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 […]

Originally posted on Microbiology and Infectious Diseases postgraduate teaching (PRIDA):
Guest posting from Josh Davis, Infectious Diseases Physician, John Hunter Hospital, Newcastle, NSW. Thanks Josh! He has selected the Top ID papers of 2020 Davis based on: Deal with diagnosis or Rx of infectious diseases (COVID excluded) Relevant to clinical practice Practice-changing, paradigm-shifting, or dogma-challenging
Originally posted on Microbiology and Infectious Diseases postgraduate teaching (PRIDA):
The Global Antibiotic Research & Development Partnership (GARDP) has announced the launch of their new resource, the Encyclopaedia – REVIVE (gardp.org). A great new resource! This resource includes definitions of terms from the field of antimicrobials including ‘Active Pharmaceutical Ingredient’, ‘Bacterial efflux’ and ‘Minimum…

Guest posting from A/Prof Josh Davis, Newcastle. Image credit: https://www.hepatitisc.uw.edu/go/treatment-infection/treatment-genotype-3/core-concept/all 2020

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…

The national approach to COVID-19 specimen collection is dictated by this PHLN protocol (Public Health Laboratory Network). This is the clear PHLN protocol for deep nasal/throat combined specimen collection for PCR testing. For COVID-19 specific pathology testing advice in NSW, please see Pathology, NSW direct website. For COVID-19 case statistics and testing rates by district, […]

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
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. […]