Table of Contents
Credits
Host: Sara Dong
Guests: Daniel Karlin, Christine Pham, Daisuke Furukawa
Content is based on the CID article featured in this episode
Cover Art: Sara Dong
Audio Editing: Bentley Brown
Produced by Sara Dong with support from the Infectious Diseases Society of America (IDSA)
Our Guests
Daniel Karlin, MD
Dr. Daniel Karlin is an Assistant Clinical Professor of Palliative Medicine at University of California Los Angeles (UCLA). He completed his Internal Medicine / Pediatrics training at UCLA followed by Hospice and Palliative Medicine fellowship at University of California San Diego (UCSD). He’s a Los Angeles native, passionate about all things communication related, and wishes he could better remember all those antibiotic regimens from residency.
Christine Pham, PharmD, BCIDP
Dr. Christine Pham is one of the antimicrobial stewardship / infectious diseases pharmacy leads at UCLA. She is continuously engaged in University of California wide antimicrobial stewardship and education outreach initiatives. Christine served as the 2021-2022 lead of the UC System-Wide ASP Collaborative. Her Bruin life has come full circle as a former undergraduate alumni and fledgling UCLA care extended at where she now works.
Daisuke Furukawa, MD
Dr. Daisuke Furukawa is a Clinical Assistant Professor in the Division of Infectious Diseases at Stanford University. He completed residency at Cedars Sinai Medical Center followed by ID fellowship at UCLA. He has a passion for antimicrobial stewardship, and his current clinical and research focus is primarily in orthopedic infectious diseases.
Culture
Daniel share How to Be Perfect, The Correct Answer to Every Moral Question by Michael Schur
Christine share a success of a recent successful car price negotiation
Daisuke enjoys spending time with his son
Consult Notes
Key Points
Welcome to this Febrile StAR episode!
These StAR episodes feature discussions with authors from State-of-the-Art Review articles from the Clinical Infectious Diseases journal (CID).
This episode is based on: Karlin D, Pham C, Furukawa D, et al. State-of-the-Art Review: Use of Antimicrobials at the End of Life. Clin Infect Dis. 2024;78(3):e27-e36. doi:10.1093/cid/ciad735
Journal companion article – Executive summary link: https://academic.oup.com/cid/article/78/3/493/7596075
Infographics
Goal
Listeners will be able to navigate the complexities of use of antimicrobials at the end of life
Learning Objectives
After listening to this episode, listeners will be able to:
- Construct clear and direct communication related to setting expectations
- Expect and predict complex emotions that may be evoked when discussing discontinuation of antibiotics in the setting of end of life
- Describe the components of a time limited trial of antimicrobials
Disclosures
Febrile podcast reports no relevant financial disclosures
Potential conflicts of interest are noted in the CID article as well as reproduced below:
D. F. reports a National Institutes of Health grant (R25 AI 147369), unrelated to this work. All other authors report no potential conflicts.
Citation
Karlin, D., Pham, C., Furukawa, D., Dong, S. “#111: StAR: Use of antimicrobials at end of life ”. Febrile: A Cultured Podcast. https://player.captivate.fm/episode/35b81470-9626-470f-badc-17bbeadd414a/