Akshatha R Profile picture
MD(JIPMER),DNB,MNAMS,DM ID(AIIMS J), DTMH(UK) RSTMH Student Ambassador ESPID Country representative TID🇨🇭, Phage therapy 🇧🇪 Founder-Learn with Dr Akshatha
Jun 18, 2024 4 tweets 2 min read
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#IDdocAkshatha
How many of you treat C.diff?
What is the DOC?
How many of u use T. Metronidazole?

1/n
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#IDdocAkshatha
If possible, stop the inciting antibiotic
In general, avoid antiperistaltic during acute phase
Mild - Moderate dis
T.Fidaxomicin 200 mg po bid x 10 days
Or
T.Vancomycin 125 mg po qid x 10 days
Note : It is oral Vanco NOT IV

2/n
Jun 10, 2024 5 tweets 1 min read
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#Day17
#IDdocAkshatha

WHO Malaria Chemoprophylaxis

IPTp-Intermitten Preventive treatment in pregnancy
All pregnant women
Sulphadiazone - pyrimethanamine in 2nd trimester (not before Week 13)
Atleast 3 doses - 1 month apart

1/n
PMC-Perennial malaria chemoprevention
In Infants & young child in subsaharan Africa (upto 24 mon) in Mod-high Perennial malaria (incidence of >10% P.falciparum or API >250/1000)
SP given with vaccine

2/n
Jun 8, 2023 6 tweets 6 min read
#IDSA AMR Updates 2023
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#Medtwitter
Updates in ESBL E
To avoid piptaz in non UTI
To avoid Cefepime
No role of Cephamycins
No role of Ceftalazone - Tazobactam
@CidsIndia
@idcon2022 @id_cure
@IDstewardship ImageImageImageImage Updates in AmpC
Explained well about How to choose Antibiotics in AmpC - ImageImageImage
Nov 28, 2022 8 tweets 4 min read
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#LearnwithDrAksh
What do you use for treatment for endocarditis caused by HLAR +ve Enterococcus faecalis?
🧵 Tomorrow #Tweetorial
#IDTwitter
#MedTwitter
#MedEd
Lets talk about #Enterococcus #bacteremia 🧵
2 important species - E.faecalis, E faecium
E.faecium is generally more resistant, but lower risk of endocarditis
E.faecalis, usually S to Ampicillin, but IR to Quinopristin-Dalfopristin
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Nov 27, 2022 14 tweets 5 min read
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How many of you do Skin test before administration of antibiotics? Most Indian hospitals test for antibiotic sensitivity, without knowing the basis of testing
Lets learn a lil about Antibiotic allergy testing 🧵
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#MedEd
#tweetorial
#TweetOfTheDay
#LearnwithDrAksh
#
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