abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medi

How To Treat Infections Without Using Antibiotics dr shabeel pn

Disclosures ,[object Object],[object Object],[object Object],[object Object],[object Object]

My Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Your Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bottom of the R&D Barrel ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nosocomial Menace ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Community Menace ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Darwin and the Microbes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ecological Burden of Resistance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

More use of fewer effective Abx Self amplifying cycle “ Treatment Stenosis” New Infection Abx Therapy Clinical Cure Abx Stopped

Basic Tenants of Stewardship ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Antibiotic Balance - Patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Antibiotic “Co-lateral Damage” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Antibiotic Balance - Population ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Antibiotic “Co-lateral Damage”

Antibiotic Stewardship ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Summary 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Strategies for Outpatients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Infectious Syndromes to Target ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Viral or self limited bacteria Excessive Abx use

Avoid Prescribing When Safe ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sinusitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sinusitis – Primary Care RCT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sinusitis – Meta-analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Asymptomatic Bacteriuria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Asymptomatic Bacteriuria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Otitis Media ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Otitis Media ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Otitis Media ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Infection as a “Symptom” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Case Example - Cellulitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Case Example - Cellulitis Courtesy of Center for Disease Control and Prevention Image Library

Case Controlled Studies Bjornsdottir et al. Clin Infect Dis 2005; 41:1416-22 Dupuy et al. BMJ 1999; 318:1591-4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prophylaxis Pitfalls ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DO NOT OVER VALUE NON STERILE SITE CULTURES

Non Sterile Site Cultures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Colonization Contamination Disease Invasion Non Sterile Site Sample Sterile Site Sample Skin Flora – Low Virulence (e.g. CoNS, Corynebacterium sp ., Viridans Group Strep) Skin Flora – Moderate Virulence (e.g. Staphylococcus aureus , E. coli , Pseudomonas ) Professional Pathogen - High Virulence (e.g. M.tuberculosis , Brucella , Franciella ) More Less Clinical Correlation to Culture Results

A Typical Case ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DM Foot Discordance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Death to Empiric Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Community Acquired Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Acute Bronchitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TAPER TO (OR USE) NARROW SPECTRUM THERAPY

Less is More ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Community Acquired Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COPD Exacerbations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Longer Is Not Better ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Shorter Duration - Cellulitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Shorter Duration - Cystitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Shorter Duration - CAP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Summary 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medi

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Similaire à abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medi

Similaire à abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medi (20)

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abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medi