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Patrick Ching

@patrickching

Infectious Diseases Doctor | he/him Views my own #IDSky #MedSky

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Latest posts by Patrick Ching @patrickching

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Balance Versus Bias: Correcting Misinformation About the 2025 ATS Community-Acquired Pneumonia Guidelines Julio A Ramirez, MD, Barbara E Jones, MD MS, Eyal Oren, PhD, MS, Nilam J Soni, MD MS, Marcos I Restrepo, MD, MSc, PhD, Daniel M Musher, MD, Brian L Erstad,

ATS basically admitting that stewardship is not a top priority for them in guidelines. They also consider "case series and clinical experience" as "evidence" to make guideline decisions. Very disappointing messaging and methodology. #TeamIDSA

academic.oup.com/cid/advance-...

06.03.2026 13:59 πŸ‘ 10 πŸ” 2 πŸ’¬ 6 πŸ“Œ 1

Polio vaccine boosters suggested for adults going to Spain, UK, Germany, Finland, UK...

05.03.2026 13:17 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Figure 1. Bacteria Cultured from Injured Ukrainian Service Members. 

Shown are bacteria cultured from the wounds of 127 injured Ukrainian service members, with percentages assigned to each bacterial family and to each genus within the Enterobacteriaceae family. Percentages may not total 100 because of rounding.

Figure 1. Bacteria Cultured from Injured Ukrainian Service Members. Shown are bacteria cultured from the wounds of 127 injured Ukrainian service members, with percentages assigned to each bacterial family and to each genus within the Enterobacteriaceae family. Percentages may not total 100 because of rounding.

Battlefield injuries are often contaminated with potentially infecting microbes. In this study, swabs obtained in the field after injury were profiled. Microbes and potential antimicrobial-resistance genes were characterized. Full study results: nej.md/4l1hpqk

#MedSky #IDSky

28.02.2026 20:02 πŸ‘ 21 πŸ” 12 πŸ’¬ 1 πŸ“Œ 2
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CARDIA study showed that
πŸ«€cardiovascular disease risk increases earlier for men (primarily coronary heart disease)
πŸ«€at age 35 y, men’s risk began to rise faster than women’s & stayed elevated through midlife
www.ahajournals.org/doi/10.1161/...
#MedSky #CardioSky

20.02.2026 21:46 πŸ‘ 2 πŸ” 1 πŸ’¬ 4 πŸ“Œ 0
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#Measles fact sheet @idsainfo.bsky.social
www.idsociety.org/ID-topics/in...
#IDSky #MedSky

20.02.2026 04:33 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Info sheet on microplastics. It shows a woman drinking from a plastic bottle while holding a baby. Text explains microplastics' sources, presence in everyday items, and potential health risks. Tips to reduce exposure include avoiding plastic packaging.

Info sheet on microplastics. It shows a woman drinking from a plastic bottle while holding a baby. Text explains microplastics' sources, presence in everyday items, and potential health risks. Tips to reduce exposure include avoiding plastic packaging.

#Microplastics are plastic fragments smaller than 5 mm that results from breakdown of plastic litter.

πŸ“„ This JAMA Patient Page describes microplastics and the potential health effects of human exposure to microplastics.

ja.ma/4bWLtkm

19.02.2026 17:15 πŸ‘ 7 πŸ” 8 πŸ’¬ 0 πŸ“Œ 0
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In this interim analysis, there is NO increased safety risk associated with #RSV vaccination in pregnant women: preterm birth, PROM, preterm PROM, & HTNsive disorders of pregnancy #IDSky #MedSky #VaccinesWork jamanetwork.com/journals/jam...

20.02.2026 00:34 πŸ‘ 6 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
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πŸ”₯Just published πŸ”₯
ESCMID Clinical Guidelines on the Evaluation and Management of a Reported Antibiotic Allergy #IDSjy
www.clinicalmicrobiologyandinfection.org/article/S119...

16.02.2026 14:12 πŸ‘ 28 πŸ” 12 πŸ’¬ 2 πŸ“Œ 3
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#Emoji use in electronic medical record! Here are the 50 most frequently used emojis in EMRs #MedSky
I wonder how are they able to put these emojis there!
jamanetwork.com/journals/jam...

17.02.2026 22:53 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 1
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@nychealthsystem.bsky.social launched Special Pathogens Biopreparedness Map #IDSky #MedSky nychhbioprep.shinyapps.io/specialpatho...

13.02.2026 00:51 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
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Acute Myocardial Infarction after Laboratory-Confirmed Influenza Infection | NEJM Acute myocardial infarction can be triggered by acute respiratory infections. Previous studies have suggested an association between influenza and acute myocardial infarction, but those studies use...

☝️Remember
#Influenza is associated with 6-16.6x ⬆️risk of #MI πŸ’”
www.nejm.org/doi/full/10.1056/NEJMoa1702090
evidence.nejm.org/doi/full/10.1056/EVIDoa2300361

πŸ’‰Get your flu shot! Protect yourself and your loved ones

06.02.2026 04:48 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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RSV vaccine is recommended for adults
πŸ’‰75+ y
πŸ’‰50-74 y AND conditions that ⬆️risk of severe RSV:

06.02.2026 04:48 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Risk of Cardiorespiratory Events Following RSV-Related Hospitalization This self-controlled case series assesses the risk of cardiorespiratory events 180 days after hospitalization for respiratory syncytial virus infection in adults.

RSV-related hospitalization is associated w ⬆️cardiorespiratory events πŸ«€πŸ«
2.8-8.7x ⬆️rate of MI
3.7-7.4x ⬆️rate of stroke
2.4-12.5x ⬆️rate of CHF exacerbation
23.1x ⬆️rate of COPD exacerbation
16.5x ⬆️rate of arrhythmia
jamanetwork.com/journals/jam...

πŸ’‰Get RSV vaccine if eligible! #IDSky #MedSky

06.02.2026 04:48 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Learned something new! #tularemia associated with harbor seal necropsy #IDSky #MedSky

06.02.2026 03:05 πŸ‘ 6 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

#IDSky #HealthcareEpidemiology #MedSky

05.02.2026 01:12 πŸ‘ 7 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
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GLP-1 Receptor Agonists and Risk of Optic Nerve or Vision-Threatening Events in Patients With Type 2 Diabetes or Cardiometabolic Diseases: A Meta-analysis of Randomized Controlled Trials BACKGROUND. Data concerning glucagon-like peptide 1 receptor agonists (GLP-1 RAs) on risk of ischemic optic neuropathy (ION) are conflicting.PURPOSE. We sy

In pts w #T2DM & cardiometabolic dz, GLP-1 RAs were not associated w increased risk of optic nerve/vision-threatening events #MedSky #GLP1 #OphthoSky
diabetesjournals.org/care/article-abstract/doi/10.2337/dc25-1929/164303/GLP-1-Receptor-Agonists-and-Risk-of-Optic-Nerve-or

01.02.2026 17:35 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Hepatitis B Outcomes After Switching to Long-Acting Cabotegravir/Rilpivirine in People With HIV: Reactivation, Incident Infection, and Liver Safety Across Diverse Serological Profiles This prospective cohort followed 741 people with HIV switching to long-acting intramuscular cabotegravir/rilpivirine. No hepatitis B virus (HBV) incident i

No #HBV reactivation/incident infxn in PLH w isolated anti-HBc after switching to CAB/RPV #HIV #IDSky #MedSky
academic.oup.com/cid/advance-...

01.02.2026 17:29 πŸ‘ 7 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0
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How 'gas station drugs' remain legal How did gas stations became the perfect marketplace for quasi-legal drugs? STAT's Alex Hogan explains on STATus Report.

How ‘gas station drugs’ remain legal www.statnews.com/2026/01/28/h... via @statnews.com

30.01.2026 03:04 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Episode 18 - 3 Tips for New ID Doctors: Then and Now Podcast Episode Β· The Host Response: A FirstcallID Podcast Β· 12/28/2025 Β· 5m

πŸŽ™οΈ Episode 18 of The Host Response is out.

What 10 years in ID taught me:
β€’ Antibiotics can hurt people
β€’ Not every note needs to be a masterpiece
β€’ You need a work buddy
β€’ Vancomycin remains…vancomycin

Reflections for new ID docs (and reminders for the rest of us)
🎧 Listen now.

#idsky #meded

28.12.2025 19:33 πŸ‘ 10 πŸ” 2 πŸ’¬ 0 πŸ“Œ 2
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Nice piece
"Trust in medicine rests not only on skill and outcomes but also on moments when families glimpse our humanity and we allow them to see us"
jamanetwork.com/journals/jama/fullarticle/2843254

29.12.2025 20:01 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Our newspaper article is out today (my first!)
richmond.com/opinion/colu... #IDSky

13.12.2025 15:36 πŸ‘ 4 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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Applying Elite Tennis Paradigms to Surgical Performance jamanetwork.com/journals/jamasurgery/fullarticle/2840502

11.12.2025 16:47 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Sharing our commentary in @ajicjournal.bsky.social
Leveraging data to advance #InfectionPrevention programs #IDSky #HealthcareEpidemiology
authors.elsevier.com/c/1mCdHijjYo...

08.12.2025 04:15 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Got vanc πŸ˜†
#WAAW #IDSky

20.11.2025 13:15 πŸ‘ 5 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Outbreak Investigation of Salmonella: Moringa Leaf Powder October 2025 Do not eat, sell, or serve certain recalled products containing moringa leaf powder. FDA’s investigation is ongoing.

Popular supplement containing moringa leaf powder recalled due to Salmonella contamination www.fda.gov/food/outbrea...

13.11.2025 13:40 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I think I remember you posted about this a while back :-)

13.11.2025 12:51 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Pott puffy tumor #IDSky #MedSky @jamadermatology.com
βœ…subperiosteal abscess of forehead a/w underlying frontal bone osteomyelitis
βœ…most common cause: frontal/ethmoid sinus infxn
βœ…image ASAP
βœ…Mx: Abx, abscess drainage, restoration of paranasal sinus outflow, resection of damaged bone as indicated

12.11.2025 22:43 πŸ‘ 4 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
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Love this piece ❀️ #MedSky
"As physicians, we often wait for permission to care for ourselves, permission that never seems to arrive... I still work hard. But I no longer believe that sacrifice defines me. What defines me now is intention..."
jamanetwork.com/journals/jama/fullarticle/2839102

31.10.2025 18:45 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

I guess it's possible not to feel anything when the leech got in the nasal cavity 😬

30.10.2025 21:02 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Happy Halloween #IDSky #MedSky
nejm.org/doi/full/10.1056/NEJMicm2509569

30.10.2025 12:04 πŸ‘ 4 πŸ” 1 πŸ’¬ 2 πŸ“Œ 0