Stopping antibiotics as a living 🦋https://xitter.cf/t.co/oFwOPK7IRz

Joined November 2011
Viewpoint by @BradSpellberg describes allowing for hospital staff discretion regarding strict adherence to policy vs best interest of the patient. ja.ma/3BTpQBi
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Executive Summary: State-of-the-Art Review: Evaluation and Management of Pelvic Osteomyelitis in Stage IV Pressure Injuries: A Multidisciplinary Collaborative Approach bit.ly/47FGU9K
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Where should I put this stained glass window? The ICU? PACU? Med-Surg? 😇😅
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September 1 is "Back to Hogwarts Day." In honor of this, I share one of my favorite micro/HP-related comics about....syphilis. #MedMicro
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J-D Talbot retweeted
BREAKING NEWS. The Global Trial Steering Committee has advised trial sites today that we have closed the PSSA and MSSA silo backbone domains on the advice of the DSMC. We await data to become available for analysis. @syctong @Josh_S_Davis @DrToddLee #IDTwitter #IDX
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Pro tip; Never say to nurses in 🏥: « Yes, I’m ok with a PiccLine if the patient is a hard stick » They always end up hard stick.
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Thoughtfully written paper on piperacillin/tazobactam Susceptibility Test Interpretive Criteria for Enterobacterales: Recommendations from the United States Committee on Antimicrobial Susceptibility Testing. academic.oup.com/cid/article…
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It's sad that millions of procedures have been performed using antibiotic cement but no one can do a 10000 patient RCT. @VPrasadMDMPH
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Jesus Christ That’s how the world ends. Not with a bang but with Private dermatologist creating a super-Metallobetalactamase though crappy ertapenem misuse.
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Most medical textbooks are full of pictures of florid presentations of very rare diseases. In reality medicine is full of atypical presentations of common diseases.
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💥CLSI M100 34rd Edition Updates 👇 - A thread 🧵 #MicroRounds #IDXPosts #IDTwitter (a bit late because I’m 🤒)
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Possibly dumb question. Why do infections like cystitis, beta strep cellulitis or uncomplicated bacterial PNA need more than 1 dose of abx (assuming immune comp)? Incomplete bacterial killing? Dose wouldn't allow fully depleting bug? Could shortest be bestest? @BradSpellberg
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I just found 🧐 something funny @BradSpellberg I must have missed it many years ago. «Vascular Graft Infections, Mycotic aneurysms, and endovascular Infections - AHA Scientific Statement - 2016» ➡️Biased towards IV and longer duration ? Look at the TABLE vs TEXT 😂 #IDXposts ahajournals.org/doi/10.1161/…
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SSSS is not only for «Staphylococcal Scalded Skin Syndrome». It's also for a «Big 4» of S.aureus Bacteraemia (SAB) trials #IDXPosts -Sabato (still waiting peer-reviewed publication) -Snap (@snap_trial) -Sab7 (clinicaltrials.gov/study/NCT…) -Safe (ncbi.nlm.nih.gov/pmc/article…)
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Primum non nocere Il est temps de mettre fin aux dérives diagnostiques et thérapeutiques des experts autoproclamés de la maladie de Lyme chronique. Il est là, le véritable enjeu de santé publique. lapresse.ca/actualites/chron… via @lp_lapresse
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Our preliminary results of the first Canadian 🇨🇦 compassionate use of REP-2139 in a patient living with HIV/HBV/HDV. It is what it is… a case report 🤷‍♂️ But it slowly adds more data while new randomized studies are about to begin. #CASL #CASLSTC @CASLupdates
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Things I do not care about when discussing UA's and urine cultures: ❌Pyuria/Leuk esterase + ❌Nitrites ❌Bacteria on microscopy ❌Growth of bacteria on cultures Things I do care about: ✅SYMPTOMS Everything else is just asymptomatic bacteriuria! #IDTwitter #MedTwitter
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I have a clofazimine joke but it needs too much paperwork to be delivered
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