Helmi Sulaiman Profile picture
Apr 15, 2023 14 tweets 4 min read Read on X
Tricks and tips for the infectious diseases consultant by Esther CALBO, Spain at #ECCMID2023

Risk of death for ID physicians from "womb to tomb." Image
Our role is essential (ID consult can reduce the risk of death)

However, we must know how to sell our importance to the hospital suite ImageImageImage
Solicited interventions are more welcomed than the nonsolicited ones Image
Effective communication is the key Image
How do we get them (patients and other teams) to trust us Image
We need to know where we are to avoid getting lost. And it is good to start with the low-hanging fruits Image
We need to know our team in terms of strength Image
And future planning to increase the staffing in our ID unit is very important Image
Knowing the hospital settings including IC and AMS team/workforce is essential too Image
Examples of low-hanging fruits Image
Intervene early
The earlier, the better Image
As a society (ID), we have a lack of validated metrics to assess our values Image
In summary... Image
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More from @edenhelmi

Apr 28
SAB management updates by IDSA/ESCMID
#ESCMIDGlobal2024
The term “complicated” SAB varies and does not always suggest longer treatment
Solution: low vs. high-risk populations for SAB Image
How do we risk stratify SAB into the two levels? Image
How many sets of BC should be repeated?
1 or 2 sets
24 or 48 hours later Image
Read 13 tweets
Apr 10
A very enlightening talk by Angela Hutner on simple vs complicated UTI definitions
Simplicity wins
Anything that is beyond the bladder = complicated UTI (including prostatitis)

This will be updated in 2024 by both the IDSA and ESCMID

#IDTwitter #IDXposts
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IDSA/ESCMID new guidelines: Image
Gupta has updated this on UpToDate too Image
Read 32 tweets
Apr 17, 2023
New drugs against GNB by Ursula Theuretzbacher #ECCMID2023

In Malaysia, we only have Cefta-avi for resistant GNB infections!
We hope @SHIONOGI_JP will include Malaysia in the list of countries for generic cefiderocol- a project by @gardp_amr

@KKMPutrajaya @DrZalihaMustafa Image
These are the drugs that are recently approved and we have none of these locally
We can only use Fe-troja(n)/Cefiderocol by @SHIONOGI_JP under the compassionate use program, and the drug is flown all the way from Europe

The cost is huge and our patients can rarely afford it Image
Again, the same table:
The red ones are called DBO/Diazabicyclooctanes. They have an added PBP activity in addition to BLI activity
Boronates have extended BLI activity (MBL)
The green one is the Tazobactam analogue

Here is an excellent podcast on these: asm.org/Podcasts/Edito… Image
Read 17 tweets
Apr 16, 2023
Fairytales or reality, checking some eminence paradigms for treatment of severe infections

#ECCMID2023 Image
Kill fast! These infections must be treated with a "bactericidal" antibiotic
Beatrice Grabein, Germany

Clindamycin is bad for invasive MRSA infection
journals.asm.org/doi/full/10.11… Image
Tolerance to oxacillin is bad
ncbi.nlm.nih.gov/pmc/articles/P… Image
Read 29 tweets
Apr 15, 2023
Polymyxins and carbapenems: their place in the treatment of MDR Gram-negative infection today
#ECCMID2023

This a very relevant talk for us in Southeast Asia (exc Singapore)

@alif82 @SyamhaninA @fikreeahmad @shaharudeen @GSRajahram @stevenlimcl @SazaliBasri @HanzHc
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Read 19 tweets
Apr 15, 2023
Evolution of CM/ID Specialties by Dr. Rama
#ECCMID2023 Image
He talked about his evolution when he came back from the US and the UK
He needed to learn about the cultures in India

This includes antibiotics as a one-size-fits-all remedy

He captured the issues of empiric therapies - one empiric regimen after another. Image
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Read 9 tweets

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