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Trapper-
Some discussions I've had with ID docs at WRNMMC (2 yrs ago) seem to lead to a conclusion that in 1st world countries, with the use of 2nd-4th gen ABX being so high, that the 1st gen ABX (PCNs, TCNs, ECNs) are once again becoming effective as the pathogens are mutating to defeat the bigger threats.
Those same ID docs decry the use of the biggest guns early as contributing to the speed of increasing resistance by the pathogens.
I went through the 18D3 course about the same time as SouthernDZ (the second reclass cycle for AD 18 series folks) and we were hit over the head with start small, proper course length, monitor infection life... bigger guns if no change (dependent on affected system/virulence of infection) after a half course...
Why is current protocol that much changed that providers are going directly to Nukes when a 5.56 will work?
Troll sends.
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In the business of war, there is no invariable stategic advantage (shih) which can be relied upon at all times.
Sun-Tzu, "The Art of Warfare"
Hearing, I forget. Seeing, I remember. Writing (doing), I understand. Chinese Proverb
Too many people are looking for a magic bullet. As always, shot placement is the key. ~TR
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