Breakpoints #85 – Who You Gonna Call? Mythbusters! Antibiotic Myths for Infectious Diseases Clinicians
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Sep 15, 2023 Dr. Jason Gallagher, an infectious disease pharmacist, and Dr. Melissa Johnson, an expert in infectious disease pharmacy, join Dr. Erin McCreary to debunk widespread antibiotic myths. They explore how social media sparked vital discussions among clinicians and review eight common misconceptions regarding antibiotic efficacy. Critical flaws in past testing are revealed, alongside the importance of evidence-based practices. They also tackle physician hesitance in prescribing effective treatments and discuss the reevaluation of guidelines for endocarditis, all while making the topic engaging and accessible.
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Oral Levofloxacin Success Story
- A patient with osteomyelitis was discharged on oral levofloxacin monotherapy, saving a month of healthcare facility stay.
- Despite concerns about fluoroquinolones, they can be appropriate in select cases.
UTI Overdiagnosis Problem
- Overdiagnosis of UTIs remains a major problem causing unnecessary antibiotic use and resistance.
- Rehydration often improves altered mental status in elderly, not antibiotics for assumed UTI.
Leadership and Data Drive Change
- Engage hospital leadership and clinical teams to support stewardship goals.
- Regularly share actionable data feedback to empower clinicians in changing antibiotic use.