“The idea that prolonging therapy somehow prevents resistance by eradicating every last bacterium that could result in a future relapse, now caused by resistant strains, is neither evidenced-based, nor rational…

Had a resident say “we are the doctors. you are the nurses. we put the orders in, you do it. you don’t question it.” OH. ☺️ She heard an earful. Came up later and apologized.

All about having a respectful and mindful discussion. Nurses are a valuable source of knowledge and can be a great set of people to bounce ideas off and discuss a plan moving forward. Sometimes you need to do something different - have the conversation about why.

Will be listening to this on my drive to a rural ED 6 h west of the referral quaternary centre.

For isolates resistant to amox/clav but sensitive to cefazolin, would you ever use cefazolin?? Consider 2 scenarios - simple uti and complicated bacteraemia.

Junior docs earn (I think) a reasonable wage for their long hours and, in some instances, over 8 years of university study precluding anything more than part time work. Articles in the news make it out that docs all earn >$250 k per year. We certainly don't.

#HotTip The most unwell septic patients do not have a fever. Please don’t wait til they spike one to collect cultures and check their lactate. #MedTwitter

Just like the Queensland trial, this is a recipe for disaster. I urge the NSW Government in the strongest possible terms not to expand the scope of pharmacists to allow them to prescribe antibiotics. Patient safety and wellbeing is at stake. #PatientCare dailytelegraph.com.au/news/nsw/nsw-p…

Let go of the idea that your training will ever be complete. Let go of the idea that you will ever be “finished.” Just keep training.

It is a journey that only ends when you stop. One must enjoy the journey and not just the end product (consultancy) - the end product is more training.

#CCPLU Highlights Continuous enteral nutrition leading to less continuous BMs? This Critical Care trial found ↑ risk of constipation with continuous EN compared to intermittent feeds, & no other significant differences in ADE’s #PharmICU Aaron Heffernan loom.ly/gPaYhuI

Such a good book. Many lessons that can be applied in the context of clinical decision making for medicine and patient care.

Nurses save lives. I see this all the time in the ICU. It's a curious thing - both obvious, yet also frequently overlooked. 🙏Thank you for everything that you do. #NursesWeek

Join us tomorrow at AMO Obese Patients seminar to hear about optimising antibacterial & antifungal dosing with Chair, Dr Hafiz Abdul-Aziz & speakers Jack Cross & Haifa Lyster. Register: bit.ly/3Ois2oA #UQCCR Jason Roberts Haifa Lyster, PhD 💙 CHU de Nîmes Pfizer Inc. Gilead Sciences

CRE RESPOND AMO Seminar Obese Patients - our first speaker, Jack Cross, is currently speaking on "Antibacterial dosing in obesity - clinical cases". #UQCCR Jason Roberts Gilead Sciences Pfizer Inc. UQ Pharmacy Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 UQ Medicine

Urine E.coli isolate. Sens to cefalexin, ceftriaxone, meropenem. Resistant piptaz, gent, amox/clav. What is the mechanism of resistance??