Are you looking for a medical podcast covering every day issues in diagnostic tests, antimicrobial therapy and management of infections that is relevant to a low or middle income setting? A show that simplifies complex concepts in an easy to follow conversational format? You've come to the right place. This is Microbe Mail - a medical podcast for the busy practitioner or student covering topics in microbiology, infectious diseases and infection control. Sign up to our newsletter to receive u ...
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In July, Ruan braved the AIDS-related Mycoses workshop held in Cape Town as the lone Microbe messenger. He attended sessions where speakers discussed novel findings in the epidemiology, prevention, diagnosis and therapy for some of the deadliest fungal infections globally. In this episode he and Vin take through some of the brief discussions he had…
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This week, we sit down with author, Dr Alastair McAlpine, to discuss his compelling book. In this thought provoking reflection, he shares insights into the unique challenges faced by doctors working in the public sector in South Africa. From systematic shortcomings to personal struggles, he takes us back to what inspired it all. About our Guest: Dr…
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Microbe mail turns 3 on the 14th of September, and we wanted to keep things light for this time of the year. In this special episode we flip the script, literally, and swop our usual expert interviews for some team banter as Esther grills the team over a bunsen burner. We promise it’s more fun than a Petri dish! WE'D LOVE YOUR FEEDBACK ON THIS EPIS…
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In a world of emerging and eradicated pathogens, how has Malaria remained such a successful infection? Since its earliest description as "bad air", this mosquito-driven hazard has remained lethal in some populations and regions. This episode addresses significant updates in its epidemiology, tips on diagnostics, some commentary on the vaccine and a…
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Findings from FIDSSA 2024: Part 2
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Earlier this year, some of the Microbe messengers attended the 10th FIDSSA Congress held in Johannesburg, South Africa. Besides being presenters themselves, they met and interviewed medical researchers in various infectious disease related fields. This joint biennial congress hosted by the Federation of Infectious Diseases Societies of Southern Afr…
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Earlier this year, some of the Microbe messengers attended the 10th FIDSSA Congress held in Johannesburg, South Africa. Besides being presenters themselves, they met and interviewed medical researchers in various infectious disease related fields. This joint biennial congress hosted by the Federation of Infectious Diseases Societies of Southern Afr…
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It's that time of the year again, and most of us have already experience our fair share of the snuffles, so why not discuss it? In this episode Vin and Ruan speak to Associate Professor Diana Hardie about when respiratory infections go viral.... and not in a good way. About our Guest: Diana Hardie is a clinical virologist and head of the diagnostic…
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Ever wondered what Microbiologists get up to in the laboratory? Is it all about waiting for organisms to grow, "doomsday prophecies" regarding antimicrobial resistance, and asking for a clinical correlation? The feild of Microbiology is vast, and Vin speaks to some well seasoned experts to get their take on a career in Microbiology. About our Guest…
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We're back with another game of 'Would you rather?' Where we pose a scenario, and our guests give us their views. This episode really challenges the basis of some of the beliefs and practices regarding antimicrobials. Some of the questions are so tricky, who knows if there even is a correct answer. What we do know is... it depends. About our Guest:…
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The rampant emergence of antimicrobial resistance, particularly amongst Gram negative organisms, has called for both the discovery of novel agents but also for a review of therapeutics thought to have been long lost in this battle. Enter, the "BLBLIs or BLICs'. In this episode Vin and Ruan speak with the 1st author of the publication "Appropriate u…
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Professor Francois Venter is back in Part 3 of our HIV series in which he continues to address South Africa's battles against HIV. Here he discusses his experience on how and when to initiate antiretroviral therapy, prophylaxis against opportunistic infection, routine monitoring and what the future of HIV management looks like in South Africa. Abou…
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Part 2 of our HIV series addresses South Africa's battles against HIV as we get an account of the complexities of diagnosis, prophylaxis, and managing opportunistic infections from a celebrated HIV clinician, Professor Francois Venter. About our Guest: Professor WD Francois Venter, MD, FCP, PhD is Executive Director of Wits Ezintsha at the Universi…
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Here we discuss how HIV is diagnosed and managed in the USA. About our Guest: Dr Ankita Kadakia, M.D. serves as the Deputy Public Health Officer for the County of San Diego. Prior to her current role she served as the Chief and Medical Director for the County’s Tuberculosis Control and Refugee Health Branch and is the President of the California Tu…
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The spleen is a poorly understood organ that when functioning well, operates efficiently in the background, but what can happen when medical conditions or trauma result in an impairment in that function? In today's episode Vin talks to Professor Veronica Ueckermann about the spleen. They discuss its various functions including mopping up old or dam…
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Injection drug use is becoming increasingly common in Sub-Saharan Africa...and with it, the myriad of infectious complications. On this episode, Vin chats to Dr Evan Shoul about infections and some important considerations for managing patients who inject drugs. About our Guest: Dr Evan Shoul specialised as a consultant physician in Johannesburg an…
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Invasive candidiasis (IC)...or evasive candidiasis? This famous fungus somehow managed to cause a great deal of anxiety, especially when it comes to confirming the diagnosis. In this episode, we talk about risk factors for disease, diagnosis and treatment of IC. About our Guest: Dr Tari Papavarnavas completed his medical degree at University of Pre…
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Antimicrobial Stewardship in Low to middle-income settings: trials, tribulations and triumphs
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For World Antibiotic Awareness Week 2023, we are focusing on setting up antimicrobial stewardship in low and middle income settings with limited resources and a high burden of antimicrobial resistance. About our Guest: Prenika Jaglal is a Clinical Microbiologist having obtained an FC Path(Micro) and a Master’s degree at UKZN. She is currently based…
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The Pathology Research and Development Congress (PathRed) is hosted by the National Health Laboratory Service every 2nd year. With a focus on Pathology disciplines, it is a fantastic meeting to learn about diagnostic advancements in Africa. Ruan and I attended the meeting and were able to snatch a few interviews with speakers and delegates. To lear…
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The Pathology Research and Development Congress (PathRed) is hosted by the National Health Laboratory Service every 2nd year. With a focus on Pathology disciplines, it is a fantastic meeting to learn about diagnostic advancements in Africa. Ruan and I attended the meeting and were able to snatch a few interviews with speakers and delegates. To lear…
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In this episode we have a discussion with ChatGPT focused on the communication of antimicrobial therapy to patients and unpack some of the potential pitfalls of large language model use in medicine. Our Guest: (Bio generated by ChatGPT) Our guest is ChatGPT, a machine learning model developed by OpenAI. As an AI, ChatGPT doesn't possess personal ex…
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2nd Anniversary special - Meningitis Q&A
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About our Guest: Sipho Dlamini completed his medical degree, Internal Medicine training and specialist Infectious Disease training at the University of Cape Town and Colleges of Medicine South Africa. His research interests are in HIV and Tuberculosis, the use of vaccines in persons living with HIV infection and on immune-mediated drug hypersensiti…
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Time to "idiot proof" the myth of bactericidal being better than bacteriostatic agents on this collaborative episode with the ID_IOTS podcast. About our Guest: Jame and Callum are the hosts of the ID_IOTS podcast, an Infectious Disease podcast. You can find them through https://idiotspodcasting.buzzsprout.com/share wherever you get your podcasts an…
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Upper respiratory tract infections constitute one of the most common acute illnesses evaluated, particularly in the peadiatric outpatient setting. On this episode of Microbe Mial, VIn chats to Dr Nosisa Sipambo about all things upper respiratory - and when antibiotics are indicated...and more importanely, when they are not! About our Guest: Dr Nosi…
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Yeasts are commonly isolated in clinical specimens, but they are significant in some specimens and not significant in others. There are also a variety of identification methods which can be used in the laboratory. On this episode, Vin chats to a fellow Microbiology podcaster - Luis Plaza of "Let's Talk Micro" about yeasts in clinical cultures. Abou…
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Another fun game of "Would you Rather" but this time, we talk about some fantastic fungal options. Which would you rather choose...? About our Guest: Dr Lyle Murray is a Lecturer at the University of the Witwatersrand and a Consultant in Infectious Diseases at Charlotte Maxeke Johannesburg Academic in Johannesburg, South Africa. He is a clinician s…
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A multi- country outbreak of cholera was reported by the WHO in May 2023. Since the beginning of 2023, a total of 24 countries have reported cases. South Africa is among the countries affected by the outbreak. To aid HCWs in identifying, diagnosing and treating cholera, Microbe Mail has put together this bonus episode on th rapid review of cholera.…
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In this episode we discuss Dr Tom Boyles's new book: How to request a test: A clinician's guide to the interpretation and evaluation of medical tests (https://global.oup.com/academic/product/how-to-request-a-test-a-clinicians-guide-to-the-interpretation-and-evaluation-of-medical-tests-9780192866615?cc=us&lang=en&) Dr Tom Boyles – Short biography. D…
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Best care bundles are a set of practices tied together which are proven to prevent heathcare associated infections. Listen Vin has a chat with Lesley Devenish, a seasoned IPC nurse practitioner and teacher about these bundles. About our Guest: My basic nursing training was completed through the Rand Afrikaans University (now U.J.) and post-grad cou…
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Have you ever played the game "Would you rather?" - listen to this episode to hear a virological take on this fun game. And more importantly - is there even a correct answer at all? About our Guests: Marvin Hsiao: is an associate professor and consultant virologist at University of Cape Town and Groote Schuur Complex of the National Health Laborato…
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One Health is a concept which described the health not only of humans, but also of the envionment and animals. Our Guest, Dr Yogandree Ramsamy tells us about its origins, who governs the principles and how it can be applied to antimicrobial resistance and everyday clinical practice. About our Guest: Dr Yogandree Ramsamy, a medical doctor with a spe…
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Have you ever played the game "Would you Rather?" - listen to this episode to hear a microbial take on this fun game. And more importantly - is there even a correct answer at all? About our Guests: Dr Lauren Richards: I am a specialist physician with a sub-specialty in infectious diseases. I currently work at Helen Joseph Hospital in Johannesburg i…
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Microbe Mail recorded a collaborative episode with the ID:IOTS podcast. Jame, Callum and I talk about the challenge of multidrug resistant Gram negative bacterial infections, particularly from the perspective of a low- middle income setting, with poor access to the newer antimicrobial agents. Callum is a medical microbiology and infectious diseases…
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What is HIV post exposure prophylaxis , who should get it and how should it be given. Vin and Ruan discuss these and other relevant issues related to this topic. About our Guest: Dr Avania Bangalee qualified as a pathologist in virology in 2018 with distinction and was awarded the Coulter Medal for Pathology in the CMSA examination. She has experie…
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Using aminoglycosides to treat infections often causes major distress amongst clinicians. Here we talk about how they should be used appropriately, in the hopes that we may calm some of this anxiety. About our Guest: Dr Veshni Pillay-Fuentes Lorente obtained an MBChB degree at Walter Sisulu University in 2010. Thereafter, completed a 2-year interns…
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Wondering what the microbial "match- made- in- heaven" is? This is the perfect drug - bug...or which antibiotic is best for which specific microbe. Listen to this episode to find out more. About our Guest: Michel completed his Undergraduate degree at UCT, and his FC Path(micro) in Dec 2021. He completed his MMed(micro) in July 2022. He is currently…
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Syphilis incidence is on the rise in South Africa and globally. How does one sensibly make a diagnose and manage a case of syphilis at the present time. I spoke to Dr Denasha Reddy about this. About our Guest: I am a South African consultant in internal medicine and infectious diseases and currently work at the largest tertiary hospital in the sout…
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It's great to find a helpful learning resource. Here, I chat to the author of the book "Bacterial Genetics and Genomics", Prof Lori Snyder about the book, who it will be useful for and why this resource is different from others. About our Guest: Prof. Lori A. S. Snyder is a Professor in the School of Life Sciences, Pharmacy, and Chemistry at Kingst…
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Microbe Mail reached its first birthday milestone. We've created a recap of the year's episodes with some important snippets from each episode. Visit the Microbe Mail website to find all the episodes mentioned and to sign up for updates - updates on new episode releases and new storyboards E-mail: mail.microbe@gmail.com Instagram: Microbe_Mail Twit…
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Microbe Mail reached its first birthday milestone. We've created a recap of the year's episodes with some important snippets from each episode. Visit the Microbe Mail website to listen to each of the full episodes mentioned here and also to sign up to receive updates of episode and storyboard releases. E-mail: mail.microbe@gmail.com Instagram: Micr…
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With the state of pregnancy and breastfeeding being such a fragile time, a number of myths have developed surrounding the state. On this episode, Adj Prof Shastra Bhoora and Dr Jarrod Zamparini help me bust some of these myths. About our Guests: Dr Bhoora is a specialist obstetrician and gynaecologist with a sub-speciality in critical care. She cur…
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Pregnancy is a state that makes many clinicians nervous - with disease processes and medication which can harm both mom and baby. On this episode, I chat to Adj Prof Shastra Bhoora and Dr Jarrod Zamparini about some conundrums in diagnosing infections in pregnant women. About our Guests: Dr Bhoora is a specialist obstetrician and gynaecologist with…
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Do you know the real reason antibiotics are prescribed for 7 days or 14 days at a time? And how much evidence is there for that duration. Listen as host Vindana Chibabhai talks to Dr Kim Pieton (Roberg), an infectious Diseases physician about the length of the antibiotic course as Goldilocks would want it...not too long, not too short, but just rig…
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There are some weird and wonderful things that the Microbiology laboratory technologist/technician sees behind the scenes in the infectious diseases diagnostics process. Here, host Vindana Chibabhai chats to Yola Tatoba, a technician at the Microbiology Laboratory based at Charlotte Maxeke Johannesburg Academic Hospital about these weird and wonder…
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Intravenous lines are an integral component of modern medical care. Can we imagine delivering care without it? However, they are not without harm. On this episode, host Dr Vindana Chibabhai talks to Dr Molebogeng Kolojane about catheter related bloodstream infections - what they are, risk factors, diagnosis, management...and of course, preventing t…
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Cryptococcus species causes close to a quater of a million cases of severe disease and > 180 000 deaths...universally fatal if untreated. In this episode of MM, host Dr Vindana Chibabhai, chats to Prof Nelesh Govender about recent changes and expected changes in the diagnosis and management of Cryptococcal disease. 2022 WHO Cryptococcal Disease Man…
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A very successful pathogen - one that causes a spectrum of disease, from asymptomatic to life-threatening. On this episode we talk about Group A Streptococcus (Streptococcus pyogenes), the various types of infections that it causes and how to manage them. About our Guest: Dr Yesholata Mahabeer is a principal pathologist currently based at National …
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Rapid molecular tests may assist in management of patients and assist in the fight against antimicrobial resistance, but they can be overused or misused. In order to optimise the test, there are a few do's and dont's when considering introducing these tests or requesting these tests. About our Guest: Dr Mohamed Said is a Clinical Microbiologist bas…
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Antimicrobial susceptibility testing comes in a number of different formats. On this episode, Microbe Mail host Dr Vindana Chibabhai speaks to Dr Warren Lowman about MICs - minimum inhibitory concentrations...how they are derived, why and when they are important to consider. YOUR FEEDBACK ON THIS EPISODE – HERE! About our Guest: I am a pathologist …
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Multidrug resistant tuberculosis is a public health crisis. In 2020, only 1 in 3 people with drug resistant TB accessed treatment. On this epsiode of Microbe Mail, Dr Sarah Stacey and I talk about treatment of MDR TB - why and how the regimens have changed, how to monitor patients on treatment and when to seek advice from an expert. South African R…
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1.4 million people died from TB-related illnesses in 2019. In this episode of Microbe Mail, we are talking about diagnostic tests for TB – the right test, for the right patient, from the right specimen type, with the right interpretation. South African TB Guidelines can be found here YOUR FEEDBACK ON THIS EPISODE - HERE! About our Guest: Dr Nina vo…
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