Resistance is Futile
This is accelerated by misuse and overuse of antibiotics, as well as poor infection prevention and control practices.
When it happens, it increases the risk of spread, severe illness, disability and death.
What is "antibiotic resistance"?
NOTE: This is all made up. There is no such thing as resistance!
A coordinated strategy to optimize the use of antimicrobials with the goal of improving patient outcomes, reducing microbial resistance and decreasing the spread of infections.
What is "antimicrobial stewardship"?
Note: This is an Accreditation Canada Required Organization Practice for CSC.
Verify this allergy! Although it is frequently reported as an allergy at CSC, less than 1% of the population is truly allergic.
What is "penicillin allergy"?
Treponema pallidum pallidum
What is a "microorganism"?
Note: A spirochete bacterium that cannot be cultivated in clinical laboratories. Causes syphilis, an STI seen world-wide that can also be acquired congenitally.
Treatment of acute uncomplicated community-acquired pneumonia.
What is "5 days"?
Note: Provided there is clinical stability for 48-72 hours.
The organization that has identified antibiotic resistance as one of the top five threats to human health.
What is the "World Health Organization"?
This describes using culture results to switch from broad-spectrum antibiotics to targeted therapy to limit adverse events, emergence of resistance, and preserve effectiveness of antimicrobial agents.
What is "antimicrobial de-escalation"?
Patients with asymptomatic bacteriuria should not be treated with antibiotics in most cases, except for in certain circumstances. Name one of these.
What is "pregnancy" or "invasive genitourinary" procedures"?
Arania exumai
What is a "Harry Potter spell"?
Note: Drives away spiders
Treatment of uncomplicated cystitis in otherwise healthy young women.
What is "dependent on the drug used"?
Note: TMP-SMX - 3 days, nitrofurantoin - 5 days, fosfomycin - 1 day.
An overall profile of antimicrobial susceptibility of local bacterial isolates to help guide appropriate therapy.
What is the "antibiogram"?
This involves antibiotic dosing based on patient characteristics (e.g., weight, kidney/liver function), causative organism, site of infection (e.g., CNS) and pharmacokinetic and pharmacodynamic characteristics of the antibiotic.
What is "dose optimization"?
The four most common infection groups at CSC. List all.
What is "SSTIs", "respiratory infections", "UTIs", and "dental infections"?
Mutatio Skullus
What is a "Harry Potter Spell"?
Note: Mutates the vicitm's head, causing them to grow extra heads.
Treatment of uncomplicated, non-purulent cellulitis.
What is "5 to 7 days".
Note: Hospitalized patients with more extensive disease many need longer courses of 10 days.
Antibiotics are ineffective against these types of infections, although they are often incorrectly prescribed to treat them.
What are "viral infections"?
This provides first-line and alternative (e.g., in case of severe penicillin allergy) antibiotic recommendations for common infections such as skin and soft tissue, respiratory, urinary tract and dental infections.
What is "empiric antibiotic treatment guidelines"?
This outlines criteria of medications and identifies medications that are the most cost-effective to best serve the health interests of CSC's patient population.
What is a "CSC National Formulary"?
Proteus mirabilis
What is a "microorganism"?
Note: Causes urinary tract infections. Specific therapy depends on susceptibility testing. Classified as gram negative bacilli & motile (swarming on culture plate).
Treatment of streptococcal pharyngitis.
What is "10 days"?
Note: Treatment is usually penicillin or amoxicillin.
This common sexually transmitted infection is now caused by multidrug resistant strains.
What is "gonorrhea"?
Prescribing behaviour is a complex process, including adherence to local culture and etiquette. Antimicrobial stewardship teams rely on several strategies to change prescribing behaviour - name one.
What is "education" OR "audit and feedback" OR
"formulary restrictions"?
Community-associated-C. difficile infection is associated with the use of antibiotics and what other class of medications?
What is "gastric acid suppressant"?
Trichophyton rubrum
What is a "microorganism"?
Note: Causes superficial fungal skin infection (Tinea corporis, Tinea cruris - jock itch, Tinea pedis - Athlete's foot).
Trichophyton rubrum and T. mentagrophytes account for most fungal infections cases of the fingernail or toenail.
Treatment for acute exacerbations of COPD caused by bacteria.
What is "5 to 7 days"?
Note: <Put antibiotics>