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Vicki Fleming

@vicki-fleming

Consultant Clinical Scientist in Medical Microbiology @ NUH. Interested in all things IPC, Pneumocystis, endocarditis, diagnostic stewardship, WGS & novel diagnostics. 🦠 🏴󠁧󠁒󠁳󠁣󠁴󠁿 All views are my own

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09.11.2024
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Latest posts by Vicki Fleming @vicki-fleming

🌟 ABX Pearl of the Day: penicillin allergies

❓ Q: My patient reports a reaction to penicillin (acute, self-limited rash) over 10 years ago. Can they safely receive cefazolin for their MSSA infection?
#IDsky #medsky #meded #pharmsky #skyRX #AMSsky

16.07.2025 15:23 πŸ‘ 11 πŸ” 8 πŸ’¬ 1 πŸ“Œ 0

Hoping our very first Grand Round for UTI cases will be the start of something good!!

If successful, there will be more to come... so please get involved with
@esguti-studygroup.bsky.social

#UTIsky #IDsky

04.07.2025 14:02 πŸ‘ 8 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0
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Welcome to ESGUTI on BlueSky!

We are the newly founded ESCMID Study Group for Urinary Tract Infections (UTIs) - all working together to improve UTI care through collaboration, science and innovation.

We’re just getting started - and look forward to you joining us!
#ESGUTI #ESCMID #UTI #JoinUs

30.06.2025 14:23 πŸ‘ 12 πŸ” 2 πŸ’¬ 2 πŸ“Œ 0
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Pseudomonas aeruginosa clinical isolates can encode plastic-degrading enzymes that allow survival on plastic and augment biofilm formation Howard etΒ al. demonstrate that clinical isolates of the opportunistic pathogen Pseudomonas aeruginosa can encode functional plastic-degrading enzymes and that these enzymes can influence bacterial bio...

So happy to be able to finally share this story:
Can pathogens degrade plastic? Yes (some!)
Does this impact virulence? Yes
Read the full story below:
www.cell.com/cell-reports...

#microsky

08.05.2025 07:47 πŸ‘ 20 πŸ” 4 πŸ’¬ 1 πŸ“Œ 3

Not liking this at all!

17.04.2025 23:14 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

Just made a custom feed that pulls in a wide array of hashtags being used at ESCMID Global 2025

May have a few minutes delay, but contains posts with
#ESCMIDGlobal #ESCMIDGlobal2025 #ESCMID2025 #ECCMID2025

Feel free to pin it to your timelines. Hope it's helpful #IDSky

bsky.app/profile/did:...

12.04.2025 13:51 πŸ‘ 54 πŸ” 20 πŸ’¬ 5 πŸ“Œ 3
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Dr Joshua Davis presents data on Cefazolin vs (Flu)cloxacillin for MSSA.

1. Cefazolin is non-inferior.
2. Less AKI with Cefazolin.
#ESCMIDGlobal

12.04.2025 15:13 πŸ‘ 16 πŸ” 7 πŸ’¬ 2 πŸ“Œ 2
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To change or not to change?

The necessity of replacing a catheter during a CAUTI remains a subject of ongoing debate. Please fill in this survey to help us assess potential global practice variation in catheter management!

Completion only takes <2 minutes: forms.office.com/e/MRCMwUb2UK

22.03.2025 07:32 πŸ‘ 7 πŸ” 6 πŸ’¬ 1 πŸ“Œ 3
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Early oral stepdown therapy for infective endocarditis: an international cross-sectional survey on current use in clinical practice There is now strong evidence supporting early oral switch (EOS) from intravenous antibiotics in the treatment of infective endocarditis (IE). Our obje…

πŸ†•πŸ’« Early oral stepdown therapy for infective endocarditis: an international cross-sectional survey on current use in clinical practice ESCMID Study Group for Bloodstream Infections, Endocarditis and Sepsis
#idsky #IEWiki
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...

17.02.2025 04:50 πŸ‘ 33 πŸ” 13 πŸ’¬ 2 πŸ“Œ 4

The next @ipcpartners.bsky.social Journal Club will be on contamination of sink drains. No doubt that it happens. But how significant is contamination of the sink drain? What can we do to deal with it and mitigate associated risks?

10.02.2025 15:18 πŸ‘ 2 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Penetration of linezolid into the pleural cavity in critically ill patients with proven or suspected Gram-positive bacterial infections: a retrospective pharmacokinetic study AbstractObjectives. To describe the pharmacokinetics (PK) of linezolid in plasma and pleural fluid (PF) in critically ill patients with proven or suspected

Linezolid gets into everywhere, including the pleural space!
#clinmicro #IDSky #AMR @bsacandjac.bsky.social

academic.oup.com/jac/advance-...

29.12.2024 18:12 πŸ‘ 51 πŸ” 8 πŸ’¬ 8 πŸ“Œ 3

Penicillin allergy delabelling is an effective form of antimicrobial stewardship. And can be pharmacist-led.
πŸ‘ @elisemitri.bsky.social @trubianojason.bsky.social
#IDSky #AMR #ClinMicro @cmicomms.bsky.social

20.12.2024 16:01 πŸ‘ 27 πŸ” 5 πŸ’¬ 3 πŸ“Œ 0
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Its Real Phil GIF ALT: Its Real Phil GIF

After 10 years of practice;
First case of Melioidosis at my πŸ₯
#IDsky

10.12.2024 21:46 πŸ‘ 102 πŸ” 8 πŸ’¬ 9 πŸ“Œ 4

Could I be added please?

27.11.2024 00:21 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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1/14
πŸ€” Why do we use iodine as an intravenous contrast agent?

The answer requires a review of the composition of the human body and a brief tour of one of my favorites, the Periodic Table of Elements.

16.11.2024 21:28 πŸ‘ 203 πŸ” 61 πŸ’¬ 12 πŸ“Œ 15
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πŸ”₯In Case You Missed ItπŸ”₯
Our NEW WikiGuidelines
A stellar cast of auth🌟rs
54 members , 12 countries
The Third WikiGuidelines
After OM,IE
Guidelines for the Prevention Diagnosis,and Management of Urinary Tract Infections in Pediatrics & Adults #idsky
#JAMANetworkOpen
jamanetwork.com/journals/jam...

15.11.2024 23:51 πŸ‘ 56 πŸ” 20 πŸ’¬ 10 πŸ“Œ 32
A side by side image of a bacterial growth media with white antibiotic disks and zones around them. On the left a zone with a sharp edge, onthe right a zone with a hazy, fuzzy edge

A side by side image of a bacterial growth media with white antibiotic disks and zones around them. On the left a zone with a sharp edge, onthe right a zone with a hazy, fuzzy edge

#MicroRounds (Day 977): "day at the beach" For a lab to conclusively detect beta-lactamase in Staphylococcus spp. this is the zone-edge test (aka "sandy beach test"). Around a penicillin disk a sharp ("cliff"): beta-lac(+). A fuzzy edge ("beach"): (-) #ASMClinMicro #IDTwitter

09.08.2023 18:06 πŸ‘ 6 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Please share with your Biomedical & Clinical Science friends on πŸ¦‹ - let’s build our network up again❀️

16.11.2024 08:13 πŸ‘ 47 πŸ” 30 πŸ’¬ 28 πŸ“Œ 1

πŸ“Œ

13.11.2024 07:04 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

The real question of interest.....has the lab named it yet?
[everyone knows microbioloy always gives it's equipment the best names!]

12.11.2024 19:40 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Hello to everyone that is part of the Bluesky community πŸ‘‹ The Healthcare Infection Society is happy to be joining you all.

Be sure to follow us for updates on our Society!

#IDsky
#medsky

12.11.2024 15:57 πŸ‘ 22 πŸ” 10 πŸ’¬ 1 πŸ“Œ 0
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1/5 : Hello everyone! Love to see so many wonderful people in this platform. Let me introduce myself: My name is Luis Plaza, and I am a microbiologist based i. Orlando, Florida. I enjoy learning and sharing information. With that in mind I created the Let’s Talk Micro podcast.

12.11.2024 19:14 πŸ‘ 17 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0

πŸ“Œ Great summary of the current Mycoplama situation - thanks!

12.11.2024 19:08 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Can I join please?

12.11.2024 00:10 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Absolutely delighted to be able to share our paper describing the evolution of vancomycin resistance in C. difficile using evolution – out today in PLOS Biology
journals.plos.org/plosbiology/...

A THREAD (1/10)

www.sheffield.ac.uk/news/scienti...

15.08.2024 17:39 πŸ‘ 43 πŸ” 31 πŸ’¬ 4 πŸ“Œ 4
Preview
a man in a suit and tie stands in front of a group of people and says there are dozens of us Alt: Tobias FΓΌnke standing if front of a crowd in a brown suit, yelling "There are dozens of us. DOZENS!" while pointing to the sky

#IDSky Starter Packs (Updated 11/11/24)

IDSky 1 go.bsky.app/LnAQjdq
IDSky 2 go.bsky.app/JNfSvQT
IDSky 3 go.bsky.app/FeogT7o
IDSky 4 go.bsky.app/D1zxj4E
TxID go.bsky.app/95rzmLi
MedMycology go.bsky.app/8XGywEx

Let me know if I missed you! cc #MedSky

11.11.2024 21:55 πŸ‘ 108 πŸ” 51 πŸ’¬ 32 πŸ“Œ 5

Hi IDSky and #TxID enthusiasts

I've created a Feed for Transplant ID to complement the general ID one created by @johnrossmd.bsky.social (thanks for the help John)

To include your skeet, include the term #TxID (with or without the hashtag)

bsky.app/profile/did:...

11.11.2024 20:41 πŸ‘ 22 πŸ” 7 πŸ’¬ 0 πŸ“Œ 0
#IDSky Starter Pack heading with 7 photos of users

#IDSky Starter Pack heading with 7 photos of users

IDSky Starter Pack 2 heading

IDSky Starter Pack 2 heading

IDSky Starter Pack 3 header

IDSky Starter Pack 3 header

IDSky continues to grow rapidly

We are now >300 users, which means we are on a third Starter Pack

IDSky Starter Pack 1 go.bsky.app/LnAQjdq
IDSky Starter Pack 2 go.bsky.app/JNfSvQT
ID Starter Pack 3 go.bsky.app/FeogT7o

Check back on the most recent one often as it is updated frequently

10.11.2024 02:33 πŸ‘ 205 πŸ” 83 πŸ’¬ 36 πŸ“Œ 15

πŸ™‹β€β™€οΈ

11.11.2024 19:38 πŸ‘ 0 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

πŸ“Œ Really helpful, thanks for explaining it all!

11.11.2024 19:27 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0