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Doctors Lounge - Chest Answers
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| andrewashley
- Tue Jul 10, 2007 7:54 am |
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Dear All,
One of my patients (male, early 40s), a doctor himself, picked up pneumonia from a patient. The guidelines here state that no sputum cultures are done in community acquired pneumonia (CAP); and if a ptient with CAP is admitted to hospital sputum cultures are only done if the patient didn't have prior antibiotics.
he has always been fit and well, no risk factors for CAP, there was no one in his private life with any infections at all and he travels too and from work by car on his own. Everybody apart from his occ health dr thinks that it is more than likely he picked the infection up at work. A more than 50% likelihood means it will be classified as work related. We don't have to prove beyond any reasonable doubt as in criminal law. Any suggestions how to convince the occ health dr?
kind regards,
Dr andrew ashley
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| Dr. Chan Lowe
- Tue Jul 10, 2007 11:15 pm |
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 Hello Doctor,
Perhaps you could remind your friend of the increased antibiotic resistance among hospital acquired strains of bacteria in addition to many of the strains being more aggressive.
We, as medical professionals, often make the worst patient. I think we know too much.
Best of luck in convincing your friend to get treatment properly.
Regards,
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