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Guest posting from Mr Joe Hessell, Dr Gaetan Khim, and Mr Mona Kheng, DMDP Staff Members.  See also these recent PRIDA AMS lectures.  A high rate of antimicrobial prescribing has been recognized for those with symptoms of COVID-19, much of which is unnecessarily promoting antimicrobial resistance (AMR). Long after the pandemic subsides, AMR will continue […]

Originally posted on AIMED – Let's talk about antibiotics:
Updated 8/5/20. A. Healthcare-associated events (2018, HNE LHD ) 60 healthcare-associated SAB cases occurred with 7% due to methicillin-resistant Staphylococcus aureus (MRSA) and age-adjusted 30 day mortality of 9%. SAB relapse within 15-90 days occurred in 2.1% of adult events 7% of paediatric events. Principle…

Science Photo Library: PASIEKA

For COVID-19 specific pathology testing advice in NSW, please see Pathology, NSW direct website. The national approach to COVID-19 specimen collection is dictated by this PHLN protocol (Public Health Laboratory Network). For COVID-19 case statistics and testing rates by district, see this NSW Site. Updated 7/5/20

Amongst the anxiety and misinformation about how best to protect healthcare staff from infection and the profusion of minorly conflicting State, National and Medical Specialist society advice, it is important that healthcare organisations and staff, in particular, appreciate and apply the basics of infection prevention & control (IPC). There is good evidence from China, Hong […]

Originally posted on Microbiology and Infectious Diseases postgraduate teaching (PRIDA):
Dr Bruce Aylward also was on an Australian webinar last evening (6/3/20) – recording to follow. 2 March 20:30 GMT — Transmission details emerge from WHO China analysisCOVID China has mounted “perhaps the most ambitious, agile and aggressive disease containment effort in history” against a…

Kristi, Lorrae and Ayesha have recently joined as AIMED authors– welcome aboard. Here’s a posting from Kristi that unpacks the approach to community-acquired pneumonia (CAP) in Hunter New England Health, NSW.   In adults, the most common bacterial cause of community-acquired pneumonia (CAP) is Streptococcus pneumoniae. Other pathogens associated with CAP include Haemophilus influenzae and atypical’ […]

Guest posting from Ms Kristi Kozierowski, AMS and ICU pharmacist, John Hunter Hospital, NSW, Australia. This is a useful evidence-based summary produced for AAW 2019 – Duration FINAL Kozierowski 2019.  Usage welcome with acknowledgement. References Shorter is better : evidence review by Brad Spellberg  

This posting summarises all the work that can be found – I would welcome advice about any additional studies.  Image: Bacteroides fragilis Gram stain from http://microbe-canvas.com/. Australia Teng-JC et al. Victoria-wide data 2018: 416 isolates (Gram pos and neg), almost all were metronidazole, meropenem and augmentin susceptible. 75%  of Gram neg isolates were clindamycin susceptible. […]

Guest posting: Dr Thérèse Boyle, Immunology Advanced Trainee Registrar, Health Pathology NSW.  Anti-NMDARE (003) Boyle 2018 Take home messages- Autoimmune encephalitis is divided into 2 main categories; classic onco-neuronal encephalitis that is generally paraneoplastic, and limbic encephalitis of which anti-NMDA receptor encephalitis is one of the most common forms. Autoantibodies within these categories can causes […]

Guest posting: Assoc. Prof. Josh Davis, President, Australasian Society for Infectious Diseases. @Guru_JoshD “ID week” is a large US infectious diseases conference; this year it was in San Francisco, and had over 8,000 delegates. The most talked about trial at this conference (mentioned in at least 5 different sessions) was the Australian-led MERINO trial, an […]