Evolution of CM/ID Specialties by Dr. Rama
#ECCMID2023
He talked about his evolution when he came back from the US and the UK
He needed to learn about the cultures in India
This includes antibiotics as a one-size-fits-all remedy
He captured the issues of empiric therapies - one empiric regimen after another.
And we are "hypocrites"
We want new antibiotics, but when they come out, we keep them only for special cases/circumstances
India is facing issues with "clinical" Malaria/Typhoid fever based on symptoms only
The doctors are still using Widal test for the latter
There are many challenges
The VIP patients who do not follow guidelines in terms of antimicrobial agents
The doctors are no longer regarded as God like in the past
Insurance coverage and blockages
And this sumps up the challenges that an ID physician face in India
Additionally, it is not straightforward for us to apply international/western GL to the local setting
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