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Microbiology · Chapter 9

The Five Rights of Stewardship

Antibiotics are a shared resource. Every needless or sloppy course helps breed the resistant organisms of tomorrow. Stewardship means getting five things right. The right drug, the right dose, the right route, the right duration, and the right person. Set all five for the case below, then run the course day by day and see what you are left with.

Fourteen days of the infectiondrag the day slider

The infection, the resistant survivors, and the flora over fourteen days
Susceptible bacteria Resistant survivors Normal flora
The shaded band is the time the drug is being given. Watch what happens inside it, and watch what happens after it stops. Loads are on a relative 0 to 100 scale.
14
Infection left
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Resistant load
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Flora left
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Rights met
0 / 5
Build the plana cellulitis caused by plain Staph aureus, in someone who can eat