[CARPA] CARPA Digest, Vol 28, Issue 1 - Vancocin capsules

[David Brookman]

Folks, sorry to butt in but how about some rationality in decision making?

1. What is the incidence of pseuomembranous colitis in remote communities?
2. What is the incidence of faecal collection for Cl difficile toxin (and
for that matter immunochemistry for other gut pathogens)? Do they survive
the specimen transport chain?
3. What is the delay in treatment occasioned by remote communities not
having immediate access to Vancomycin capsules and is this a risk. From my
experience pseudomembranous colitis is not a life threatening condition and
a 48 hr delay is inconsequential but I really do not like people making
edicts that something should NEVER happen.
4. What is required by remote communities is injectable vancomycin for
immediate treatment of CAPD associated peritonitis.

David Brookman

-----Original Message-----
From: carpa-bounces at ozdocit.org [mailto:carpa-bounces at ozdocit.org] On Behalf
Of Julie Parras
Sent: Monday, 29 September 2008 11:00
To: Central Australian Rural Practitioners Association
Subject: RE: [CARPA] CARPA Digest, Vol 28, Issue 1 - Vancocin capsules 

Dear Malcolm, interested in your comments below regarding Vancomycin
capsules should not be made available in remote communities, is this
because they would not have access to an infectious disease specialist?

Also wondered if patients in remote areas do need Vancomycin capsules
how do they get treatment? Sent to area with specialist or simply used
in last resort cases.

I look forward to your comments.

Kind Regards
 
Julie Parras
Senior Product Manager
Aspen Pharmacare
PH: 61 2 8436 8300
FAX: 61 2 9901 3540
 

-----Original Message-----
From: carpa-bounces at ozdocit.org [mailto:carpa-bounces at ozdocit.org] On
Behalf Of Malcolm McDonald
Sent: Friday, 26 September 2008 3:21 PM
To: carpa at ozdocit.org
Subject: [CARPA] CARPA Digest, Vol 28, Issue 1 - Vancocin capsules 

It is important to emphasise that vancomycin capsules are NEVER to be
used for treating staphylococcal infection - vancomycin is not absorbed
from the gut. Vancomycin capsules are reserved for third-line treatment
of Clostridium difficile diarrhoea following consultation with an
infectious diseases specialist. 

Vancomycin capsules should not be made available in remote communities.

Malcolm McDonald
Menzies School of Health Research


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From: carpa-bounces at ozdocit.org [mailto:carpa-bounces at ozdocit.org] On
Behalf Of carpa-request at ozdocit.org
Sent: Friday, September 26, 2008 11:30 AM
To: carpa at ozdocit.org
Subject: CARPA Digest, Vol 28, Issue 1

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Today's Topics:

   1. Vancocin Capsules now in Stock (Julie Parras)


----------------------------------------------------------------------

Message: 1
Date: Thu, 25 Sep 2008 11:44:16 +1000
From: "Julie Parras" <julie.parras at aspenpharmacare.com.au>
Subject: [CARPA] Vancocin Capsules now in Stock
To: <carpa at ozdocit.org>
Message-ID:
	
<F79A83F5F064304790B801155F8D6884CEDF52 at aspensyd02.AspenDomain.local>
Content-Type: text/plain; charset="us-ascii"

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