The GP Show #194 Antibiotic Therapeutic Guidelines Update with Dr Geoffrey Spurling
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Jun 11, 2025 Dr. Geoffrey Spurling, a GP with expertise in Indigenous health and antibiotic therapy, joins the discussion to share pivotal updates from the latest Therapeutic Guidelines on Antibiotics. He covers new insights on doxycycline for kids, the first-line antibiotic for UTIs, and distinguishes between types of orbital cellulitis. They also delve into effective management strategies for diabetic ulcers and updates on STIs, challenging long-held beliefs and encouraging evidence-based practices. Get ready for practical tips that can enhance patient care!
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Keflexin Dosing Update for Kids
- Use eight-hourly dosing for Keflexin in children for better practicality.
- Six-hourly dosing is unnecessary and harder to administer to kids.
Doxycycline Safe in Young Kids
- Doxycycline use for children under eight is safe for treatments under 21 days.
- This challenges the dogma about dental staining previously taught in medical schools.
Augmentin and Cefazolin Insights
- Augmentin is often underdosed compared to Amoxil; dosing thrice daily increases efficacy.
- Cefazolin is gaining favor due to lower acute kidney injury risk and less penicillin allergy cross-reactivity.