Approach to Antimicrobial Prescribing
Dr. Spellberg’s video recording for grand rounds:
Short Course Antibiotic Therapy. Youtube [internet]. Los Angeles County, University of Southern California; October 13 2022 [cited October 20 2022]. Available from Short Course Antibiotic Therapy – YouTube.
Link to Dr. Spellberg’s antibiotics website: Shorter Is Better | mysite (bradspellberg.com)
Access the National Prescribing Curriculum (NPC) here https://learn.prescribing.edu.au/
NPC course: https://learn.nps.org.au/
Preamble:
Differences in terms used:
- Optimising vs Optimizing
- Multi-resistant gram-negative (MRGN) organisms vs. ??? Multi-drug resistant organisms
- Australian suburban hospital → Canadian suburban hospital
- Emergency Senior Registrar → Senior Resident
- General practitioner → Family doctor
- Loin → Flank
- EMMS / NIMC vs EMR / patient chart
Therapeutics:
- 7-10 days therapy is usually sufficient for targeted therapy. No need for 14 days
Resources:
- IDSA guidelines
- Antimicrobial Stewardship resource
- C. diff risk with broad spectrum use