Antibiograms and commentaries – 2021 data Hunter New England LHD
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 […]
Antibiograms and commentaries- 2020, HNE Local Health District
With acknowledgement to Dr Rob George, Pathology North Antibiograms by sector and hospital: Antibiograms – 2020 – Finalised John Hunter Hospital excerpt: JHH Antibiograms – 2020 – Finalised
2017 Cumulative Antibiograms are released – HNE, MNC and Northern NSW
Cumulative antibiograms provide a summary of current bacterial antimicrobial susceptibility for key pathogens in urine and non-urine specimens. Treatment recommendations based on Therapeutic Guidelines, Antibiotic, Edition 15, 2014 are included in the commentaries. These are prepared by Pathology North, Microbiology for Hunter, New England, Northern NSW and Lower Mid-north coast regions. The detailed antibiogram reports are […]
2016 Hunter New England LHD Cumulative Antibiograms just released
Cumulative antibiograms provide a summary of current bacterial antimicrobial susceptibility for key pathogens in urine and non-urine specimens. Treatment recommendations based on Therapeutic Guidelines, Antibiotic, Edition 15, 2014 are included in each report. These are prepared by Pathology North, Microbiology for Hunter, New England and Lower Mid-north coast regions. The antibiogram reports include analyses of […]
Wasted spectrum 101 – amoxicillin+clavulanate overuse
Amoxicillin+clavulanate (Augmentin) 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 […]
Hunter New England Cumulative Antibiogram Updates reflecting 2015 isolate data
Hot of the press – our updated antibiograms with commentaries – revised format. Some take home messages from these analyses: Gentamicin retains excellent coverage of aerobic Gram negative bacteria and remains the best choice for empirical Gram negative cover, as reflected in the Australian Therapeutic Guidelines: Antibiotic recommendations. The proportion of non-urinary isolates of Staph. aureus […]
Recurrent community-acquired Clostridium difficile infection (CDI) – what to do?
A call from a local GP last week – 53 year old woman who was given a course of oral amoxycillin+clavulanate for respiratory infection and then developed moderately severe enteritis associated with CT evidence of colitis. Stool testing for C. difficile toxin genes was positive, confirming a diagnosis of CDI. She responded to a 10 day course […]
What are cumulative antibiograms ?
Antibiograms summarise local antimicrobial susceptibility in order to guide appropriate antimicrobial prescribing. Ideally they are updated annually by microbiology services to provide a current picture of bacterial susceptibility and the local incidence of key sentinel resistant pathogens.
Anaerobic susceptibility data – Australia and New Zealand – updated 2019
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. […]