An ongoing dialogue on HIV/AIDS, infectious diseases,
November 22nd, 2015
Just Wondering: Quick ID Questions to Consider
- What ever happened to amphotericin A?
- What’s the difference between a “serovar” and a “serotype”?
- Do dogs feel bad that Pasteurella multocida is more famous than Capnocytophaga canimorsus?
- Colistin resistance is bad — but how often does colistin actually work anyway?
- No one asks you to share a room with a stranger in a hotel — why do we ask sick people in hospitals to do this? Even sick people with infections?
- Why is there group A, B, C, D, F, and G, but no group E beta strep? At least I don’t think there is. Is it like Windows 9?
- Why do all the abbreviations for “integrase inhibitor” — InI, INSTI, II — sound and look so silly? Just say “integrase.”
- Why do we say trimethoprim-sulfamethoxazole with the trimethoprim part first, but the pharmacy usually writes it for our patients the opposite way?
- Don’t you think that if probiotics really prevented or helped some condition, we’d know it by now?
- Even though the name has changed, is anyone ever going to stop saying Strep bovis?
- Why are the guidelines for meningococcal immunization so complicated? Have to look them up every time.
- Why do C diff precautions start the moment we send the diagnostic test, but MRSA precautions await the results of staph susceptibility testing?
- Why was optochin never developed into an antibiotic? Is it because it doesn’t end in “-mycin” or “-cillin” or “-floxin”?
- Does anyone really know the best dosing option for strep throat?
- What proportion of doctors immediately think Aeromonas hydrophila when they hear about medicinal leeches? And what proportion who read this blog?
- Who decided it should be MRSA — and not ORSA or NRSA?
- What percentage of hospital-based ID consults recommend additional blood cultures — even when there are numerous negatives already done on that patient?
- Why did the new endocarditis guidelines advise against using penicillin for penicillin-sensitive Staph aureus? (In Boston, we call it PSSA — say it, you’ll get the joke.) In vitro, it’s the most active drug, after all.
- MALDI-TOF or MALDI-TOF MS? Seems the former should be sufficient.
- Endocarditis cases in Britain rise since they stopped using antibiotic prophylaxis for dental work — evidence that this is in fact an important preventive strategy? Or just that the British have, ahem, dental issues?
- Why do doctors always use the term “germ” in non-medical communications, but never do otherwise? And why does it mean a virus or bacteria or fungus, but never a parasite?
- When the inactivated zoster vaccine is approved, what happens to all those zoster vaccine curbside consults?
- Dogma is that you don’t need antibiotics after I and D of uncomplicated skin abscess. So why is 10 days of TMP-SMX better than 3?
- Why are certain toxic and little-used HIV drugs (ddI, d4T in particular) still on the market? Is there anyone who wouldn’t benefit from switching to something different?
- When we will stop using antibiotics to treat C diff?
- Could this white coat poll be any closer? Memories of Bush vs Gore.
Answers, opinions, speculations welcome!
Seems probiotics helped this guy (listen/watch through 1:50).