Guidelines for prescribing Antibiotics

1. Using appropriate antibiotics and dosing schedules.
2. Considering using narrow spectrum antibiotics for simple infections and restrict the use of broad spectrum antibiotics for only complex infections.
3.Avoiding unnecessary use of antimicrobial.
4.If treating empirically,revise treatment regimen based on patients progress or test results.
5. Obtaining thorough knowledge of side effects or drug interactions before prescribing antimicrobials.
6.Educating the patient regarding proper use of drug.
By,
Dr.Renju T George,
India.

Antibiotic Stewardship

Antibiotic Stewardship is an effort to measure antibiotic prescribing;to improve antibiotic prescribing by clinicians and use by patients so that antibiotics are only prescribed and used when needed;to minimize misdiagnosis or delayed diagnoses leading to under use of antibiotics; and to ensure that the right drug,dose,and duration are selected when an antibiotic is needed .
This is described by Centers for Disease Control,USA.

By,
Dr.Renju T George,
India.

Bottle gourd juice poisoning

Drinking bottle gourd juice in empty stomach is a remedy for diabetes,heart disease,constipation,liver disease,urinary problem and depression according to ayurvedic and alternative medicine.

If the bottle gourd juice is bitter don't drink it ,as it may lead to bitter gourd poisoning.
Such circumstances there will be increased levels of cytotoxic compound Cucurbitacin.

If such is consumed it causes a series of toxic reactions in gut,leading to abdominal discomfort/pain,vomiting,hematemesis,
hypotension.
Symptoms starts with in minutes and can be fatal.

How to wash your hand properly?

By,
Dr.Renju T George,
India.