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A fever and extended stomach on Boxing Day?

19/12/2018

 
​The Microbiologist was sat at his desk Boxing Day morning authorising out results and waiting for some further work on the blood cultures before ringing them out when his oncall mobile phone went off.
 
“Hi, it’s the ED Registrar here; can I discuss a patient with you?”
 
“Of course, what have you got” answered the Microbiologist.
 
“We’ve got a chap who has recently been abroad and has presented with a fever and feeling unwell. The basic story is that he returned home from work in the early hours of this morning looking flushed and tired. His wife was worried about him, as his belly was rather distended, so persuaded him to come to the hospital. He insists this is how he normally feels at this time of year but his wife isn’t convinced.”

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Brr chilly, Frosty-mycin

12/12/2018

 
Sometimes you come across a patient who represents the perfect storm of allergies, resistance and contra-indications to antimicrobials that really make you scratch your head to come up with a way of treating them. I’m not complaining! These are the kind of clinical conundrums that stretch the brain cells and make Microbiologists earn their money
Fosfomycin

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Are prolonged infusions beneficial?

6/12/2018

 
I was recently doing a ward round on the Critical Care Unit when a Doctor from overseas who was observing on the ward starting asking questions about how we give antibiotics in the UK and why we don’t use continuous infusions. This was a really good discussion, especially as we have recently been thinking about if we should be implementing this method of antibiotic administration locally.
Prolonged infusion continuous infusion

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    Blog Author:

    David Garner
    Consultant Microbiologist
    Surrey, UK

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