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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.

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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 […]

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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 […]

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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 […]

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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, […]

AURA

The Australian Commission on Safety and Quality in Health Care (ACSQHC) recently released AURA 2016 – Australian report on antimicrobial use and resistance in human health. This detailed report analyses diverse existing national sources of data and underpins Australia’s recently released ‘One-Health‘-style National Antimicrobial Resistance Strategy 2015-2019  and will serve as an important baseline for future AMR […]

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Candidal bloodstream infection represents a high risk infection, even for immunocompetent patients. Mortality is significant even for IV line-associated candidaemia.  Blood cultures are seldom contaminated by fungi and any patient with an isolate must be subjected to careful clinical assessment. Our comment serves to give a few reminders that follow on from the liaison between the […]

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This year during Be Medicinewise week the National Prescribing Service (NPS) is encouraging clinicians to promote Australians taking charge of their health by being medicinewise, and raising awareness on the importance of having conversations about medicines. Be Medicinewise week (last week!) suggested clinicians ask patients to keep in mind 3 key pieces of advice to take control […]

HCV

Guest posting: A/Prof Josh Davis, Infectious Diseases Physician, John Hunter Hospital,  NSW, Principal  Research Fellow, Menzies School of Health Research, NT, Australia. Hepatitis C Virus ID_Micro tute August 2016 HCV treatment John Hunter Hospital ID meeting 2016

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66 year old woman with 12 month history of itchy red  legs. She dated the start of the problem from an excision of a skin lesion from the left shin.  She notes persistent redness occurring over both lower legs, more marked on the left side, and this has been associated with marked itchiness after showering. […]

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National Case Study – Otitis Media: Clarifying the role of antibiotics – this was released by NPS-MedicineWise in May 2016. The expert commentary is provided by Prof. Chris Del Mar. The case study is customised for the profession of the participant: GP, Pharmacist, Nurse or ‘other’. Other case studies of interest from NPS:  Urinary tract infections: […]