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Manjusha Narayanan
Consultant Microbiologist,CGQ lead for Lab medicine,passionate about Infection Control+Antimicrobial stewardship, food and music😊
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Manjusha Narayanan Apr 3
Replying to @BAPM_Official
Is this on now ?
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Dame Jackie Daniel Mar 26
Proud to see such heroic efforts from everyone at - clinical and corporate, hospital and community - all pulling together to respond
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Manjusha Narayanan Mar 21
The situation getting worse is not one person’s doing and so one person can’t find all the right solutions to make it go away.We are all in this together Lucia.Most important -Hosps,stock enough PPE for the right thing to protect them.Please.
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Manjusha Narayanan Mar 21
Take care.
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NUTHChaplaincy Mar 19
Our superhero"s. We salute you all .
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Madhu Pai Mar 18
I can't believe people need to write op-eds about this! ALL new technologies (diagnostics, drugs, vaccines) MUST be made available FREE of cost to ALL people in ALL countries. Nobody should profit from a pandemic/crisis.
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Manjusha Narayanan Mar 15
Replying to @spkalantri
For severe CAP, If you are not worried about Legionella, Chlamydia or Mycoplasma (they do not cause this kind of sepsis normally) then Levo does not add anything extra to Pip-Taz. We go for Clindamycin for its anti-toxin properties in such cases to add to Pip-Taz. Or Linezolid
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SP Kalantri Mar 15
"More people died of in India last week than the entire global death toll of to date," argues Dr Vikram Patel. He compares the plight of who travel by foot and bicycle with those who board cruise ships and international flights.
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Manjusha Narayanan Mar 15
Replying to @spkalantri
Why not, it is easily done these days. Also sputum culture at least. Nagpur can run other viruses tests on his sample surely ?
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Manjusha Narayanan Mar 15
Replying to @spkalantri
Which viruses can you test for in Sevagram?
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Manjusha Narayanan Mar 15
Replying to @spkalantri
More like bacterial sepsis ? Which antibiotics ?
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Manjusha Narayanan Mar 15
Replying to @spkalantri
If not normally immunocompromised we see this more commonly with Haemophilus infuenzae or pneumococci or toxin producing S.aureus (early cavitating/endocarditis). Was the patient septic, elderly, diabetic? Metapneumovirus can also present like this.
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Manjusha Narayanan Mar 14
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Manjusha Narayanan Mar 14
And we are all in this together, all teams thinking on their feet. Marvellous work.
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Manjusha Narayanan Mar 14
I learn: Infectious rate (Ro)of SARS-CoV 2 is 2.5, one infected person on avg infects 2.5.For any infection if this rate is < 1,we win.Herd immunity required for this virus is 1.5/2.5=60% to make it go away. Few months?Keep calm.Wash Hands. Ro for measles:20&we have a vaccine.
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Manjusha Narayanan Mar 8
A bit different this year to avoid mass gatherings. In India too. Happy holi!
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Manjusha Narayanan Mar 8
Some lighter moments alongside the serious ones The Times on Sunday 😃
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Jake Dunning Mar 6
We have updated the infection prevention and control guidance for hospitals in England. Note the changes made to PPE recommendations for different clinical scenarios; this applies to all departments, including ICU - just follow the table.
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Ashley Price Mar 1
111 has been superb in the NE ENGLAND. Without it AE and acute med could be swamped. I receive a lot of calls but would be so much higher without integrated response!
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Manjusha Narayanan Feb 29
These are done with sketch and colour pencils. Recent ones. 😊
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