2nd May 2017

1. UPNG Infection prevention and control including TB IC Ferguson– presentation

   • The incredible story of Dr Ignaz Semmelweis in Vienna, Austria.

   • Hand Hygiene Australia- education resource page – see the Hand Hygiene Dance from Geneva demonstrate the 5 Moments and ‘Glen’s story’ – what happened to a prominent patient in Australia when he acquired a preventable infection. For the online learning program on HH go through the online learning login and registration process  .

   • Bubble ‘humidifiers’ – harmful devices!

   • TB and drug-resistant training resources – we need more TBologists!

2.  UPNG 2 AMR including Bacterial genetics Ferguson  –  presentation

• Watching antibiotic resistance evolve… great short practical demonstration about resistance arising through mutation
• The expanding understanding of the microbiome and its influence on health and disease.
• Mechanisms of resistance in the ESKAPE pathogens – the pathogens that a posing the largest AMR problem worldwide.

These two posting from our sister blog may help with understanding antibiotic classes:

• Antibiotic classes – why are they important to know about?
• Memory aids for antibiotic classes

3rd and 4th May

3. UPNG 3 Antibiotic usage and practical AMS Ferguson –  presentation

Example management approach to Staphylococcus aureus BSI – n.b. 60 events at PMGH in 2016 (40% MRSA)

Potential M Med projects list relating to the national AMR plan (discuss with your supervisors) : Potential projects!

Local antimicrobial resistance studies:

• Stay tuned for issue of PMGH 2016 cumulative antibiograms
• Antibiotic resistant Shigella – report from highlands (2009-2011) – resistance to cotrimoxazole and chloramphenicol prevalent

• Shigella spp. Antimicrobial Drug Resistance, Papua New Guinea, 2000–2009 – important paper – high levels of resistance to cotrimoxazole and chloramphenicol

• Vibrio cholerae antimicrobial drug resistance, Papua New Guinea, 2009–2011– low levels of resistance found

• The Burden of Drug-Resistant Tuberculosis in Papua New Guinea: Results of a Large Population-Based Survey: 2016 PLOS One.

Osteomyelitis

• Management of bone and joint infections due to Staphylococcus aureus. Davis-JS. Intern Med J. 2005 Dec;35 Suppl 2:S79-96.  An authoritative review.  Contact me if a copy required. 

• Antibiotics for treating chronic bone infection in adults – Cochrane systematic review 2013:  poor quantity and quality of evidence; no evidence for IV superiority over oral. Old studies.