Menu
Sign In Search Podcasts Charts People & Topics Add Podcast API Blog Pricing

Dr. Joshua Sterling

๐Ÿ‘ค Speaker
254 total appearances

Appearances Over Time

Podcast Appearances

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

It won't be putting patients at risk to do it in the near future.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

You know, we can at least simulate first to show people that, you know, it might be safe and then translate into the real world for that confirmation as opposed to initial testing.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

At least you can get a couple of test cases and see what happens and use that as your base and kind of go from there.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

When we first started talking about it, how would we really do a study where we're looking at it?

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

We're looking at not just cultures, but how are we changing it with that advanced sequencing?

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

And it's like $100 per culture per patient, and you're doing it multiple times.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

And kind of that math adds up really quickly for something where you're not exactly sure

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

you know, what the benefit's going to be.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

So.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

I mean, there is a 2015 paper which kind of conclusively proved that urine is not sterile, that there is a healthy microbiome.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

And I think that's the important word, a healthy microbiome.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

Everybody knows about their gut biome.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

And, you know, we learned in medical school that you have more bacteria in you than you have cells.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

But then we think all bacteria are bad.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

And to kind of understand that.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

Yeah.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

But outside of knowing that there is a microbiome, there really haven't been many studies that tell us kind of what it is.

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

Is it a balance?

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

You know, how do you if that balance is off, how do you reset it?

BackTable Urology
Ep. 286 Antibiotic Stewardship in Reconstructive Urology with Dr. Joshua Sterling

In the last two or three years, there have been a couple of publications on the urology literature, but in the microbiology literature that's looking at that and kind of.