Category Archives: PNG

Papua New Guinea

Cumulative antibiogram example – 2018 – Port Moresby General Hospital

ANTIBIOGRAM PMGH 2018 final Cumulative antibiograms summarise the collective susceptibility of bacterial isolates against various antibiotics. Prepared by Drs Jacklyn Joseph and John Ferguson, August 2019. Isolates were cultured from PMGH inpatients and outpatients served by the PMGH Laboratory. Outpatients … Continue reading

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UPNG MMED Revision week sessions – Sepsis, AMR, Antimicrobial stewardship and neurology

Here are the presentations from Drs Ferguson and Miteff at the 2019 sessions. Ferguson Sepsis 2019 M Med series UPNG 2 AMR including Bacterial genetics Ferguson 2019 UPNG 3 Antibiotic usage stewardship and prescribing AMS Ferguson 2019 Dr Miteff presentation … Continue reading

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Parasitology overview and helminth infection

Classification of Parasites and Helminths 2018 Marr Diagnosis of filarial infections (WHO) Kow PNGMJ 2013 – a comparative study of intestinal helminths, PNG Owen-IL Parasitic_zoonoses_PNG J Helminthology 2005 Strongyloides CDC site ;   Robertson NT strongyloides PCR test Reference CDC  Laboratory Identification … Continue reading

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Tuberculosis – recent epidemiological data from PNG

These recent papers will be useful to review/ discuss (especially the first two): PNG TB resistance survey PLOS 2016 Epidemiology of TB PNG 2008-2016 Aia et al WPSAR 2018 1471-2334-14-93 TB Gulf province PNG 12866_2014_Article_307 TB diversity Highlands

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Coccidian enteric parasites- Cryptosporidium and Cyclospora

FERGUSON 2011 Coccidian enteric parasites  (includes references relevant to Nepal) Rapid diagnostic tests for Cryptosporidium are effective- often combined with a giardia test.   However as the illness is self-limited in the immunocompetent, testing probably not relevant. Highly relevant for immunocompromised patients … Continue reading

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UPNG May revision M Med sessions – presentations and further references

2nd May 2017 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 … Continue reading

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Pertussis – diagnosis, outbreaks and incidence

Culture appearances – see the Atlas – bisected pearl appearance of the colonies on charcoal agar. Diagnostic pointers – Diagnosis of pertussis Outbreak literature – local studies – Pertussis outbreak PNG 2012, PNG medical journal 1977 report on pertussis outbreak.  Earlier report from Highlands … Continue reading

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Antibiotic resistance and prescribing presentation & quiz- Year 5 UPNG

Here is a copy of the presentation from the session given to year 5 Medicine students, February 2017 : year-5-presentation-ferguson-2017-b.  Please send me your comments or further questions or put down a comment on this web posting! Here are the pre-session … Continue reading

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Molecular microbiology – recent tutorial references and resources

Basics DNA extraction – essential first step. Quantity of DNA obtained can be assayed spectrophotometrically. Reverse transcriptase step – for detection of RNA viruses Nucleic acid amplification –  know how PCR works! This PCR animation is easy to understand.  Many other … Continue reading

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Hot topics – sepsis definitions, flaviviruses and unintended consequences of antibiotics

What’s hot in Infectious Diseases 2016 Ferguson Port Moresby General Hospital Grand Rounds  1/3/16. Antibiotic stewardship key points from this talk: Audit how antibiotics are being used in your unit/hospital – if you don’t measure something you can’t change it! Eliminate … Continue reading

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