Some personal thoughts :
- Know well important bacterial pathogens such as Staphylococcus aureus, Streptococcus pneumoniae, Streptococcus pyogenes, E. coli, Klebsiella pneumoniae, Pseudomonas aeruginosa and Mycobacterium tuberculosis.
- Know your antibiotics and again, know a lot about the few that you will commonly use. Aminoglycoside and vancomycin dosing and administration require particular focus – Therapeutic Guidelines: Antibiotic , Edition 15 (Aust) is the central reference to use.
- Use microbiological testing to the best advantage. Directing therapy against a proven cause is always preferred.
- Understand how antimicrobial susceptibility is measured and the limitations of lab testing- more on this soon! Understand that the ‘in vivo‘ susceptibility test does not always get it right!
- Access local patterns of bacterial resistance (Cumulative Antibiograms) – along with TG: Antibiotic this helps to guide empirical therapy for sepsis. Be skeptical about foreign guidelines and potential conflicts of interest in those who formulate them.
- Make antibiotic therapy A I M E D to avoid a Tragedy of the Commons, from neglect of this precious resource.
- Learn more about Antibiotic stewardship. This free Dundee University online course is a good place to start!
Any other important learning objectives to get the best our of antimicrobials? Share them here