Antibiotic Stewardship Workshop by Dr. Jason Profetto
Join Dr. Jason Profetto in this workshop where cases like Mary's pneumonia, Giovanna's UTI, and Kamlesh's cellulitis are discussed. Explore antibiotic choices and decision-making in these scenarios.
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Presentation Transcript
Antibiotic Stewardship Workshop Dr. Jason Profetto, BKin, MD, CCFP
Case 1: Mary 40 year old female 3 days of cough and feeling unwell She is concerned that she has pneumonia
Case 1: Mary As a group, come up with 3 additions things that you wish to do/ask/order
Case 1: Mary Would you treat with an antibiotic? Which one would you choose?
Case 1: Abx Choices Amoxicillin/Penicillin (B-Lactam) Doxycycline (Tetracyline) Clarithromycin/Azithromycin (Macrolide) Moxifloxacin/Levofloxacin (Resp Fluoroquinolone)
Case 2: Giovanna 75 year old female 1 day of dysuria, urgency and frequency Concerned she has an urinary tract infection
Case 2: Giovanna As a group, come up with 3 additions things that you wish to do/ask/order
Case 2: Giovanna Would you treat with an antibiotic? Which one would you choose?
Case 2: Abx Choices Nitrofurantoin (Macrobid) Amoxicillin TMP-SMX (Septra) Fosfomycin Ciprofloxacin (Cipro)
Case 3: Kamlesh 60 year old female 7 days of a growing rash on her right leg It s red and painful You are concerned about cellulitis (infection of the subcutaneous lair of skin)
Case 3: Kamlesh As a group, come up with 3 additions things that you wish to do/ask/order
Case 3: Kamlesh Would you treat with an antibiotic? Which one would you choose?
Case 4: Abx Choices Cephalexin (Keflex) - cephalosporin Clindamycin - lincosamide TMP-SMX - sulfa Ciprofloxacin - fluoroquinolone Amoxicillin-Clavulinate (Clavulin)
Learning points? The role of clinical questions The role of diagnostic tests The role of antibiotics
Pieces of advice: Contextualize Don t try to learn Abx all at once There are many nuances There are many misconceptions
Dont do this: Amoxicillin Penicillin Clavulin Levofloxacin Ciprofloxacin Moxifloxacin Keflex Macrobid Septra Etc
Do this: UTI Sinusitis AOM Strep Throat Pneumonia Sinusitis Cellulitis Diverticulitis Bacterial gastroenteritis Etc
