• Community Acquired Pneumonia in Resource Limited Settings with Dr. Rajani Surendar Bhat and Dr. Pavitra Mohan
    Jul 1 2024

    In this episode of the Community Science Alliance (CSA) podcast, Dr. Rajani Bhat and Dr. Pavitra Mohan discuss about Community Acquired Pneumonia (CAP) and its challenges in resource-constrained settings. They emphasize the need for a thorough clinical examination in the of context of diagnosing and treating CAP. The conversation covers diagnostic challenges, antibiotic choices, the role of steroids, treatment duration, and the significance of antimicrobial stewardship. Dr. Mohan also highlights the difficulties of managing CAP in rural areas, particularly the need for access to radiology and microbiology resources. The episode ends with practical tips for young practitioners, focusing on advancing contextually relevant evidence-based medicine (EBM) in resource-constrained settings.

    Host: Dr. Rajani Bhat
    Linkedin: https://www.linkedin.com/in/rajani-surendar-bhat-9057891a5/
    X: https://x.com/rajanisurendarb/

    Guest: Dr. Pavitra Mohan
    Linkedin: https://www.linkedin.com/in/pavitra-mohan-72bb831b/

    Community Science Alliance
    Website: https://communitysciencealliance.org/
    X: https://x.com/csa_scienceall

    Watch this episode here: youtube.com/@communitysciencealliance

    Takeaways
    -Context is crucial in diagnosing and treating community-acquired pneumonia (CAP) in resource-constrained settings.
    -A thorough clinical examination is essential in the absence of easy access to radiology and lab testing.
    -Antibiotic choices should be based on the patient's stability, comorbidities, and local epidemiology.
    -Steroids have limited role in primary care settings for CAP, except in cases of acute exacerbation of chronic lung diseases.
    -The duration of antibiotic treatment for CAP is typically 5-7 days, with close monitoring and follow-up.
    -Vaccinations, such as influenza and pneumococcal vaccines, are important but face challenges in terms of cost and awareness.
    -Antimicrobial stewardship is crucial in preventing the development of antimicrobial resistance.
    -Young practitioners should focus on evidence-based guidelines, standardized protocols, and developing clinical acumen.
    -Access to radiology and microbiology resources is a challenge in managing CAP in resource-constrained settings.
    -The balance between referral and managing patients in primary care settings is important, considering the patient's context and resources available.

    Chapters
    00:00 Introduction to Community Science Alliance and Basic Health Services
    02:21 Challenges and Context in Diagnosing and Treating Community-Acquired Pneumonia
    04:40 The Role of Clinical Examination in the Absence of Radiology and Lab Testing
    13:16 Choosing the Right Antibiotics for Community-Acquired Pneumonia
    25:09 Duration of Antibiotic Treatment and the Importance of Monitoring
    30:58 Vaccinations and Antimicrobial Stewardship
    36:14 Practical Pointers for Young Practitioners in Managing CAP
    39:10 The Need for Access to Radiology and Microbiology Resources
    44:56 Balancing Referral and Managing Patients in Primary Care Settings

    Produced & Distributed by Spooler Podcasts
    www.spooler.in

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    46 mins