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. 

No tobacco day

Environmental Day

Environmental day is on June 5.

 This year's 2018 theme is "Beat Plastic Pollution".

India is the global host for this.
The main emphasis for this is to ban the use of plastic carry bags.
Already 18 states across India had ban plastic carry bags.
This really protects all the river's ,lakes across the nation.

Recycling of plastic has to be done due importance.

Dr.Renju T George,
India.

Precautions of Nipah virus infection in Dental Clinics

Nipah Virus Alert

The outbreak of Nipah viral Infection, needs a few precautions to be taken care of in dental clinics.

> Follow Universal precautions for infection control Eg:- Double Surgical glove, eye wear, Triple layer Masks, Apron for Doctors and assistants

> Use Handwash after each case.

> Assistants should use rubber gloves while handling used instruments and medical wastes

> Proper Sterilization of Instruments Including files and dental burs, Gutta percha,  Impression trays after use

> Disinfection of Impressions
( Alginate and impression compound , elastomeric materials disinfected with 0.5% sodium Hypochlorite)

> Proper waste disposal including waste sharps like needle and Blades

> Maintain proper record of patients and treatment given. Also educate the patient the need to inform the clinic if their relatives or themselves have any symptoms related to Nipah infection at the time of   treatment or post treatment

> Identify for any symptoms like fever, headache, drowsiness etc since few days and refer them for a proper medical check-Up and Care.(Remember the incubation period is 5 - 14 days so patient may be asymptomatic while he comes for dental treatment)

>AS A PRECAUTION - Reschedule appointments for elective scaling, Crown preparations, Restorations to reduce splatter contamination of clinic for atleast two weeks.


>EMERGENCY cases like dental extractions, Drainage of Abscess etc to be done with extra precautions.

>Use of disposable drapes for patients recommended.