George Koch

Welcome to Backtable Urology, everyone.

I'm George Koch from The Ohio State University, and I'm really excited to introduce Dr. Joshua Sterling from Yale University today to discuss antibiotic stewardship in reconstructive urology.

Thanks so much for being here, Josh.

Yeah, very much so.

You know, you and I have had a bunch of conversations about antibiotic stewardship and, you know, really put our heads together about some projects.

So I'm very excited to go over it with you today.

Could you start by telling us a little bit about yourself and your path to reconstructive urology?

Yeah, no, definitely a field where, I mean, your word, where you can tinker.

So it sounds like it was a good fit.

And about antibiotic stewardship, could you tell me a little bit about kind of what your interest is in antibiotic stewardship and the urinary microbiome and reconstructive urology?

Yeah.

I think a lot of us have that moment.

So I was a chief resident at Vanderbilt and

We had a couple of patients who had like urosepsis and bacteremia.

And, you know, one went home on, needed to pick IV antibiotics for, you know, two weeks.

One person went home on like five days of Bactrim.

like it was very different and i remember saying okay well i'll do one of our like education sessions on you know urosepsis and bacteremia so that you know when these patients come in we won't have to consult id we'll just take care of the the bacterium ourselves it shouldn't be that that big of a an issue so i reached out to one of the infectious disease doctors and they were like that's not how bacteremia works like it's not it's not just like

bacteria in blood, this is your antibiotic duration.

And I, and I was, I was, you know, I was a little hell bent on it.

I was like, I am going to figure this out.