This is a platform for sharing bedside or laboratory stories (text, image, video) on integrated antimicrobial stewardship activities in daily practices by both the general public and healthcare workers. These contributions aim to create better practice opportunities for everyone in infection prevention, accurate diagnosis, and responsible antimicrobial prescriptions—fostering a better world through a One-Health approach.
We invite anyone to share their own story, which will be published in each issue of JASPI following the editor’s review.
Kindly submit your stories using [this link].
Regards,
Editor-in-Chief
Case vignette
One example of diagnostic stewardship pearl:
A middle-aged, thinly built woman who smokes beedi and has a history of biomass exposure, has been suffering from COPD for the last 4 years. She has been taking inhaled betamethasone and tiotropium. Additionally, she had uncontrolled diabetes for a few months. She presented with fever, productive cough, shortness of breath and chest pain for 5 days. Chest X- ray and CT confirmed pneumonia, cavities and abscesses in both lungs. Repeated sputum and bronchoalveolar lavage confirmed Pseudomonas aeruginosa and _Aspergillus fumigatus_, respectively. Along with supportive therapy, she was treated with tablet levofloxacin and injection amikacin for 6 weeks based on culture sensitivity reports, and capsule itraconazole for 6 months. She recovered completely to her baseline COPD and diabetes status.
What is this polymicrobial diagnosis?
1. Polymicrobial – Synergy
2. polymicrobial- Antagonism
3. polymicrobial- Mutualism
4. polymicrobial- commensalism
Answer to be given in next published issue…