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Microbiology Nuts & Bolts: Book Review


Microbiology can be a complicated speciality for many, primarily due to the fact that the clinician needs to additionally consider the bug, as well as the drug and the patient. Microbiology Nuts & Bolts is written by Dr David Garner, a consultant with over 20 years clinical experience within the NHS, with the main aim to provide a no-nonsense pocket book to allow clinicians to confidently identify the microorganisms that are the cause of the patient's infection and how they should be treated.


One aspect of the book I particularly like is the fact that the book addresses common mistakes made by clinicians, as well as myths in practice.

"Some doctors assume that if bacteria are grown from a patient's specimen then antibiotics should be given. This is a mistake. Growth of bacteria in the absence of inflammation (i.e. normal microscopy or no white blood cells), or growth of bacteria in the presence of other factors (e.g. epithelial cells in the urine) is an indication of probable contamination or colonisation, not infection. Do not over interpret the significance of these results. Bacteria are normal in certain places as colonisers or normal flora."

The book is organised by the clinical condition rather than the microorganism, which allows for a quick reference in a clinical setting. It is divided into six parts: basic concepts, microbiology, infection control, clinical scenarios, antibiotics and emergencies.


The book also contains a table including the antibiotic spectrum of activity and antibiotic tissue penetration. It is definitely easy to read and follow, I would recommend it for any clinician or student that wants a better understanding of microbiology.


I currently use the second edition at the hospital. The third edition of the book was kindly gifted to me by Jenny Garner and Dr David Garner,


For a preview of the book or to purchase the book head over to: http://www.microbiologynutsandbolts.co.uk/

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