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23 Oct, 6 tweets, 5 min read
#IDWeek2020
Session: Hospital infection control and environmental sustainability: challenges and opportunities!
@preets579

Infection prevention reality vs environmental sustainability - can we achieve a balance?
#IDWeek2020
Session: Hospital IC: challenges and opportunities!
@preets579

Learned about life cycle assessments today!

Reusable gowns had 28% reduction in energy consumption, but data is variable - as in those that did note advantage to reusable laryngoscopes vs single use
#IDWeek2020
Session: Hospital IC: challenges and opportunities!
@preets579

Manufacturers are incentivized to make single use products based on recommendations -- so what is the opportunity here? Does the frame of emerging pathogens shape our ethos towards single use devices?
#IDWeek2020
Session: Hospital IC: challenges and opportunities!
@preets579

We need to forge new partnerships, but how easy is it for healthcare systems to actually do this? How to regulate?
#IDWeek2020
Session: Hospital IC: challenges and opportunities!
@preets579

We need more data on single use equipment

Infection prevention and environmental teams should collaborate to create change, potentially thru national/global partnerships
#IDWeek2020
Session: Hospital IC: challenges and opportunities!

🔥An underrecognized topic that @preets579 discussed beautifully!

@BIDMC_IDFellows @BIDMChealth

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More from @swinndong

Sara Dong Profile picture
24 Oct
#IDWeek2020
Session: Cutting edge adult&ped #TxID

First up, @BrianFisher95 on adenovirus and EBV Image
#IDWeek2020
Session: Cutting edge adult&ped #TxID
@BrianFisher95

Adenovirus reactivation is more common in pediatric HCT pts, so age is significant risk factor

Chart with reactivation rates, mostly ped data 👇 Progression to sx dz in peds is not uncommon ImageImageImage
#IDWeek2020
Session: Cutting edge adult&ped #TxID
@BrianFisher95

So what to do when adenovirus is positive ImageImage
Read 34 tweets
Sara Dong Profile picture
24 Oct
#IDWeek2020
Session: Viral infections in Ped SOT
Starting with Sharon Chen Image
#IDWeek2020
Session: Viral infections in Ped SOT
Sharon Chen

1) Thinking about CMV through a new lens ImageImage
#IDWeek2020
Session: Viral infections in Ped SOT
Sharon Chen

2) Grateful for the discussion on EBV+PTLD one of my interests, we have so so much to learn about this relationship in both adults and pediatrics Image
Read 19 tweets
Sara Dong Profile picture
24 Oct
#IDWeek2020
So excited for challenging cases in #TxID !

Pearlie Chong @PergamIC @ShohamTxID @nikkitheomd @IDdoc4kids Kate Mullane
#IDWeek2020
Session: Challenging Cases in #TxID
56 yo post-auto HSCT with fever, wt loss, scleral icterus. Labs with low WBC, anemia, elevated LFTs. Not neutropenic.

Check out the smear! ImageImage
#IDWeek2020
Session: Challenging Cases in #TxID

Dx: Babesiosis - Familiar to us here in MA, but this case was from WA!

Very tough to manage in immunosuppressed pts, require prolonged courses ImageImageImage
Read 19 tweets
Sara Dong Profile picture
23 Oct
#IDWeek2020
Session: OPAT in PWID
@mmPharmD

Thinking about how PWID can be treated with OPAT at home
#IDWeek2020
Session: OPAT in PWID
@mmPharmD

OPAT completion in PWID was comparable to those who do not inject drugs

Retrospective studies of carefully selected pts -- but that is also true of who you select in real life
#IDWeek2020
Session: OPAT in PWID
@mmPharmD

No difference in keeping of appts, infusion location, infection type

Longer period of abstinence may indicate better OPAT outcome
Read 13 tweets
Sara Dong Profile picture
23 Oct
#IDWeek2020
Session: Challenging Cases #PedsID

Some case thinking in a "COVID-free zone"
#IDWeek2020
Session: Challenging Cases #PedsID

Cerebral toxoplasmosis in alloHCT pt

CSF cytology actually noted tachyzoites - great image!
#IDWeek2020
Session: Challenging Cases #PedsID

Fusobacterium necrophorum causing liver and renal abscess

Anonymous vampire pic appreciated 🧛
Read 7 tweets
Sara Dong Profile picture
22 Oct
#IDWeek2020
Now to watch Mano a Mano, always a great session!! @PIDSociety
#IDWeek2020 #PedsID
Session: Mano a Mano
Should we tx + tracheal cultures?

Con: @asicksamuels
3 Reasons not to treat:
1. Positive cxs do not equal infection
2. Trach cxs are unreliable
3. Treated positive trach cxs do not equal improved outcomes
+
Risk patient harm from over-tx
#IDWeek2020 #PedsID
Session: Mano a Mano
Should we tx + tracheal cultures?

Pro:
VAT assoc'd w/⬆️duration of mech vent, ICU LOS, mortality
Tx of VAT can prevent progression to VAP and perhaps mortality
Treating VAT w/impaired oxygenation is really tx'ing VAP, which is warranted
Read 10 tweets

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