|  Carmel Sparke THE Premier of Tasmania has |  Branding her views “ misleading and dangerous ”, AMA Tasmania said |  to get jabbed .” She then said vaccinating some- |  were at risk . And they knew that in 2020 ,” she said . | ||||||||
|  defended his party ’ s decision to |  doctors should ensure their “ medical |  one to protect others had never |  Dr Sladden has also written reg- | ||||||||
|  select a doctor accused of “ danger- |  opinions are based on peer-reviewed |  been the aim of vaccination and was |  ular articles for The Spectator Aus- | ||||||||
|  ous ” COVID-19 anti-vaccination |  evidence ”. |  “ completely illogical ”. |  tralia advocating for those who had | ||||||||
|  views as a candidate for the Tasma- |  Dr Sladden , who denies being |  Dr Sladden described the vaccine |  lost jobs , or “ suffered injuries from | ||||||||
|  nian state election . |  anti-vax , will face voters on 23 March |  mandates introduced in Tasmania |  the injections ”. | ||||||||
|  Dr Julie Sladden , who refused |  in the seat of Bass . |  during the pandemic as unethi- |  Premier Jeremy Rockliff stood | ||||||||
|  COVID-19 vaccinations during the |  In an interview with Liberal |  cal , saying that only the elderly and |  by his party ’ s decisions to include | ||||||||
|  pandemic — claiming they were |  MP Russell Broadbent posted on |  those with comorbidities were at |  Dr Sladden as part of the 35-strong | ||||||||
|  unnecessary , potentially harmful |  YouTube , she said : “ I was forced |  serious risk from COVID-19 . |  “ team of the decade ”. | ||||||||
|  and did not prevent transmission |  to close my practice in the wake |  “ Most of the population didn ’ t |  Her views were part of the | ||||||||
|  — was among 35 Liberal candidates announced last month . |  of the [ vaccine ] mandates back in 2021 … because I simply refused |  need to worry . We needed to focus our protection on those groups that |  “ broad church ” of the party , he said . |  Dr Julie Sladden . | |||||||
| Are the UTI guidelines outdated ? |  ICS / LABA / LAMA IN A pMDI 1 | ||||||||||
|  PAGE 1 |  evidence that suggests | ||||
|  certain sorts of squamous | |||||
|  cells actually get sloughed all | |||||
|  the way down from the kidney . | |||||
|  “ That does not necessarily | |||||
|  mean it is contaminating your | |||||
|  sample ; it is just a demonstration | |||||
|  of your sample .” | |||||
|  Dr Couchman and USANZ | |||||
|  president Professor Helen | |||||
|  O ’ Connell have both argued | |||||
|  for new guidelines to formally | |||||
|  recognise chronic UTIs . | |||||
|  In the UK , the NHS has | |||||
|  already updated its public | |||||
|  advice to recognise chronic | |||||
|  UTIs , saying some patients | |||||
|  have UTI symptoms that | |||||
|  “ do not go away ” — possibly | |||||
|  caused by bacteria embedding | |||||
|  in the bladder lining . | |||||
|  Its advice states that testing | |||||
|  does not always detect chronic | |||||
|  infections , yet they can have a | |||||
|  “ big impact ” on quality of life . | |||||
|  “ We think it exists in | |||||
|  patients who may have persistent | |||||
|  symptoms of UTIs , with | |||||
|  or without a positive culture ,” | |||||
|  said Dr Couchman . | |||||
|  “ But they are symptomatically | |||||
|  very severely bothered . | |||||
|  “ Historically , they have | |||||
|  been diagnosed with all | |||||
|  sorts : bladder pain syndrome | |||||
|  , interstitial cystitis , | |||||
|  overactive bladder . | |||||
|  “ I do not think we have | |||||
|  the evidence to say this is an | |||||
|  exclusive diagnosis . I do not | |||||
|  know if these things go hand | |||||
|  in hand , exist next to each | |||||
|  other or feed into each other . | |||||
|  “ But we know this sort of | |||||
|  patient presentation exists .” | |||||
|  The UK guidelines did not | |||||
|  address treatment options , | |||||
|  Dr Couchman said . | |||||
|  She said there could be a | |||||
|  role for long-term antibiotics , | |||||
|  but without guidelines , it was a | |||||
|  case-by-case decision based on | |||||
|  the patient , response to other | |||||
|  treatments and culture results . | |||||
|  Information around | |||||
|  chronic UTIs was “ very confusing | |||||
|  ”, she said . | |||||
|  “ You can see why people | |||||
|  are not quite appropriately | |||||
|  diagnosed , are incompletely | |||||
|  treated or feel that their symptoms | |||||
|  are not being heard .” |