Leaders in Antibiotic Stewardship: Dr. John Selle, Internal Medicine, San Francisco

Leaders in Antibiotic Stewardship: Dr. John Selle, Internal Medicine, San Francisco

Dr. John Selle, DO is a board-certified Internal Medicine physician who uses a balanced, integrative, and holistic approach to health and healing. He uses non-pharmaceutical options whenever possible and seeks to create a dialogue with patients to better understand their health concerns. By working with patients collaboratively, he crafts a personalized plan aimed at optimizing their health.  Today we recognize Dr. Selle as a Leader in Antibiotic Stewardship.

What is your opinion of the current state of antibiotic prescribing?

Physician time pressures coupled with patients' 'pill-for-the-ill' mentality lead to the over prescribing of antibiotics which then, ultimately, led to the development of deadly antibiotic-resistant strains.  We need to do better.  We need to 'first, do no harm', by avoiding antibiotics in viral upper respiratory tract infections and supplant this behavior with patient education and evidence-based non-pharmaceutical interventions.

What antibiotic stewardship tools do you use at your medical practice? 

I use 'Get Smart' CDC posters in the exam rooms along with check list handouts with OTC and natural remedy options for symptom management.  I'm thinking about using some physical props in the future to show the relative sizes of bacteria and viruses as well.

Dr. John Selle practices in San Francisco and is affiliated with St. Mary's Medical Center and California Pacific Medical Center (CPMC) | Sutter Health.


2250 Hayes St, Ste 206
San Francisco, CA 94117
b/t Stanyan St & Shrader St  
(415) 379 - 6100


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