It's Lyme part 2: get on with it, you don't get 2 poems.

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We want you to know that it's no crime

That you don't know that much about Lyme

It's fastidious, and hard to grow

There will be many things that you do not know

So listen on, with a bowl of porridge

Or similar breakfast, and scoff up some knowledge

To not listen to part 2 would be a crime

Upgrade your practice: it's Tyme for Lyme.

Sign up for the BIA Autumn trainees meeting 2026 here: BIA Autumn Trainees Meeting 2026 | British Infection Association (BIA)

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Rat bite fever: Neve seen it, probably never will, here's a podcast episode on it anyway.

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Healthy genitals: a good idea? Come listen to our episode on Gardnerella and find out!

Fellas this includes you, don't skip.

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In which Jame waxes lyrical about pharmacodynamic target attainment and its role in breakpoint setting and dosing of antibiotics, and how you can apply it in clinical practice.

Take a look at the prep notes for this one, a picture says a thousand words!

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The POET trial was the biggest endocarditis trial in some time, and since 2019 has changed how we manage these patients. But how to implement oral regimens for Endocarditis?

Jame speaks to Nik Rae, Consultant Physician, on how they implemented the use of oral antibiotics for endocarditis patients in Ninewells Hospital, and how you can too! (in your own hospital, not Ninewells, the're already doing it).

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How do you decide which antimicrobial to use? This is a follow on from episode 69, 'Choosing an antimicrobial'. We did an overview of spectrum and syndromes... But now let's dive into the details!

We consider the details of how to choose an antibiotic in simple, complicated and complex situations.

We also talk about the Cynefin Framework for decision making in various circumstances; Don't worry if you don't know what that is; neither did Jame before this episode was recorded!

Notes for this episode here: https://idiots.notion.site/144-Choosing-an-Antimicrobial-Host-Microbe-Drug-Factors-2d76a1ea09d8814787ccfc26fe779b3a

Support the show

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Paediatric AMS? Surely there aren't any issues with antimicrobial use in paediatrics?!

Jame hears from Dr Charlotte Fuller and Dr Sanjay Patel that yes, yes there is a problem! And YOU can do something about it.

Listen in to hear the answers to these questions:

• What do we know about AMR and antimicrobial use in children?
• What are the barriers to responsible antimicrobial use in children?
• How can DGH AMS teams and paediatrics support each other?
• Are there any other paediatric-specific considerations for infection prevention, diagnosis and management?
• Where can microbiologists learn more about paediatric infection? HINT it is here: https://uk-pas.co.uk/ and here https://bsac.org.uk/paediatricpathways/

Sign up for FIS now! Link here: https://fitwise.eventsair.com/fis-2026/registration-and-fees

Support the show

Support us on:

Patreon: https://www.patreon.com/cw/IDIOTS_pod

BuyMeACoffee: https://www.buymeacoffee.com/idiotspod

Prep notes for completed episodes can be found here (Not all episodes have prep notes).

If you are enjoying the podcast please leave a review on your preferred podcast app!