Discover and read the best of Twitter Threads about #antimicrobialstewardship

Most recents (7)

Hoy se han anunciado los resultados de un estudio que esperaba con mucho interés. Ceftobiprole demuestra no inferioridad frente a daptomicina (+/- aztreonam) en bacteriemia por S. aureus…
Ceftobiprole es, quizá, la gran incomprendida de las nuevas cefalosporinas (la expresión "de 5a generación es discutible puesto que no todas cubren todo lo que las de cuarta)
Un fármaco que no cubre nada nuevo y que además amplía mucho el espectro. ¿Qué utilidad tiene entonces? Se preguntan, y no sin razón, muchos. En un enfoque #PROA #antimicrobialstewardship debería ser el fármaco a evitar, ¿no?
Read 21 tweets
"No matter how outrageous a claim may initially seem, we all need to consider the possibility that it might actually be true – just consider how many things that you never thought would be possible are now reality." -- Rebecca Sherry Eshraghi…
Sustaining Antimicrobial Stewardship in a High–Antibiotic Resistance Setting | Clinical Decision Support…
#AntibioticResistance, #AntimicrobialStewardship, #ClinicalDecisionSupport, #CohortStudy
Read 13 tweets
(1/10) 71 yo F with HTN and ESRD on HD presents to the ED w/ fever 🌡 + back pain, 🧫 BCx + Clostridium septicum. Which test should be considered? 🧐
(2/10) Clostridium septicum [motile, gram +, anaerobic, spore-forming rod] is rare in the GI tract. In colorectal tumor: anaerobic glycolysis = acidic and hypoxic environment ↑ C. septicum spore germination + tumors break down mucosal barrier and ↑ C. septicum blood entry
(3/10) Infxn mortality rates are high (60-79%)

Early diagnosis🩸and aggressive treatment💊of C. septicum are essential.

Colonoscopy is recommended to evaluate for malignancy. What is another gram + organism associated with colon CA?
Read 11 tweets
Hi #MedTwitter!!! I was excited to be involved w/ the #SHEASpring2021 pre-conference workshop that included an eval of the professional use of #twitter. Here are my notes from the session, sharing in case useful; my focus is on providing helpful tips to new(er) users (🧵):
✅ Always be mindful of your reason for using #twitter; keep use +, professional, consider focusing on only a few topical areas important to you. Consider limiting use to only a few times/day and limit total time spent in app (can go down a 🐇 hole)
At conferences (like #SHEASpring2021):

✅ Connecting w/ others during conferences HUGELY valuable & a good way to grow your network
✅ Engage w/ others; don’t just put out content, respond to others’ posts (great way to build network). Don’t forget to use the conference #!
Read 10 tweets
I have drafted multiple rage-tweets following today's 2 pressers, but realize that I am just emotionally exhausted from the inevitability of it all:
- people getting sick
- families and businesses ruined
- healthcare overwhelmed

Let's start with what won't work:
These WILL reduce the case load. But, if we take the examples of Melbourne and Belgium, the halving time will be somewhere between 7-14 days, depending on completeness and adherence of any "circuit-breaker".
If we start at, say, 1300 cases, then we can expect getting to 650 cases in, say 7-14 days, 325 in 14-28 days, and 162 in 21-42 days. That would bring us to where we were around Labour Day. Taking our foot off the breaks, though, would expectedly bring us back up to where we are.
Read 11 tweets
1/#ManuscriptMonday #IDTwitter #Tweetorial

​Does oral vanco ppx during systemic abx therapy prevent healthcare facility-onset C. diff infection in high-risk patients? ​

@MannyGuajardoMD recently reviewed a study on this very topic at our virtual JC.​
2/Healthcare facility-onset C diff infection (HCFO-CDI) is ️💰🤒☠️​

What can we do to prevent HCFO-CDI?​

✅Inf prevention strategies​
❓OVP Image
3/Downsides to OVP:​

​💊Affects GI microflora​
💊VRE overgrowth 📈​
💊Increased risk for C. diff colonization​
💊Not always tolerated​
💊Cost effective?​
Read 11 tweets
Dr. Cawcutt @KellyCawcuttMD is about to deliver 🔥🔥🔥🔥 on applications of social media in healthcare @unmc #hcsmgr
What is social media? A technology for sharing information. You can LEARN on social media!
Approximately 80% of US population are on social media. In the grand grounds room, majority of hands went up for having a social media account, but significant drop off for those using it professionally. #HCSMGR
Read 18 tweets

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