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About the Bugs & Drugs Book

In its fifth edition, the Bugs & Drugs book is a comprehensive, evidence-based reference for physicians, dentists, pharmacists, nurse practitioners, and other health care professionals in Canada. It provides health care practitioners with the latest recommendations for the appropriate use of antimicrobials and the optimal treatment and prevention of infectious diseases. As such, it is a key component of antimicrobial stewardship efforts and its use can help to optimize patient outcomes and minimize the unintended consequences of antimicrobial use, including toxicity, superinfections, resistance, and unnecessary costs.

The book is divided into six sections: (1) Antibiotics, (2) Treatment recommendations for infections in children and adults, including selected ophthalmic, fungal, and parasitic infections, (3) Recommendations for the prevention of infections, (4) Treatment and prophylaxis of dental infections, (5) Use of antibiotics in pregnancy/lactation, and (6) Microbiology. Information contained in the book can be viewed at Table of Contents.

This book was prepared by Dr. Edith Blondel-Hill (Medical Microbiologist/Infectious Diseases Specialist, Kelowna General Hospital) and Ms. Susan Fryters (Antimicrobial Utilization/Infectious Diseases Pharmacist, Alberta Health Services) with the help of over 40 reviewers with expertise in infectious diseases, microbiology, pharmacy, and Public Health.

Project Support

Myrna Pickering

The authors are indebted to Myrna for her outstanding preparation of this manuscript.

Meghan Cupples

Catherine O’Keeffe

The authors wish to thank Meghan and Catherine for their help with this project.

Madeleine Doyle-Waters, MA, MLIS

The authors are indebted to Mimi for the excellent literature searches she provided.

Rob Vretenar, BSc Pharm

The authors wish to thank Rob for his guidance and diligent project management skills.

Editorial Contributors / Reviewers

 

Rabia Ahmed, MD FRCPC

Infectious Disease Specialist

Royal Alexandra Hospital

Edmonton AB


Verla Chatsis, BA, BSP, ACPR

Drug Information Pharmacist

Alberta Health Services

Edmonton AB


John Conly, MD FRCPC FACP

Medical Director, IP&C

Infectious Diseases Consultant

Director, Centre for Antimicrobial Resistance

Alberta Health Services

Calgary AB


Ryan Cooper, MD FRCP(C) MPH

Infectious Diseases Consultant

Royal Alexandra Hospital

Edmonton AB


Bruce Dalton, BScPhm, PharmD

Infectious Diseases Pharmacist

Alberta Health Services

Calgary AB


Deonne Dersch-Mills, BSc(Pharm), ACPR, PharmD

Clinical Practice Leader - Pediatrics & Neonatology

Alberta Health Services

Calgary AB


Walter Dobrovolsky, B.Sc., D.D.S., F.R.C.D.[C]

Chief of Oral and Maxillofacial Surgery and Hospital Based Dentistry, Capital Zone, AHS

Edmonton AB



Dwight A.N. Ferris, MD, FRCP(C), DTM&H, FACP

Infectious Diseases Consultant

Kelowna General Hospital

Kelowna BC


Stan Houston, MD DTM&H FRCPC

Professor of Medicine (Infectious Disease & General Internal Medicine) & Public Health

Director, Northern Alberta HIV Program

University of Alberta

Edmonton AB


Jim Hutchinson, MD, FRCP(C)

Medical Director - Antimicrobial Stewardship Program

Vancouver Island Health Authority

Victoria BC


Ari Joffe, MD, FRCPC

Pediatric Critical Care and Infectious Diseases

Stollery Children's Hospital

Edmonton AB


A. Mark Joffe, MD, FRCP(C)

Infectious Diseases Specialist

University of Alberta

Edmonton AB


Jennifer Jupp, BscPharm, BCOP

Clinical Practice Leader - Hematology, Oncology, Transplant Program

Alberta Health Services

Calgary AB


Kevin Katz, MD

Medical Director of IP&C

North York General Hospital

Toronto ON


Bonita Lee, MD, FRCP(C)

Pediatric Infectious Diseases Specialist

University of Alberta

Edmonton AB


Andrew M. Morris, MD SM FRCPC

Infectious Diseases Specialist

Mount Sinai Hospital | University Health Network

University of Toronto

Toronto ON


Susan Nolt, RN, BScN

Nurse Consultant, Communicable Disease

Surveillance and Assessment Branch, Family and Population Health Division, Alberta Health

Edmonton AB


Neesh Pannu, MD SM FRCP

Associate Professor

Divisions of Nephrology and Critical Care

University of Alberta

Edmonton AB


Bharti Thomas, BScPharm, ACPR

NICU Clinical Pharmacist

Alberta Health Services

Edmonton AB


Wendy Vaudry, MDCM, FRCPC

Director of Pediatric Infectious Diseases Stollery Children's Hospital

Edmonton AB



 

Tanya Fischer-Ooraikul, BScP.

Drug Utilization Pharmacist

Alberta Health Services

Edmonton AB

 

Sarah Forgie, MD, FRCP(C)

Pediatric Infectious Disease Specialist

Stollery Children's Hospital

Edmonton AB

 

Jennifer Grant, MD

Medical Microbiologist and Infectious Diseases Specialist

Vancouver General Hospital

Vancouver BC

 

Margaret Gray, BSP

Clinical Practice Leader - Infectious Diseases

Alberta Health Services

Edmonton AB

 

Terri Hamlin, BScPharm, ACPR

Clinical Informatics Pharmacist

Alberta Health Services

Calgary AB

 

Robyn Harrison, MD FRCPC

Infectious Disease Specialist

Grey Nuns Hospital

Edmonton AB

 

Jill Henderson-Grainger, RN, BScN

Nurse Consultant, Communicable Disease

Surveillance and Assessment Branch, Family and Population Health Division, Alberta Health

Edmonton AB

 

Holly Hoang, MD FRCPC

Infectious Diseases Specialist

Covenant Health

Edmonton AB

 

David Patrick, MD, FRCPC, MHSc

Director and Professor

UBC School of Population and Public Health and Medical Epidemiology Lead, Antimicrobial Resistance, BC CDC

Vancouver BC

 

Rita Pon, BSP, ACPR

Drug Information Pharmacist

Alberta Health Services

Edmonton AB

 

Joan L. Robinson, MD, FRCP (C)

Pediatric Infectious Diseases Specialist

Stollery Children's Hospital

Edmonton AB

 

Marcel Romanick, BSc Pharm

Pharmacist

UAH/Stollery Children's Hospital

Edmonton AB

 

Stuart J. Rosser, MD FRCPC MPH

Clinical Assistant Professor, Division of Infectious Diseases

University of Alberta

Edmonton AB

 

Lynora Saxinger, MD, FRCPC, CTropMed

Chair, Antimicrobial Stewardship and Resistance Committee, AMMI Canada

Associate Professor, Infectious Diseases, University of Alberta

Edmonton AB

 

S. Nan Schuurmans, MD, FRCSC

Zone Clinical Department Head, Women's Health Program

Alberta Health Services, Edmonton Zone

Edmonton AB

 

Ameeta Singh, BMBS(UK), MSc, FRCP(C)

Clinical Professor, Division of Infectious Diseases

University of Alberta

Edmonton AB

 

Wendy Sligl, MD, MSc, FRCP(C)

Critical Care/Infectious Diseases Specialist

University of Alberta

Edmonton AB

 

Stephanie W. Smith, MD, MSc., FRCPC

Infectious Diseases Specialist

University of Alberta

Edmonton AB

 

Daniel J.G. Thirion, B.Pharm., M.Sc., Pharm.D., FCSHP

Pharmacist, McGill University Health Centre

Clinical Associate Professor, Faculté de pharmacie, Université de Montréal

Montreal QC

 

Gary Victor, MD, FRCP(C)

Internal Medicine/Infectious Diseases

Kelowna General Hospital

Kelowna BC

 

Denise Werry, BScPharm, ACPR, PharmD

Clinical Pharmacy Specialist - Infectious Diseases

Kelowna General Hospital

Kelowna BC