00:01
Which of these violates the good microbial stewardship? so a, aggressively treating necrotizing fichitis with broad spectrum antibiotics.
00:12
B, screening a microbiota to detect resistance genes for a prescribed antibiotic.
00:18
C, using clindermicin for empiric treatment of patients with a fever, a cough and a headache.
00:25
D, prescribing rest and fluids for a teenager with gastroenteritis.
00:31
Or e, using vancomycin based on sensitivity of a staphyloccus -orius isolate.
00:38
Okay, so the idea of good antimicrobial stewardship, this is basically not overusing antibiotics.
00:50
Okay, so to avoid antibiotic resistance, we don't overuse antibiotics.
00:58
So you only use antibiotics when they are actually needed.
01:01
So, for example, if we look at d, this is a teenager with a viral infection, antibiotics are not going to help this person.
01:09
They don't work on viruses.
01:11
So they absolutely should not be given antibiotics.
01:14
And it's pointless.
01:15
And as we see, they have not been given antibiotics.
01:18
So that's good.
01:19
That is keeping with antimicrobial stewardship.
01:22
If we look at a, we're using broad spectrum antibiotics, so nothing too specific.
01:30
And this is a person with a very important.
01:32
Very severe condition, necrotizing fascius, it deserves treatment.
01:38
It's not something where you can leave it and they'll get better on their own.
01:41
So this is absolutely fine.
01:43
It's fine to treat your patients if they need treatment.
01:47
Looking at b, so this is actively looking for resistance genes...