{"id":7878,"date":"2015-11-22T18:04:54","date_gmt":"2015-11-22T23:04:54","guid":{"rendered":"http:\/\/blogs.nejm.org\/hiv-id-observations\/?p=7878"},"modified":"2015-11-22T21:03:51","modified_gmt":"2015-11-23T02:03:51","slug":"just-wondering-quick-id-questions-to-consider","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/just-wondering-quick-id-questions-to-consider\/2015\/11\/22\/","title":{"rendered":"Just Wondering:  Quick ID Questions to Consider"},"content":{"rendered":"<p><a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2015\/11\/germs.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-7896\" src=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2015\/11\/germs-300x283.jpg\" alt=\"germs\" width=\"300\" height=\"283\" srcset=\"https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2015\/11\/germs-300x283.jpg 300w, https:\/\/blogs.nejm.org\/hiv-id-observations\/wp-content\/uploads\/sites\/2\/2015\/11\/germs.jpg 450w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>Several\u00a0quick ID queries, some\u00a0of them answerable on the Google machine &#8212; but I&#8217;m not going there. Too busy laundering my white coat!<\/p>\n<ul>\n<li>What ever happened to amphotericin <em>A?<\/em><\/li>\n<li>What&#8217;s the difference between\u00a0a\u00a0&#8220;serovar&#8221; and a &#8220;serotype&#8221;?<\/li>\n<li>Do dogs feel bad\u00a0that\u00a0<em>Pasteurella multocida<\/em>\u00a0is more famous than <em>Capnocytophaga canimorsus?<\/em><\/li>\n<li><a href=\"http:\/\/www.thelancet.com\/journals\/laninf\/article\/PIIS1473-3099(15)00424-7\/abstract\" target=\"_blank\">Colistin resistance is bad<\/a> &#8212; but how often does\u00a0colistin actually work anyway?<\/li>\n<li>No one asks you to share a room with a stranger in a hotel &#8212; why do we ask sick people in hospitals to do this? Even sick people <em>with infections?<\/em><\/li>\n<li>Why is there group\u00a0A, B, C, D, F, and G, but no <em>group E<\/em> beta strep? At least I don&#8217;t think there is. Is it like Windows 9?<\/li>\n<li>Why do all the abbreviations for &#8220;integrase inhibitor&#8221; &#8212; InI, INSTI, II &#8212; sound and look so silly? Just say &#8220;integrase.&#8221;<\/li>\n<li>Why do we say trimethoprim-sulfamethoxazole with the trimethoprim part first, but the pharmacy usually\u00a0writes\u00a0it for our patients the opposite way?<\/li>\n<li>Don&#8217;t you think that if probiotics <em>really<\/em>\u00a0prevented or helped some condition, we&#8217;d know it by now?<\/li>\n<li>Even though the name has changed, is anyone ever going to stop saying <em>Strep bovis?<\/em><\/li>\n<li>Why are the guidelines for meningococcal immunization so complicated? Have to look them up <em>every<\/em> time.<\/li>\n<li>Why do C diff precautions start the moment we send the diagnostic test, but MRSA precautions await the results of staph susceptibility testing?<\/li>\n<li>Why was optochin never developed into an antibiotic? Is it because it doesn&#8217;t end in &#8220;-mycin&#8221; or &#8220;-cillin&#8221; or &#8220;-floxin&#8221;?<\/li>\n<li>Does anyone really know the best dosing option for strep throat?<\/li>\n<li>What proportion of doctors immediately think <em>Aeromonas hydrophila\u00a0<\/em>when they hear about medicinal leeches? And what\u00a0proportion who read this blog?<\/li>\n<li>Who decided it should be <em>MRSA<\/em> &#8212; and not <em>ORSA<\/em> or <em>NRSA<\/em>?<\/li>\n<li>What percentage of hospital-based ID consults recommend additional blood cultures &#8212; even when\u00a0there are numerous negatives already done on that patient?<\/li>\n<li>Why did the <a href=\"http:\/\/circ.ahajournals.org\/content\/132\/15\/1435.full\" target=\"_blank\">new endocarditis guidelines<\/a> advise against\u00a0using penicillin for penicillin-sensitive <em>Staph aureus? <\/em>(In Boston, we call it <em>PSSA<\/em> &#8212; say it, you&#8217;ll get the joke.) In vitro, it&#8217;s\u00a0the most active drug, after all.<\/li>\n<li>MALDI-TOF or MALDI-TOF <em>MS?<\/em> Seems the former should be sufficient.<\/li>\n<li><a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(14)62007-9\/abstract\" target=\"_blank\">Endocarditis\u00a0cases in Britain rise<\/a> since\u00a0they stopped using antibiotic prophylaxis for dental work &#8212; evidence that this is in fact an important preventive strategy? Or just that the British have, ahem, dental issues?<\/li>\n<li>Why do doctors always use\u00a0the term &#8220;germ&#8221; in non-medical communications, but never do otherwise? And why does it mean\u00a0a virus or bacteria or fungus, but never a parasite?<\/li>\n<li>When the inactivated zoster vaccine is approved, what happens to all those zoster vaccine curbside consults?<\/li>\n<li>Dogma is that you don&#8217;t need antibiotics after I and D of uncomplicated skin abscess. So why is <a href=\"http:\/\/www.jpeds.com\/article\/S0022-3476(15)01216-0\/abstract\" target=\"_blank\">10 days of TMP-SMX better than 3?<\/a><\/li>\n<li>Why are\u00a0certain toxic and little-used\u00a0HIV drugs\u00a0(ddI, d4T in particular) still on\u00a0the market?\u00a0Is there anyone who wouldn&#8217;t benefit from switching to something different?<\/li>\n<li>When we will stop using antibiotics to treat <em>C diff?<\/em><\/li>\n<li>Could this\u00a0<a href=\"http:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/should-doctors-still-be-allowed-to-wear-white-coats-you-decide\/2015\/11\/01\/\" target=\"_blank\">white coat poll<\/a> be any closer? Memories of Bush vs Gore.<\/li>\n<\/ul>\n<p>Answers, opinions, speculations welcome!<\/p>\n<p>Seems probiotics helped this guy (listen\/watch through 1:50).<\/p>\n<p>[youtube http:\/\/www.youtube.com\/watch?v=3xJWxPE8G2c]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Several\u00a0quick ID queries, some\u00a0of them answerable on the Google machine &#8212; but I&#8217;m not going there. Too busy laundering my white coat! What ever happened to amphotericin A? What&#8217;s the difference between\u00a0a\u00a0&#8220;serovar&#8221; and a &#8220;serotype&#8221;? Do dogs feel bad\u00a0that\u00a0Pasteurella multocida\u00a0is more famous than Capnocytophaga canimorsus? Colistin resistance is bad &#8212; but how often does\u00a0colistin actually [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,4,5,7,8],"tags":[],"class_list":["post-7878","post","type-post","status-publish","format-standard","hentry","category-health-care","category-hiv","category-infectious-diseases","category-misc","category-patient-care"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/7878","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=7878"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/7878\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=7878"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=7878"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=7878"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}