Discover and read the best of Twitter Threads about #accpam19

Most recents (6)

@ErinMcCreary taking the stage on an ID Literature Update

Duration of therapy is 🔥 right now. #ACCPAM19 #ACCP @accpinfdprn Image
Each additional day of ABX therapy ⤴️harm is both 👶 and 🧑 s!

🛑Each extra day of 💊 in Peds ➡️⤵️anaerobic microflora⤴️rates of C.diff and infectious complications

In surgical PTH➡️each➕ABX day had no proven mortality benefit but ⤴️AKI risk with a NNH of 4 😮 @ErinMcCreary Image
@ErinMcCreary stresses an important point, TRANSITION OF CARE IS 🔑

More patients receive extended duration of ABX therapy when transitioned from IV to PO, inpatient to outpatient as the TOTAL duration of therapy we should be keeping an 👁 on! Image
Read 3 tweets
Getting the LOW down on the LDL management! Credit to @DaveDixonPharmD to the great comparison slides on the updated cholesterol guidelines #ACCPAM19 Image
First update ☝️

Lipid measurement can be fasting OR non-fasting! 👏🏻

However important to note 📝 LDL-C May UNDERestimate the true LDL-C if the LDL is <70 mg/dL. In this case use of non-HDL may be a more accurate marker. Image
Primary prevention of ASCVD.. its complicated 🤯

✅ Important to 📝 patient specific factors&risk stratify to identify where your patient fits along the spectrum of ASCVD risk & @DaveDixonPharmD stresses the importance of the patient centered discussion on pharmacologic therapy Image
Read 3 tweets
OP-timizing anticoagulation in the Peri-OPerative period. 🏥💉 @accpcritprn @accpcardprn #ACCPAM19 #ACCP Image
Optimization through risk stratification. All about weighing the risk of thrombosis vs. the risk of bleeding. Audrey stressed the importance of individualizing the plan to restart AC based on patient specific factors! Image
But it’s clear to say, bridging anticoagulation should be put at bay! Literature suggests bridging only increases the risk of bleeding without any reduction in the risk of thrombosis! @AccpPeriopPRN Image
Read 3 tweets
Antifungal Stewardship in Solid Organ Transplantation presented by @JGPharmD at #ACCPAM19
@JGPharmD hard to follow the CAP guidelines, but Dr. Gallagher starts with a nice overview of the kingdom myceteae #ACCPAM19
@JGPharmD incidence of fungal infections in solid organ transplant patients: small bowel > lung> liver > panc > heart > kidney #accpam19
Read 18 tweets
Putting a CAP on the recommendations for community acquired pneumonia, here’s the tweetorial promised below! 🔑 pearls on the 2019 updates! 📝 #ACCPAM19
Top of the iceberg was a discussion of DUAL vs. MONOtherapy: is BL therapy alone ✅ for CAP? 🤔

Not so fast! 🏃

BL monotherapy has yet to take prime time, up to 40% of patients received atypical coverage in the CAP-START study. So for now, ✌️ is > ☝️ Image
Next up, HCAP is 💀 #nuffsaid Image
Read 6 tweets
starting #ACCPAM19 with the amazing @emilylheil presenting an update on the recently-published community-acquired pneumonia #CAP guidelines
@emilylheil So what actually causes CAP? @emilylheil states "the pathogenesis and etiology of CAP has changed over time with increased rates of vaccination and better diagnostics." Jain et al 2015 unable to identify a pathogen in > 60% of patients, viruses most common
@emilylheil Since etiology a great unknown, do we need to cover atypicals? Garin et al found BL monotherapy NOT non-inferior to combo, but on flip CAP-START suggested atypical coverage perhaps unneeded...
Read 19 tweets

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