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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