Antimicrobial Stewardship and Infectious Diseases Pharmacist. BCIDP. PK/PD geek wannabe. Also I play the banjo. Opinions expressed are my own.
Joined October 2008
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Cameron Forbes retweeted
It's #WorldAntimicrobialAwareness Week and this year's theme is “Act Now: Protect Our Present, Secure Our Future." We want to spotlight on our “Gold Star Physicians," for their appropriate antibiotic use, patient safety, and collaboration with QCH teams! #QCHOttawa #OttawaHealth
Cameron Forbes retweeted
This week, our Antimicrobial Stewardship (ASP) team passed out “StewardCHIPS” to raise awareness and highlight their impactful interventions being implementing to combat Antimicrobial Resistance.
Learn more about Antimicrobial Resistance: who.int/campaigns/world-amr-…
"Conclusion: A high degree of discordance between vancomycin Cmin and AUC was present in patients considered to be at high risk of nephrotoxicity. Monitoring vancomycin AUC in these patients may reduce the risk of nephrotoxicity." Important!
🆕️⚡️⚡️Small observational
A Comparison of Vancomycin AUC & Trough Concentration in Specific Populations*
The majority (79%) of the 43 Cmin levels <15 mg/L had an associated AUC >400 mgh/L & 57% of 21 Cmin levels within the 15 to 20 range had an AUC >600
journals.sagepub.com/doi/abs…
Cameron Forbes retweeted
I agree with what you've said. It is exhausting to be constantly nudging others to modify their treatment plans. It's exhausting to be the abx police. Some in our field have become apologists for being abx police. Not me. I wanna work with ya--but there is a higher calling.
@PharmERToxGuy @IDstewardship @PharmDFarmD @IDSAInfo @MBrigmon @emilylheil @BradSpellberg @DrToddLee @TBrnaughtTB @liz_novick @AlexLawandi
Cameron Forbes retweeted
#IDPharmacistDay is this Wed (5/22)! Get involved and recognize ID pharmacists in your life! #IDtwitter 👨⚕️👩⚕️
Don’t miss it! Your chance to celebrate #IDPharmacistsDay this Wed 5/22 at 12-1pm ET on X, join & share a photo of yourself with the ID Pharmacist in your life. #SIDPAdvocacy #JointheAMSFight 🦠 👩⚕️ 💊
Find out how to celebrate & learn more: buff.ly/3y3YG90
Cameron Forbes retweeted
So much work has been done to fight AMR 🦠, but this is just the beginning…the rest is still unwritten. 💊 Share your story & celebrate ID Pharmacists Day! Join the Twitter/X storm! #JointheAMRFight #IDPharmacistsDay @IDSAInfo @SHEA_Epi @ACCPInfdPRN @MAD_ID_ASP @ASMicrobiology
Happy #IDPharmacistsDay! I'd have written something longer, but I'm busy fighting to get post-op antibiotics removed from an order set. 💩
Cameron Forbes retweeted
Mark your calendars for the 4th Annual #IDPharmacistsDay on Wednesday, May 22nd, and prepare to share a photo of yourself with the Infectious Diseases Pharmacist in your life. #SIDPAdvocacy #JointheAMSFight 🦠 👩⚕️ 💊
Find out how to celebrate & learn more: buff.ly/3y3YG90
Cameron Forbes retweeted
Troughs of 10-15 can be achieved with various different exposures/AUCs and AKI risks. We may find that 400-600 isn’t the ideal range, but troughs certainly can’t be the answer. This is old news. We’ve already switched :)
Cameron Forbes retweeted
#Cdifficile can be devastating side effect of treating infections, but did you know that the specific antibiotic used can impact #Cdiff risk? Check out this infographic to C the diff-erence you can have when selecting antibiotics! #IDxPosts #IDTwitter #Antibiotics #TwitteRx
Cameron Forbes retweeted
Yes, it was. When doing stewardship and recommend streamlining from piptaz, mer or cefepime to a non- antiPae drug, some non-ID colleagues say: "I feel safer continuing; there is no randomized evidence for the safety of changing. " No more, here you are the evidence.
Cameron Forbes retweeted
Would love if folks could reframe & include only dose optimized PO beta-lactams, otherwise we’ll continue to pile on the never PO BL train for GNR BSI 2/2 UTI 🫠
Fluoroquinolones are effective for oral stepdown therapy for Gram-negative bloodstream infections but are associated with unfavorable toxicities.
In @OFIDJournal, researchers compare effectiveness of FQs, TMP-SMX, or HBBLs for GN-BSI oral stepdown therapy.
Read: academic.oup.com/ofid/advanc…
Question for #IDtwitter : how did we end up with tobra trough cutoff of "<1-2"? How can this be a range? What does it even mean? Is a trough of 1.9 OK? 1.2? I have absolutely no idea how to interpret a lower end cutoff that has a range of options. Insight appreciated :)
Cameron Forbes retweeted
Proud to work with @camoxicillin and Dr. K. Sharma doing our part to battle #AMR. Read more about it: who.int/news-room/events/det…. #WAAW2023
Happy #WAAW2023! 💙
Since 2013, QCH’s Antimicrobial Stewardship Program has helped us provide patients with the most appropriate antibiotics (or none), in order to help reduce the side effects and slow the spread of antimicrobial resistance.
#GoBlueforAMR
Cameron Forbes retweeted
Happy #WAAW2023! 💙
Since 2013, QCH’s Antimicrobial Stewardship Program has helped us provide patients with the most appropriate antibiotics (or none), in order to help reduce the side effects and slow the spread of antimicrobial resistance.
#GoBlueforAMR
Cameron Forbes retweeted
Golden rules by @BradSpellberg
1️⃣🌟There is nothing magical about IV antibiotics.
2️⃣🌟There's no magical infectious disease that requires IV antibiotic treatment.
3️⃣🌟There is NO minimum required IV lead-in duration.
#IDXposts #MedEd
Cameron Forbes retweeted
Beneficial gut flora when you treat “urine culture positive for uti” #stewardmeme nitter.gq/videoshitting/status/1…
Cameron Forbes retweeted
Today I am tabling the Improving Air Quality for Our Children Act, 2023.
If adopted, this bill will help improve air quality in our classrooms and licensed childcare facilities.
I hope that folks from all sides can stand behind this important issue for our kids
#onted
