1. Antibiotic Stewardship Workshop
Dr. Jason Profetto, BKin, MD, CCFP

2. Brief introduction

3. Case 1: Mary 40 year old female 3 days of cough and feeling unwell
She is concerned that she has pneumonia

4. Case 1: Mary
As a group, come up with 3 additions things that you wish to do/ask/order

5. Case 1: Mary Would you treat with an antibiotic?
Which one would you choose?

6. Case 1: Abx Choices Amoxicillin/Penicillin (B-Lactam)
Doxycycline (Tetracyline)
Clarithromycin/Azithromycin (Macrolide)
Moxifloxacin/Levofloxacin (Resp Fluoroquinolone)

7. Case 2: Giovanna 75 year old female
1 day of dysuria, urgency and frequency
Concerned she has an urinary tract infection

8. Case 2: Giovanna
As a group, come up with 3 additions things that you wish to do/ask/order

9. Case 2: Giovanna Would you treat with an antibiotic?
Which one would you choose?

10. Case 2: Abx Choices Nitrofurantoin (Macrobid) Amoxicillin
TMP-SMX (Septra)
Fosfomycin
Ciprofloxacin (Cipro)

11. Case 3: Kamlesh 60 year old female
7 days of a growing rash on her right leg
It’s red and painful
You are concerned about cellulitis (infection of the subcutaneous lair of skin)

12. Case 3: Kamlesh
As a group, come up with 3 additions things that you wish to do/ask/order

13. Case 3: Kamlesh Would you treat with an antibiotic?
Which one would you choose?

14. Case 4: Abx Choices Cephalexin (Keflex) - cephalosporin
Clindamycin - lincosamide
TMP-SMX - sulfa
Ciprofloxacin - fluoroquinolone
Amoxicillin-Clavulinate (Clavulin)

15. Learning points? The role of clinical questions
The role of diagnostic tests
The role of antibiotics

16. Pieces of advice: Contextualize Don’t try to learn Abx all at once
There are many nuances
There are many misconceptions

17. Don’t do this: Amoxicillin Penicillin Clavulin Levofloxacin
Ciprofloxacin
Moxifloxacin
Keflex
Macrobid
Septra
Etc

18. Do this: UTI Sinusitis AOM Strep Throat Pneumonia Cellulitis
Diverticulitis
Bacterial gastroenteritis
Etc

19. The End!