Guidelines for Antimicrobial Therapy and Prophylaxis …

Version 1.1 Guidelines for Antimicrobial Therapy (2013)

Guidelines for Antimicrobial Therapy and Prophylaxis

Break The Cycle Of Drug Resistance

Antimicrobial

Right Choice

Right Patient

Right Antimicrobial

Right Dose

Right Route

Right Duration

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January 2014

Version 1

Version 1.1 Guidelines for Antimicrobial Therapy (2013)

Published by:

? Copyright: MCGM/ Director (ME & MH), 2014, ____ pages

Conceived by: Director (ME & MH) Dr Suhasini Nagda

Supported by:

Dean (I/c)

Dean

Dean

Seth G.S Medical College and K.E.M Hospital

L.T.M Medical College and General Hospital

T.N Medical College and B.Y.L Nair Ch. Hospital

Guideline Committee Members

Prof. and Head & / Designated Faculty, Departments of ¨C

Cardiology,

Chest Medicine,

C.V.T.S,

Dermatology,

E.N.T,

Gastroenterology,

GI surgery,

General surgery,

Medicine,

Microbiology,

Neonatology,

Nephrology,

Neurosurgery,

Obstetrics and Gynaecology,

Ophthalmology,

Orthopaedics,

Paediatrics,

Paediatric surgery,

Pharmacology,

Plastic surgery

Seth G.S Medical College and K.E.M Hospital,

T.N Medical College and B.Y.L Nair Charitable Hospital,

L.T.M Medical College and L.T.M General Hospital

& ID Consultant, Kasturba Hospital

Co-ordinated and Complied by :

Departments of Microbiology

Printed by :

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Version 1.1 Guidelines for Antimicrobial Therapy (2013)

Disclaimer

These guidelines have been prepared by consensus, based on standard published evidence and

practices, updated information, current data and experience of the experts, in an effort to

streamline and rationalise antimicrobial use for therapy and prophylaxis. They provide handson access to the antimicrobial of choice and do not claim to be exhaustive by themselves.

Medicine is an ever changing science and users are encouraged to check the latest information.

The committee members cannot be held responsible for individual response to drugs,

inadvertent errors, and any deficiency in management resulting from use of this handbook and

other consequences. The final decision on the choice and use of antimicrobial rests with the

clinician.

Suggestions and comments are invited from readers to improve the usefulness of this guideline

and should be mailed to gitanataraj@kem.edu. These guidelines will be reviewed annually for

its suitability.

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Version 1.1 Guidelines for Antimicrobial Therapy (2013)

From the Director¡¯s Desk

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Version 1.1 Guidelines for Antimicrobial Therapy (2013)

Foreword

¡®¡¯The journey of a thousand miles starts witha single step¡¯¡¯

Chinese proverb

The journey of understanding antibiotics as tools to counter infections started well over seven

decades ago with the discovery of penicillin. However, the process of conserving this tool

towards maximal efficacy for practice of infectious diseases, was found to be woefully short

and wanting. An unregulated process of dispensing antimicrobials, both in hospitals and the

community, has led to patient care options dwindling rapidly, especially in the last two

decades . Today, the horizon for newer options is a grim and bare reality and the scenario for

current options is limited choices and unpleasant outcomes. In these times, the need for

streamlining the few options available is even more acute than ever before, especially so that

the damage done is arrested and what is reversible is done with immediate effect.

Commensurate with this philosophy, guidelines for antimicrobial therapy and prophylaxis have

been drafted by a multi-disciplinary team.Collection and collation of data, expected pathogen,

best practice of medicine and clinicians¡¯ experience with the choice and use of antimicrobials

have been employed to suggest optimal use. A process of audit and revision has also been

placed, more so that vital pieces of information may not fall through chinks in system, or

through dykes of discontent. Indeed, this first step in a journey of a thousand miles begins

here.

Dr Om Shrivastav

Consultant, Infectious Diseases

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