Seasonal influenza vaccination update: 2017

Immunisation against influenza has begun for the 2017 season. Influvac is the sole subsidised influenza vaccine in 2017. Influvac contains three strains, including one new strain, which is expected to provide cover for the influenza viruses currently circulating globally and likely to affect New Zealand in winter.

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Topical antibiotics for skin infections: should they be prescribed at all?

In New Zealand, there has been an increasing rate of antibacterial resistance in...

Topical antibiotics for skin infections: when are they appropriate?

In the community, many patients have skin and soft tissue infections that are relatively minor...

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Our next theme is “Respiratory”, featuring topics including managing asthma in adults, influenza vaccination, bronchiolitis and the role of exercise and pulmonary rehabilitation in COPD.

Stephen Hoskin

Branko. My understanding is that longer courses simply breed more resistant bacteria. You're not going to kill the resistant bacteria with a longer course. They are resistant to the treatment you're applying so you simply wipe out more sensitive bacteria and create space for resistant strains. This applies with oral antibiotics as well, which is part of the benefit of shorter courses. We can safely do shorter courses for skin, ear, chest infections - but not Tb, strep throat, osteomyelitis where undertreatment can be harmful.

Prescribing topical medicines for skin infection

Elizabeth Walters

It is easy to read and understand

Prescribing topical medicines for skin infection

Branko Sijnja

I do wonder if we should review our terminology. I may be wrong but wonder if when our courses of antibiotic are too short we risk the survival of some of the colonised bacteria and these would tend to be those that are more resistant. So instead of focussing on short courses of antibiotics should we not talk of adequate courses of antibiotics with adequate being enough duration to secure eradication of that bacteria.

Prescribing topical medicines for skin infection

The Editor

Comment from Dr Viv Roberts: "What is the place for Magnesium sulphate paste which I still use quite a lot with good effect?"

Topical antibiotics for skin infections: when are they appropriate?

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