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Provided by Dr Rob George, Pathology NSW, 11/10/22:  HNELHD Cumulative Antibiograms 2021 – Calvary Mater Newcastle HNELHD Cumulative Antibiograms 2021 – Hunter Valley Sector Commentary HNELHD Cumulative Antibiograms 2021 – John Hunter Hospital Commentary HNELHD Cumulative Antibiograms 2021 – Lake Macquarie Commentary HNELHD Cumulative Antibiograms 2021 – Lower Mid North Coast Sector HNELHD Cumulative Antibiograms […]

AMS- Who the blood hell are ya? Holly Jordan Shorter is Better.  Josh Davis Choosing antibiotics wisely – who really needs ceftriaxone or pip/tazo? John Ferguson SIR, what goes on in the micro lab?  Brian Chong Zoom link Meeting ID: 852 6298 1446 Passcode: Ds8wLt Talks will be published here after the series. All welcome […]

Guest posting from Dr Nicole Organ, Vascular Surgeon, HNE LHD Golden rules Maintain lower limb skin integrity – trauma avoidance, protective routine skin care Treat acute lower limb wounds/skin tears aggressively to prevent chronicity – early use of wound compression Address modifiable risk factors – superficial venous disease, obesity, sedentary lifestyle, arterial disease Use simple […]

With acknowledgement to Dr Rob George, Pathology North Antibiograms by sector and hospital: Antibiograms – 2020 – Finalised John Hunter Hospital excerpt: JHH Antibiograms – 2020 – Finalised

How can we control VRE? Ferguson ACIPC 2021 Invited presentation to ACIPC Conference – the top 3 horizontal (standard) controls are: Hand hygiene by healthcare staff Environmental  controls – REACH trial Antimicrobial stewardship – target piperacillin+tazobactam and ceftriaxone to reduce usage below 30 DDD/1000 patient-days. References Ferguson- VRE in hospitals – 2014 monograph […]

Guest posting:  Jason Trubiano, Antimicrobial Stewardship, Drug and Antibiotic Allergy Service and Centre for Antibiotic Allergy and Research, Austin Health, Victoria, Australia.  Penicillin allergies are not always lifelong. Approximately 50% are lost over five years. A reaction to penicillin during a childhood infection is unlikely to be a true allergy. Only 1–2% of patients with […]

Indications for preoperative screening for Staphylococcus aureus (MSSA or MRSA) nasal carriage and preoperative staphylococcal load reduction (HNE LHD): Open cardiac and valve procedures Shoulder, hip or knee joint total arthroplasties: primary or revision procedures Aortic work (stent and open) and all lower limb open surgery for vascular reconstructions (bypass, endarterectomy). Iliac stents (as they […]

Guest posting from Professor Josh Davis, Infectious Diseases, John Hunter Hospital, NSW and Menzies Institute , Darwin, Dr Patrick Harris , NHMRC Early Career Fellow at The University of Queensland Centre for Clinical Research (UQCCR) Carbapenemase-producing Enterobacterales (CPE),  Pseudomonas aeruginosa and Acinetobacter baumannii are usually resistant to most other antibiotics in addition to meropenem.  Treatment […]

Preoperative evaluation and perioperative care  Screen for MSSA or MRSA carriage with a single nose swab culture (repeat if surgery delayed > 1 month) Carriers of MSSA or MRSA have staphylococcal load reduction performed in the week prior to surgery Preoperative urine cultures are NOT indicated Shower on day of surgery (normal soap) Apply non-rinse […]