The ever-evolving landscape of medicine
Dear Reader
I have been a ‘guest editor’ for this issue while René recovers from surgery.
In this issue, we acknowledge World Antimicrobial Awareness Week and the pressing concern of antimicrobial resistance (AMR) within the field of wound care. Recognising the paramount importance of preserving the skin and gut’s normal flora, we emphasise the preference for narrow-spectrum antimicrobial agents in minimising AMR’s impact.
Recent statistics underscore the gravity of AMR, with its disease burden rivalling or surpassing that of HIV and malaria combined, resulting in about 4.95 million deaths in 2019. Furthermore, a recent study demonstrates antimicrobial stewardship programmes substantial reduction in antibiotic consumption by nearly 30%.
Chronic obstructive pulmonary disease continues to be a leading global cause of mortality, and its diagnosis remains a complex challenge.
It is that time of year when many patients are suffering from allergic rhinitis (AR). We examine its pathology, symptoms and impact on quality of life (QoL), which, as a sufferer, I can attest is huge.
We look at new treatment options for AR, with a focus on combining montelukast and levocetirizine.
Differentiating between anaphylaxis and urticaria could mean the difference between life and death. They exhibit comparable clinical characteristics and are linked by shared immune-mediated pathways.
Gastro-oesophageal reflux disease (GORD) is associated with considerable reductions in QoL and work productivity, as well as increased healthcare use. Proton pump inhibitors are currently the most effective treatment for GORD. However, there are limitations associated with these drugs in terms of patients’ response. Despite these limitations, long-lasting acid control is possible.
Due to the complexity of diabetes therapy algorithms, insulin treatment protocols often seem like a minefield of right, wrong or indeterminate choices. Nonetheless, effective management requires precision on the part of clinicians.
November is National Diabetes Month and this year’s focus is on taking action to prevent diabetes health problems. Nonetheless, effective management requires precision on the part of clinicians.
Testosterone has been described as ‘the most misunderstood molecule in medicine’. Testosterone therapy is hugely significant for men with testosterone deficiency or hypogonadism. While many people are aware of the role of testosterone in male sexual desire and muscle mass, the broader medical community often overlooks its vital importance in addressing various general medical conditions.
We hope you find this issue informative and relevant to your practice, and as always, we remain committed to providing valuable insights to aid you in your medical journey.
Regards
Claire Rush
Guest editor
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