year will be a pivotal one…We have a global action plan. What we need now is the action” Margaret Chan, WHO Director – General addresses the Executive Board. Report by the Director-General to the Executive Board at its 138th Session Geneva, Switzerland. 25 January 2016


We’ve previously addressed this topic here.   It’s certainly the case that chronic skin ulcers (leg or elsewhere) drive an enormous amount of antibiotic prescribing, perhaps because these ulcers are so hard to heal and a degree of therapeutic impatience occurs. The annual survey of chronic wounds last year in our health district indicated that 28% of inpatients […]


Chemical engineers at Boston’s Laboratory for Biomaterials have created a single-application bioengineered gel that could deliver a full course of antibiotic therapy for paediatric middle ear infections. While current Australian guidelines state that the vast majority of children do not need antibiotics for otitis media, the gel is claimed to offer hard-to-treat cases a “safer […]


A frequent issue is deciding whether a patient with a “penicillin allergy” can safely be given a cephalosporin antibiotic – what is the real risk of cross reaction and is it much less for third generation agents such as ceftriaxone? A recent publication in Prescriber Update from Medsafe New Zealand succinctly analyses cross-reactivity amongst beta-lactam antibiotics in the light […]


If you have a curiosity about what actually goes on in a medical pathology lab. and matters pathological, then this is the site for you. There are fabulous clinical case presentations with detailed pathological correlation (many great photos) –  just the thing for medical post graduate students but also great for others involved with diagnosis and treatment […]


Amoxicillin+clavulanate is an important broad spectrum agent that includes Gram negative anaerobic coverage (see below). We rely on it for a variety of complex infections, often as a second line. Compared with amoxycillin alone, the incidence of gastrointestinal, hepatic and haematological side effects is significantly higher for amoxicillin+clavulanic acid. It may be associated with a higher […]


The World Health Organization (WHO) has strengthened its advice on preventing sexual transmission of the Zika virus. The interim guidance report recommends that both men AND women practice safe sex for six months after returning from an area where an infection is present, even if they have no symptoms. The previous guidelines, published in June 2016, stated […]


Are you following best practice in the management of boils or recurrent skin infection?  We’ve previously addressed this matter detailing a NEJM study that indicated that a majority of US doctors surveyed use incision and drainage only. This recent Australian study investigated treatment of community staphylococcal skin abscesses by GPs and showed that a majority do not follow […]


The CIDRAP Antimicrobial Stewardship Project (ASP) is an initiative based out of the University of Minnesota that offers freely available, high-quality information and educational resources on antimicrobial stewardship practice, research, and policy. It features a dynamic, content-rich web site designed to actively engage a diverse, international audience.  Online features include podcasts with Advisory Committee members, […]