AIMED - Let's talk about antibiotics

Chronic venous or dependency wound golden rules from our vascular surgeon #FOAMed

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 approach…

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

ACIPC presentation - VRE control update Nov 2021 @ACIPCConference

How can we control VRE? Ferguson ACIPC 2021 final Invited presentation to ACIPC Conference

Penicillin allergy: a practical approach to assessment and prescribing

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 a confirmed…

Preoperative nasal screening for Staph. aureus carriage and load reduction (HNE LHD) @HNEHealth

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…

Antibiograms and commentaries- 2019, HNE Local Health District @HNEHealth @hneccphn

Antibiograms-2019-overview  Antibiogram-2019-John Hunter Hospital     antibiogram-2019-jhh-commentary-final Antibiogram-2019-Calvary Mater Newcastle    antibiogram-2019-cmn-commentary-final Antibiogram 2019 Hunter, Lower Hunter, Greater Newcastle Sectors including Maitland and Belmont Hospitals    Antibiogram 2019 Hunter, Lower Hunter, Greater Newcastle Commentary FINA… Antibiogram 2019 Lower…

Carbapenemase-producing Gram negatives - what are treatment options? @Josh_S_Davis @padstamundo

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…

Essential clinical care of Staphylococcus aureus bloodstream - updated guidelines and recent data @hnehealth

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 sites common: ● Vascular access device (e.g. intravenous cannula, central venous…

COVID-19 – Infection Prevention and Control literature – January 2021

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 chlorhexidine 2% aqueous wipes to skin below…

COVID-19 – infection prevention and control literature – December 2020

Top 10 Infectious Diseases papers 2020 from Prof Josh Davis

Here is Josh’s full presentation from last week. Great reading!

Talk the antimicrobial resistance lingo fluently with this excellent guide!

Useful Viral Hepatitis and HIV Prescribing PBS table (Australia) @Josh_S_Davis @ASIDANZ @ASHMmedia

Guest posting from A/Prof Josh Davis, Newcastle. 

Antimicrobial stewardship during #Covid19 Report on recent @WHOSEARO webinar #Antimicrobialstewardship #AMS #FOAMed #Antimicrobialresistance

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 to be a global threat. On May 28th, 2020,W…