SSTOP Portland VA Inpatient Antibiotic Stewardship Guidelines
One page empiric treatment guidelines: UTI, CAP, intraabdominal infections, and SSTI
Click the name to link to article
Team-Based Learning (TBL) Conference Series
Over your residency, some of your noon conferences and outpatient educational sessions will be designed as Team-Based Learning sessions. TBL is a structured, collaborative instructional method based on the Flipped Classroom model and pumped up with fun activities ;-) . TBL is formatted into 3 key events
Preparation (aka pre-work)
Readiness Assurance (aka quiz and discussion)
Application (aka cases)
Along with the key events, the sequence within these events is very scripted as well. First you answer the question posed (whether it be the online quiz or in class) individually, then discuss in your group to come to one agreed upon answer (consensus) then discuss between groups to defend your answer. You will follow this format for each question and case led by your instructor. The reason for this is by committing to an answer you raise the stakes. Then by defending your answer, you grapple with the content and engage creating lasting memories. This is in essence, active learning, which we know to be much more effective than passive learning.
So, what do you need to do????
BEFORE CONFERENCE
1. Access the prep slides and review (These can be found here)
2. Then take your Individual Readiness Assurance Test (IRAT)
3. Complete the IRAT before Conference (no time will be given to complete in conference)
DURING CONFERENCE
4. In conference - discuss your answers and come to consensus for each question. This is known as the GRAT or Group Readiness Assurance Test (Same quiz, different name!)
5. Defend your GRAT answers amongst other groups
6. Move on to Application Exercises once you have debriefed the GRAT
We are very excited and hope you enjoy. Please let us know any and all feedback - our goal is to develop a learning curriculum for you that is effective, efficient and enjoyable
AFTER CONFERENCE
1. If you would like to review any of the prior TBL's go to medhub and you can find the material under the conferences section.
Pneumonia
Community-acquired pneumonia, NEJM 2015
Community-acquired pneumonia, Lancet 2015
Community-acquired pneumonia - Clinical Practice, NEJM 2014
Urinary Tract Infection
Uncomplicated UTI, NEJM 2012
Skin and Soft Tissue
Practice guidelines for the management of skin and soft tissue infections, IDSA 2014
Bone & Joint
Cochrane Review - Antibiotics for Chronic Osteo
Prosthetic Joint Infections NEJM
Central Nervous System
Community-acquired Bacterial Meningitis
Dexamethasone in Adults with Bacterial Meningitis
Endocarditis
Bacteriological Outcome After Valve Surgery CID
AHA Endocarditis Guidelines 2015
Ampicillin and Ceftriaxone for Enterococcal Endocarditis, CID 2013
Initial low-dose Gentamicin for Staphylococcus aureus Bacteremia and Endocarditis is Nephrotoxic, CID 2009
Daptomycin vs standard therapy for Staphylococcus aureus endocarditis, NEJM 2006
Intra-Abdominal Infection
Diagnosis and management of complicated intra-abdominal infection guidelines, 2010
Trials of short-course antimicrobial therapy for intraabdominal infection, NEJM 2015
Diarrhea
Comparison of Vanc and Metronidazole for C. Diff
Fecal Transplant for recurrent CDI
Hepatitis C
HCV Guidance Recommendations for testing, managing and treating HCV
Sofosbuvir and Velpatasvir for HCV genotype 1, 2, 4, 5, and 6 infection, NEJM 2015
Sofosbuvir and Velpatasvir for HCV genotype 2 and 3 infection, NEJM 2015
HIV-AIDS
Development of antiretroviral resistance
Tuberculosis
Treatment of tuberculosis, NEJM 2015
Non-Tuberculous Mycobacteria
Transplant Infections & Neutropenic Fever
Infection in solid-organ transplant recipients, NEJM 2007
CMV guidelines, Transplantation 2013
Neutropenic fever guidelines, IDSA 2011
Travel Infections
FUO
FUO - Focused Diagnostic Approach
The diagnostic role of PET in patients with fever of unknown origin, 2015
~~~Calculators~~~
~~~Resources~~~
CDC (Centers for Disease Control and Prevention):
Johns Hopkins ABX guide - Antibiotic guide as well as general ID resource
Hepatitis C Online UW - Online courses about Hepatitis C
UCSF Warmline - A clinician consultation center for managing healthcare worker exposures to HIV, HBV, HCV
UCSF Curry Center - A consultation service for clinicians looking for expertise in managing TB.
Dr. Fungus - A fun and educational website on our beloved fungi!
HIV Specific Sites
- AIDS info- NIH developed site on up to date clinical trials and treatments as well as integral information on guideline updates, ART drugs and vaccine development
- HIV InSite- Comprehensive HIV site managed by UCSF
- HIV Web Study - excellent source for case based education by UW
- International AIDS Society - USA (IAS-USA)
- Stanford's Drug resistance database - great access to GART analyzation
- NW AIDS Education and Training Center
Mandell's Principles and Practices of Infectious Diseases 7th Ed. - Clearly the foremost text on Infectious Diseases.
For access click the link and enter your OHSU library codes.
This will take you to MDConsult. Choose the "Books" tab.
Then choose "Infectious Disease" and you will soon see Mandell's listed.
