Dr. Richard L. Oehler, MD, Professor of Medicine at the USF Morsani College of Medicine, presents this update on Diabetic Foot Infections (DFIs). Focusing on recent guidelines updates from 2023, Dr. Oeher discusses DFI epidemiology, pathophysiology, and Diabetic foot exam basics. He then goes on to review diabetic vascular disease and its role in the progression of diabetic foot complications. Dr. Oehler then reviews the workup of diabetic foot infections including imaging and physical examination findings. Lastly, the management of diabetic foot osteomyelitis is discussed including treatment strategies and prevention.
Archives
Pneumonia
Dr. John Greene, Professor of Medicine and Chief of Infectious Diseases at Moffitt Cancer Center and Research Institute, presents a review of Pneumonia in this podcast. He differentiates the different pneumonia types by lung pattern, distinguishing the likely etiologies in the categories of ground glass pnuemonia, consolidative infiltrates, small and large nodular pneumonia, and cavitary disease. The lecture is presented in a case-based format to facilitate retention of the information and for ease in learning. Noninfectious etiologies of lung infiltrates are also presented.
Antivirals and Antifungals in Cancer Patients
Dr. Rod Quilitz, Lead Pharmacist and Antimicrobial Stewardship Program Coordinator at Moffitt Cancer Center and Research Institute, presents a comprehensive talk on the use of antifungal agents and antivirals in the Malignancy patient. Dr Quilitz begins by reviewing the mechanisms of action of different antifungal drug classes. He next discusses Polyene antifungals, azoles, echinocandins in order and includes information on their structure, indications, spectrum of action, dosing information, and toxicities. Lastly, Dr Quilitz discusses antivirals used in the treatment of Herpesvirus family infections, including acyclovir, ganciclovir, foscarnet, cidofovir, and others.
Malaria and Fever in the Returning Traveller
Dr. Kami Kim, Chief of the USF’s Division of Infectious Diseases and International Medicine, presents an update on Malaria and fever in the returning traveller. Dr. Kim begins her talk by presenting an overview of the tropical infections associated with a febrile presentation. She then discusses the work up if the returning traveller with fever, including essential elements of the history, physical exam, and laboratory workup. She then reviews the history of malaria and then moves on to malaria epidemiology. The life cycle of malaria is presented, and then the factors associated with transmission are reviewed. Malaria diagnostics are also discussed. Lastly, Dr. Kim closes by contrasting the distinctions between the individual malaria species (falciparum, malariae, ovale, knowlesi) and their clinical spectrums of disease.
Overview of Antibiotics
Dr. Jose Montero, Professor of Medicine at the Division of Infectious Diseases, Morsani College of Medicine, presents a basic review of anti-infective agents. Dr. Montero begins by discussing the initial assessment of antibiotic choice, related to broad versus narrow spectrum coverage, allergy assessement, and awareness of normal flora versus pathogens. Next, he discusses MIC interpretation and mechanisms of resistance. Dr. Montero then covers each of the major antibiotic classes, including cephalosporins, carbapenems, flouroquinolones, aminoglycosides, gloycopeptines, and oxazolidinones. Lastly, Dr. Montero discusses antibiotic agents used for the coverage of highly resistant bacteria. Cost information about antibiotic agents is also shared.
HIV and Malignancy
Dr. Ana Velez, Professor of Medicine and Infectious Diseases Clinician at Moffitt Cancer Center and Research Institute, discusses the association between malignancies and Human Immunodeficiency Virus Infection. Dr. Velez begins by discussing that factors in HIV disease and stimulate the formation of cancers. Next, Dr. Velez discusses AIDS defining maligancies, including Kaposi sarcoma, Non-Hodgekin Lymphoma, and cervical cancer. Dr. Velez then discusses lung cancer and head and neck cancer in HIV disease, and speculates on the reasons for poorer outcomes in these patients. Lastly, state of the art therapies for malignancy treatment in HIV patients are discussed, including stem cell transplantation and CAR-T therapy.
Essentials of Antibiotic Dosing
Dr. Kristen Zeitler, a pharmacist and pharmacotherapy specialist at Tampa General Hospital, discusses basic information about how to properly dose antimicrobial agents in hospital patients. Dr. Zietler begins by discussing the role that ID clinical pharmacist play in hospitals. She then compares and contrasts the differences between pharmacokinetics (PK) and pharmacodynamics (PD). The principles of pharmacokinetics are then covered, with regard to absorption, distribution, metabolism, and elimination. Next, PK/PD concepts are explored, especially as it relates to Vancomycin. Lastly, adjustment of dosing in renal insufficiency or dialysis is explored.
Basic Principles of Microbiology
Dr. Suzanne Silbert, Microbiology Director for Tampa General Hospital, presents this introductory talk on the basics of the microbiology lab. Dr. Silbert begins with an overview of clinical microbiology, and then reviews the basic classification standards for bacterial organisms, viruses and fungi. She then goes on to discuss culture cultivation techniques, including the use of liquid, solid, or semi-solid media. The speaker then covers identification systems for bacterial organisms, including MALDI-TOF, Disk-Diffusion, and molecular diagnostic techniques. A robust question and answer session concludes the session
Long Covid Syndrome
Dr. Puja Kohli, Infectious Diseases Fellow at the University of South Florida Division of Infectious Diseases, provides an update on Long Covid Syndrome. Dr. Kohli begins by discussing what is believed to be the pathophysiology of long Covid, including the immunology behind the long manifestations of the disorder. She then breaks down the specific features of long Covid syndrome by organ system, including respiratory, cardiovascular, hematologic, CNS, renal, and GI manifestations. She then discusses specific treatments for long Covid, including proactive strategies as well as some of the debunked treatments that continue to be used by some communities outside of mainstream medicine. Other treatments are also discussed, including antibiotics, monoclonal antibodies, and SSRIs.
The “Other” Coronaviruses
Dr. Jaraad Dattadeen, Infectious Diseases Senior Fellow at the Division of Infectious Diseases at the USF College of Medicine, discusses coronaviruses other than SARS-CoV2. Dr. Dattadeen begins by discussing the general classification of Coronaviruses as well as their microbiology. The speaker covers SARS CoV-1, MERS, as well as HCoV-OC43, HCoV-229, HCoV-NL63, and HCoV-HKU1. Each virus subtype is compared with SARS-CoV2. The intermediate hosts and reservoirs of select coronaviruses are also discussed.









