StewardMD โ€” Antibiotic Decision Engine

StewardMD
StewardMD.in
ANTIBIOTIC DECISION ENGINE
ANTIBIOTIC
RESISTANCE
IS A GLOBAL THREAT
Antimicrobial resistance (AMR) is one of the greatest health threats of our time.
1.27M
deaths in 2019
10M
deaths/yr by 2050
1/3s
death every 3 sec by 2050
TOGETHER, LET'S END ANTIBIOTIC RESISTANCE.
Preserve Antibiotics. Save Lives. Protect Our Future.
Created with dedication by
Dr. Manoj Kumar Kurmana
A PRODUCT OF
"Be ready for the day when you are the only thing
standing between a patient and the grave."
ยฉ 2026 StewardMD.in ยท All rights reserved
StewardMD
Antibiotic Decision Engine
See what StewardMD recommends โ†’
๐Ÿซ
Community-Acquired Pneumonia
65M Type 2 Diabetes No MDR Risk
Recommended Regimen
Ceftriaxone + Azithromycin
Guideline-aligned empiric CAP coverage
Reassess at 48โ€“72 h; de-escalate on cultures
IDSA/ATS CAP 2019 ยท Harrison's
๐ŸŒก๏ธ
Enteric Fever (Typhoid)
28F Returned Traveller Fever >7 days
Recommended Regimen
Ceftriaxone or Azithromycin
Fluoroquinolone resistance common โ€” avoid empirically
Step down to oral once sensitivity confirmed
WHO Typhoid Guidelines ยท NCDC India
๐ŸฆŸ
Severe Falciparum Malaria
40M High Parasitaemia Altered Sensorium
Recommended Regimen
IV Artesunate
Artesunate superior to quinine for severe disease
Transition to oral ACT once tolerating orals
WHO Malaria Guidelines ยท NVBDCP India
๐Ÿซ˜
Acute Pyelonephritis
35F Uncomplicated No Prior UTI
Recommended Regimen
Ceftriaxone IV โ†’ Oral Step-Down
IV therapy until afebrile 24โ€“48 h; then oral
Total 10โ€“14 day course; urine culture to guide
IDSA UTI/Pyelonephritis Guidelines
โค๏ธ
Infective Endocarditis
58M Native Valve Strep Viridans
Recommended Regimen
Penicillin G ยฑ Gentamicin
4-week regimen for penicillin-sensitive strep
Echo and ID consult mandatory
AHA IE Guidelines ยท Modified Duke Criteria
"Be ready for the day when you are the only thing standing between a patient and the grave."
ยฉ StewardMD ยท MaiKnowledge ยท Dr. Manoj Kumar Kurmana, MD
ยท ยท
Developed by
StewardMD
StewardMD
Antibiotic decision engine ยท internal medicine syndromes
8-question stewardship framework
๐Ÿ’พ
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Enter a name or Case ID to save ยท all other fields optional
Golden rule of StewardMD โ€” every recommendation must answer:
  1. Why is this the diagnosis?
  2. Why are antibiotics needed or not needed?
  3. Why are these pathogens likely?
  4. Why were these antibiotics selected?
  5. What organisms do these antibiotics cover?
  6. What is NOT covered?
  7. When should therapy be narrowed?
  8. When should therapy be stopped?
If any answer is missing, no antibiotic recommendation should be made. This tool is a clinical reasoning aid built from guideline references โ€” it does not replace clinical judgment, local antibiograms, or specialist input.

โ˜… Acknowledgements

Concept, content & development
Dr. Manoj Kumar Kurmana, MD MK Dr. Manoj Kumar Kurmana MD Internal Medicine ยท Senior Resident, GIMSR Clinician, researcher, and builder. Trained across two of India's finest government institutions, published in PubMed, presented at ACC, and building open tools that make antimicrobial stewardship accessible to every doctor โ€” not just the ones with access to expensive systems. Aspiring oncologist, with a particular interest in cancer-related infections and supportive care. Believes good medicine starts with the right question, not the right drug. ๐ŸŽ“ Education MBBS Andhra Medical College, Visakhapatnam
Dr. NTR University ยท 2014โ€“2020
MD Govt JLN Medical College, Ajmer
Rajasthan University of Health Sciences ยท 2022โ€“2025
๐Ÿ”ฌ PubMed Publications PMID 40959673 Prognostic utility of PT-INR, IL-6 & HDL in severe sepsis
Cureus ยท 2025
PMID 39105028 Rhabdomyolysis, AKI & compartment syndrome after wasp sting
Cureus ยท 2024
๐Ÿ›๏ธ Conference ยท JACC 2026 Moderated Poster Single ventricle with AV discordance & Cor Triatriatum
ACC.26 Annual Scientific Session ยท New OrleansPublished in Journal of the American College of Cardiology (JACC) ยท Vol 87, Issue 13 ยท 2026
๐Ÿ“– Published Author ๐Ÿ“— Approach to Urinary Retention
Ready Reckoner in Medicine ยท Jaypee Brothers ยท 2026 ยท ISBN 9789372027341
๐Ÿ… Certifications Stanford AMS 2026 ACLS BLS GCLP GCP ๐Ÿ† Recognition Institutional Citation ยท Govt JLNMC Ajmer ยท 2024 Dainik Bhaskar & Navjyoti ยท Featured for clinical contributions linkedin.com/in/manoj-kumar-kurmana-5365882b7
Contributors
Dr. Maniram Kumhar Inspiration & Mentor Dr. Maniram Kumhar sir's constant encouragement to explore, innovate, and push boundaries inspired the creation of this tool. His belief that there is always room for something better made this project possible. Dr. M. Suryanarayana Murthy The Idea Behind It All Dr. M. Suryanarayana Murthy sir provided the foundational idea and vision that gave birth to StewardMD. His insight into the need for a practical antibiotic decision tool shaped the app's core purpose. Dr. Riyaz Mohammad Testing & Clinical Review Contributed through rigorous bug testing and clinical review of the antibiotic decision engine, identifying issues, validating syndrome logic, and ensuring the tool reflects real-world clinical reasoning. Dr. Prachi Sharma Testing & Clinical Review Contributed through detailed bug testing and clinical feedback, helping refine the engine's recommendations and improving the accuracy of syndrome matching and antibiotic guidance.
๐Ÿค
Want your name here?
Found a bug? Have a clinical suggestion? Want to help improve StewardMD? โ€” your contribution matters. Reach out to Dr. Manoj Kumar Kurmana and your name will be listed as a contributor.
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