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Vexing Microbes

Musings of an Infectious Disease Specialist

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Acute Kidney Injury with Concomitant Vancomycin & Pip/Tazo (Vancosyn, Vanczosyn, Vosyn)

29 April, 2017 by GAggreyMD Leave a Comment

Recently, a nephrologist I work with chased me down to ask my opinion of the new and interesting study that concludes concomitant vancomycin and piperacillin-tazobactam (hereforth to be called vancosyn) was more nephrotoxic than concomitant vancomycin and cefepime (vancopime). “Yes, indeed, I have heard the data but which study are you calling new?” I wondered. […]

Filed Under: Infectious Diseases Tagged With: Abx Resistance, Abx Stewardship, Antimicrobials, Checklist Medicine, Diagnostics, Save Abx, Sepsis, STI

Vancomycin – Fools Gold or the Holy Grail?

29 September, 2014 by GAggreyMD Leave a Comment

vancomycin

I’ve meant to write a post about the antibiotic vancomycin for many years. It is an antibiotic that has become a work-horse in so many hospitals. Many patients refer to it as “the powerful stuff”.  Included in the WHO Model List of Essential Medicines, the most important medicines needed in a basic health system, it […]

Filed Under: Infectious Diseases Tagged With: Antimicrobials, Big Pharma, Microbes, Penicillin, STI, Tuberculosis, Vancomycin

When Religion Puts you at Risk for Infectious Diseases

4 July, 2012 by GAggreyMD 2 Comments

There’s a letter to the editor in the June 15th, 2012 edition of Clinical Infectious Disease that speculates on a link between ritual cleansing and brain-eating amoebae fatal infections. It comes to us from Pakistan, where in 2010, a single small private hospital recorded the deaths of 20 devout Muslim men due to Naegleria fowleri […]

Filed Under: Infectious Diseases Tagged With: Amoeba, Herpes, Religion, STI

Occupational Syphilis

12 June, 2012 by GAggreyMD 1 Comment

In true “infectious disease – nerd” fashion, I am overly excited about an article I’m reading. It is très cool, though maybe not for the sufferers. The March 20th, 2012 issue of Annals of Internal Medicine published a letter on Occupational Syphilis following Scalpel Injury. It immediately caught my eye as syphilis is not one […]

Filed Under: Infectious Diseases Tagged With: Penicillin, PEP, STI, Syphilis

HIV in the Elderly Revisited

2 December, 2010 by GAggreyMD Leave a Comment

It is World AIDS Day and everywhere you look there’s an article touching upon some aspect of the HIV/AIDS epidemic. This summer, I wrote a post on HIV in the older age groups prompted by a study that showed that older men taking erectile dysfunction drugs (eg. Viagra) had twice the rate of sexually transmitted illnesses […]

Filed Under: Infectious Diseases Tagged With: Condom, HIV, In The News, STI, Viagra

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