Welcome Note: Dr. Ravinder from Medical Learning Hub welcomed the esteemed speaker, Dr. P Senthur Nambi,Dr. M.N. Siva Kumar along with the participants.
Common infections in outpatient settings by Dr. P Senthur Nambi ,Senior Consultant, Infectious Diseases, Dept. of Infectious Diseases, Apollo Hospitals, Chennai, the session covered:
OP Infection Syndromes
Common undifferentiated infections: Dengue, Typhoid, Malaria, Leptospirosis, Scrub Typhus.
Classify fever as undifferentiated or localized (e.g., respiratory, GI, GU, skin) to guide diagnosis and treatment.
Above diaphragm infections: Use Amox-clav, Azithro, or Ceftriaxone to cover Streptococcus, H. influenzae, Pneumococcus.
Below diaphragm infections: Use Cefixime, Nitrofurantoin, or Pip-taz to cover E. coli, Klebsiella, Anaerobes.
Case Studies
Acute Gastroenteritis : When not to use antibiotics?
Avoid Unnecessary Antibiotics: No antibiotics for mild, non-bloody diarrhoea without systemic symptoms
UTI Treatment Strategy
CBC Clues for Diagnosis
Empiric Therapy for Undiagnosed Fever
Key Takeaways:
Prioritize syndromic diagnosis
Consider local epidemiology
Start early, rational empirical treatment for community-acquired fevers
AMR and its impact on treatment choices by Dr. M.N. Siva Kumar, Head - Institute of Critical Care Medicine, Royal Care Super Specialty Hospital, Coimbatore, the session covered:
AMR is a growing global threat : responsible for 1.27 million deaths/year, with India leading in cases and antibiotic use.
Antibiotic resistance is rising : Common bacteria like E. coli, Klebsiella, Pseudomonas, and Acinetobacter are becoming harder to treat.
ICMR 2023 data shows:
88% resistance in Acinetobacter
34% E. coli are NDM-positive
38% Pseudomonas are difficult to treat
Case studies :patients with UTI, H1N1, CRAB, MRSA, and Candida auris needed advanced or last-line treatments.
Overuse of antibiotics in mild conditions like non-bloody diarrhea or asymptomatic candiduria should be avoided.
PAN-resistant infections are a threat : few drugs are left, and some are not available in India (e.g., cefiderocol).
Prevention is key : ICU design, hand hygiene, limiting invasive procedures, and patient isolation can reduce AMR spread.
Antibiotic stewardship is essential : Follow hospital policies, local antibiograms, and review antibiotic use regularly.
Kerala’s AMR model : Prescription-only antibiotic sales, state antibiogram, and antibiotic-smart PHCs.
Q&A Session: Participants actively engaged in a Q&A session moderated by Dr. Ravinder, where Dr. P Senthur Nambi and Dr. M.N. Siva Kumar, addressed queries and shared expert insights.
Closing Remarks: Dr. Ravinder concluded the session with a vote of thanks, appreciating the speaker and participants for their valuable contributions.
We wish you a great learning experience!
Theme Topic: Antibiotic Stewardship Across Care Settings: Balancing Access and Resistance
- Welcome Note: (5 mins)
- Session 1: Common infections in outpatient settings - Dr. P Senthur Nambi ,Senior Consultant, Infectious Diseases, Dept. of Infectious Diseases, Apollo Hospitals, Chennai : (20 mins)
- Session 2: AMR and its impact on treatment choices- Dr. M.N. Siva Kumar, Head - Institute of Critical Care Medicine, Royal Care Super Specialty Hospital, Coimbatore : (20 mins)
- Q&A Session: (10 min)
- Vote of Thanks : (5 mins)
- Consultant
- Family medicine
- Pediatricians
- ENTs
- GPs
